Posts Tagged ‘USPSTF’

Preventive Services Task Force Recommends Glucose Screening for Overweight and Obese adults

October 27th, 2015

The US Preventative Services Task Force has recommended at all adults, age 40-70, who are overweight or obese be screened for abnormal glucose levels. The Task Force recommended behavioral counseling for adults with high glucose levels. For full information, see the USPSTF site here.

 

House Republicans to Eliminate AHRQ

July 19th, 2012

July 18, 2012 Politico reports that House of Representatives Republicans are proposing to cut funding for the Agency for Healthcare Research and Quality (AHRQ), a key federal health services funding agency responsible for the US Preventive Services Task Force (USPSTF) and comparative effectiveness research. https://mail.google.com/mail/u/0/?tab=wm#search/Politico/1389a4a9d8fbca7e

Updated AHRQ Recommendations

June 25th, 2012

The US Preventive Services Task Force has issued new recommendations for clinical diagnosis and treatment of adult obesity. 12 to 26 sessions in the first year can help people manage their weight.” While obesity and encouraging healthy lifestyle choices are related health issues, Dr. Grossman emphasized that the Task Force issued two separate recommendations. He explained, “The Task Force’s obesity screening recommendation focuses on offering or referring obese patients to comprehensive weight management programs. This recommendation is intended to improve all health outcomes, and not only risks for cardiovascular disease. The healthy lifestyles recommendation focuses only on counseling to encourage healthy lifestyle choices to prevent cardiovascular disease.”

In a separate recommendation, the Task Force determined that for people who have low risk for heart disease, counseling to encourage healthy lifestyle choices, such as a healthful diet and physical activity, offers only small benefits in reducing the risk for cardiovascular disease.

The Task Force also stated that this counseling may be beneficial to some people, depending on their individual risk factors, including known cardiovascular disease, high blood pressure, and high cholesterol.

See the Clinical Statement AHRQ_USPSTF_ Adult obesity

And the Evidence Support: http://www.uspreventiveservicestaskforce.org/uspstf11/obeseadult/obeseart.htm

In a separate paper, the USPSTF did not recommend counseling for cardiovascular disease, finding weak evidence for behavioral counseling for diet and physical activity in primary care. Annals: USPSTF recommendation on counseling for cvd

 

 

New Support for Medicare Coverage of Intensive Counseling for Obesity

October 5th, 2011

If the Centers for Medicare and Medicaid Services needed any more support today for including intensive behavioral counseling for obesity as a covered service, it received it today from the U.S. Preventive Services Task Force (USPSTF.)  The USPSTF today released an update of its 2003 recommendation, which was the basis for the Medicare proposal. The update review of literature clearly supports the value of intensive behavioral counseling. It concludes:

  1. Behaviorally based treatment resulted in 6.6 lb greater weight loss in intervention than control participants after 12-18 months, with more treatment sessions associated with greater loss.

  2. Controls generally lost little or no weight, whereas intervention groups lost an average of 4% of baseline weight.

  3. Weight-loss treatment reduced diabetes incidence in patients with pre-diabetes.

  4. Effects on lipids and blood pressure were mixed and small.

The update is published in the Annals of Internal Medicine. Effectiveness of primary care-relevant treatm… [Ann Intern Med. 2011] – PubMed – NCBI