Since its inception, the USPSTF has made and maintained recommendations on more than 100 clinical preventive services that are intended to prevent or reduce the risk for heart disease, cancer, infectious diseases, and other conditions and events that impact the health of children, adolescents, adults, and pregnant women. The Guide to Clinical Preventive Services 2012 includes new or updated recommendations on 64 clinical preventive services released from 2002–2012 in a brief, easily usable format meant for use at the point of patient care. Recommendations that were being updated while this edition of the Guide was being compiled, as well as the complete USPSTF recommendation statements, are available along with their supporting scientific evidence at www.USPreventiveServicesTaskForce.org.

Contents

• Foreword
• Preface
• Preventive Services Recommended by the USPSTF
• Recommendations for Adults
  • SCREENING FOR ABDOMINAL AORTIC ANEURYSM
  • SCREENING AND BEHAVIORAL COUNSELING INTERVENTIONS IN PRIMARY CARE TO REDUCE ALCOHOL MISUSE
  • ASPIRIN FOR THE PREVENTION OF CARDIOVASCULAR DISEASE
  • ROUTINE ASPIRIN OR NONSTEROIDAL ANTI-INFLAMMATORY DRUG (NSAID) USE FOR THE PRIMARY PREVENTION OF COLORECTAL CANCER
  • SCREENING FOR BACTERIAL VAGINOSIS IN PREGNANCY TO PREVENT PRETERM DELIVERY
  • SCREENING FOR ASYMPTOMATIC BACTERIURIA IN ADULTS
  • SCREENING FOR BLADDER CANCER
  • GENETIC RISK ASSESSMENT AND BREAST CANCER SUSCEPTIBILITY GENE (BRCA) MUTATION TESTING FOR BREAST AND OVARIAN CANCER SUSCEPTIBILITY
  • SCREENING FOR BREAST CANCER PART I: USING FILM MAMMOGRAPHY
  • SCREENING FOR BREAST CANCER PART II: USING METHODS OTHER THAN FILM MAMMOGRAPHY
  • PRIMARY CARE INTERVENTIONS TO PROMOTE BREASTFEEDING
  • SCREENING FOR CAROTID ARTERY STENOSIS
  • SCREENING FOR CERVICAL CANCER
  • SCREENING FOR CHLAMYDIAL INFECTION
  • SCREENING FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE USING SPIROMETRY
  • SCREENING FOR COLORECTAL CANCER
  • USING NONTRADITIONAL RISK FACTORS IN CORONARY HEART DISEASE RISK ASSESSMENT
  • SCREENING FOR DEPRESSION IN ADULTS
  • SCREENING FOR TYPE 2 DIABETES MELLITUS IN ADULTS
  • FOLIC ACID FOR THE PREVENTION OF NEURAL TUBE DEFECTS
  • SCREENING FOR GENITAL HERPES
  • SCREENING FOR GESTATIONAL DIABETES MELLITUS
  • SCREENING FOR GLAUCOMA
  • SCREENING FOR GONORRHEA
  • SCREENING FOR HEMOCHROMATOSIS
  • SCREENING FOR HEPATITIS B VIRUS INFECTION
  • SCREENING FOR HEPATITIS B VIRUS INFECTION IN PREGNANCY
  • SCREENING FOR HEPATITIS C VIRUS IN ADULTS
  • SCREENING FOR HIGH BLOOD PRESSURE IN ADULTS
  • SCREENING FOR HIV
  • HORMONE REPLACEMENT THERAPY FOR THE PREVENTION OF CHRONIC CONDITIONS IN POSTMENOPAUSAL WOMEN
  • SCREENING FOR ILLICIT DRUG USE
  • SCREENING FOR IMPAIRED VISUAL ACUITY IN OLDER ADULTS
  • SCREENING FOR LIPID DISORDERS IN ADULTS
  • SCREENING FOR LUNG CANCER
  • PRIMARY CARE COUNSELING FOR PROPER USE OF MOTOR VEHICLE OCCUPANT RESTRAINTS
  • SCREENING FOR ORAL CANCER
  • SCREENING FOR OSTEOPOROSIS
  • SCREENING FOR OVARIAN CANCER
  • SCREENING FOR PANCREATIC CANCER
  • SCREENING FOR PERIPHERAL ARTERIAL DISEASE
  • SCREENING FOR Rh (D) INCOMPATIBILITY
  • BEHAVIORAL COUNSELING TO PREVENT SEXUALLY TRANSMITTED INFECTIONS
  • SCREENING FOR SKIN CANCER
  • SCREENING FOR SUICIDE RISK
  • SCREENING FOR SYPHILIS INFECTION
  • SCREENING FOR SYPHILIS INFECTION IN PREGNANCY
  • SCREENING FOR TESTICULAR CANCER
  • SCREENING FOR THYROID DISEASE
  • COUNSELING AND INTERVENTIONS TO PREVENT TOBACCO USE AND TOBACCO-CAUSED DISEASE IN ADULTS AND PREGNANT WOMEN
• Recommendations for Children and Adolescents
  • SCREENING FOR ELEVATED BLOOD LEAD LEVELS IN CHILDREN AND PREGNANT WOMEN
  • SCREENING FOR CONGENITAL HYPOTHYROIDISM
  • SCREENING FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
  • OCULAR PROPHYLAXIS FOR GONOCOCCAL OPHTHALMIA NEONATORUM
  • UNIVERSAL SCREENING FOR HEARING LOSS IN NEWBORNS
  • SCREENING OF INFANTS FOR HYPERBILIRUBINEMIA TO PREVENT CHRONIC BILIRUBIN ENCEPHALOPATHY
  • PART I SCREENING FOR IRON DEFICIENCY ANEMIA IN CHILDREN AND PREGNANT WOMEN
  • PART II IRON SUPPLEMENTATION FOR CHILDREN AND PREGNANT WOMEN
  • SCREENING FOR LIPID DISORDERS IN CHILDREN
  • SCREENING AND TREATMENT FOR MAJOR DEPRESSIVE DISORDER IN CHILDREN AND ADOLESCENTS
  • SCREENING FOR OBESITY IN CHILDREN AND ADOLESCENTS
  • SCREENING FOR PHENYLKETONURIA
  • SCREENING FOR IDIOPATHIC SCOLIOSIS IN ADOLESCENTS
  • SCREENING FOR SICKLE CELL DISEASE IN NEWBORNS
  • SCREENING FOR SPEECH AND LANGUAGE DELAY IN PRESCHOOL CHILDREN
  • SCREENING FOR VISUAL IMPAIRMENT IN CHILDREN AGES 1 TO 5
• Immunizations
• Topics in Progress
• Appendixes
  • Appendix A How the U.S. Preventive Services Task Force Grades Its Recommendations
  • Appendix B Members of the U.S. Preventive Services Task Force 2002–2012
  • Appendix C Acknowledgements
  • Appendix D About the U.S. Preventive Services Task Force
  • Appendix E More Resources
  • Appendix F Screening for Breast Cancer

The clinical summaries in the Guide are abridged versions of recommendations from the U.S. Preventive Services Task Force (USPSTF). To view the full recommendation statements, supporting evidence, or recommendations published after March 2012, go to www​.USPreventiveServicesTaskForce.org.

The USPSTF Electronic Preventive Services Selector (ePSS) allows users to download the USPSTF recommendations to PDA, mobile, or tablet devices; receive notifications of updates; and search and browse recommendations online. Users can search the ePSS for recommendations by patient age, sex, and pregnancy status. To download, subscribe, or search, go to www​.epss.ahrq.gov.

Recommendations made by the USPSTF are independent of the U.S. Government. They should not be construed as an official position of AHRQ or the U.S. Department of Health and Human Services.