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Ann Intern Med. 2017 Apr 18;166(8):565-571. doi: 10.7326/M16-2656. Epub 2017 Mar 7.

Developing Recommendations for Evidence-Based Clinical Preventive Services for Diverse Populations: Methods of the U.S. Preventive Services Task Force.

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From University of California, San Francisco, San Francisco, California; Patient-Centered Outcomes Research Institute, Washington, DC; Agency for Healthcare Research and Quality, Rockville, Maryland; University of Washington and Group Health Research Institute, Seattle, Washington; Columbia University and Mt. Sinai Medical Center, New York, New York; Virginia Commonwealth University, Richmond, Virginia; Kaiser Permanente Research Affiliates Evidence-based Practice Center, Portland, Oregon; University of California, Los Angeles, Los Angeles, California; Yale University, New Haven, Connecticut; Pima County Department of Health, Tucson, Arizona; University of Iowa, Iowa City, Iowa; University of Alabama at Birmingham, Birmingham, Alabama; and State University of New York Upstate Medical University, Syracuse, New York.


The U.S. Preventive Services Task Force (USPSTF) summarizes the principles and considerations that guide development of its recommendations for diverse U.S.


It uses these principles through each step in the evidence-based guideline process: developing the research plan, conducting the evidence review, developing the recommendation, and communicating to guideline users. Three recent recommendations provide examples of how the USPSTF has used these principles: the 2015 recommendation on screening for abnormal blood glucose and type 2 diabetes; the 2016 recommendation on screening for breast cancer; and the recommendation on screening for prostate cancer, which is currently in progress. A more comprehensive list of recommendations that includes considerations for specific populations is also provided.

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