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The Guide to Clinical Preventive Services 2014: Recommendations of the U.S. Preventive Services Task Force. Rockville (MD): Agency for Healthcare Research and Quality (US); 2014 May.

Cover of The Guide to Clinical Preventive Services 2014

The Guide to Clinical Preventive Services 2014: Recommendations of the U.S. Preventive Services Task Force.

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TitleScreening for Speech and Language Delay in Preschool Children
PopulationChildren ages 5 years and younger who have not already been identified as at increased risk for speech and language delays
RecommendationNo recommendation.
Grade: I (Insufficient Evidence)
Risk AssessmentThe most consistently reported risk factors include a family history of speech and language delay, male sex, and perinatal factors, such as prematurity and low birth-weight. Other risk factors reported less consistently include levels of parental education, specific childhood illnesses, birth order, and larger family size.
Screening TestsThere is insufficient evidence that brief, formal screening instruments that are suitable for use in primary care for assessing speech and language development can accurately identify children who would benefit from further evaluation and intervention.
Balance of Benefits and HarmsThe USPSTF could not determine the balance of benefits and harms of using brief, formal screening instruments to screen for speech and language delay in the primary care setting.
Other Relevant USPSTF RecommendationsThe USPSTF has also made recommendations on screening for hearing loss in newborns and vision impairment in children ages 1 to 5 years. These recommendations are available at http://www​.uspreventiveservicestaskforce.org/.

For a summary of the evidence systematically reviewed in making this recommendation, the full recommendation statement, and supporting documents, please go to http://www​.uspreventiveservicestaskforce.org/.

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