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Screening for Elevated Lead Levels in Childhood and Pregnancy

Update of a 1996 U.S. Preventive Services Task Force Review

Evidence Syntheses, No. 44

Investigators: Gary Rischitelli, MD, JD, MPH, Peggy Nygren, MA, Christina Bougatsos, BS, Michele Freeman, MPH, and Mark Helfand, MD, MPH.

Oregon Evidence-based Practice Center, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, Oregon 97239
Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Dec.
Report No.:
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Members of the US Preventive Services Task Force (USPSTF) defined the scope of this update, in cooperation with the Agency for Healthcare Research and quality (AHRQ) and the Oregon Evidence Based Practice Center (EPC) personnel. The Task Force's goals for this update were to address the gaps in the literature revealed in the 1996 USPSTF recommendations. These gaps related to the accuracy of risk assessment questionnaires in children with varying blood lead levels, the population prevalence at which to change from targeted screening to universal screening, the effectiveness of interventions to lower lead levels, and cost-effectiveness analyses of lead screening programs.

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.1 Contract Number 290-02-0024, Task Order Number 2, Technical Support of the U.S. Preventive Services Task Force. Prepared by: Oregon Evidence-based Practice Center, Portland, Oregon.


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