Screening for type 2 diabetes mellitus in adults: U.S. Preventive Services Task Force recommendation statement

被引:122
作者
Calonge, Ned [1 ]
Petitti, Diana B. [2 ]
DeWitt, Thomas G. [3 ]
Dietrich, Allen J. [4 ]
Gordis, Leon [5 ]
Gregory, Kimberly D. [6 ]
Harris, Russell [7 ]
Isham, George [8 ]
Leipzig, Rosanne [9 ]
LeFevre, Michael L. [10 ]
Loveland-Cherry, Carol [11 ]
Marion, Lucy N. [12 ]
Moyer, Virginia A. [13 ]
Ockene, Judith K. [14 ]
Sawaya, George F. [15 ]
Yawn, Barbara P. [16 ]
机构
[1] Colorado Dept Publ Hlth & Environm, Denver, CO USA
[2] Univ So Calif, Keck Sch Med, Sierra Madre, CA USA
[3] Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USA
[4] Dartmouth Med Sch, Hanover, NH USA
[5] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA
[6] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA
[7] Univ N Carolina, Sch Med, Chapel Hill, NC USA
[8] HealthPartners, Minneapolis, MN USA
[9] Mt Sinai Sch Med, New York, NY USA
[10] Univ Missouri, Sch Med, Columbia, MO USA
[11] Univ Michigan, Sch Nursing, Ann Arbor, MI 48109 USA
[12] Med Coll Georgia, Augusta, GA 30912 USA
[13] Univ Texas Houston, Hlth Sci Ctr, Houston, TX USA
[14] Univ Massachusetts, Sch Med, Worcester, MA USA
[15] Univ Calif San Francisco, San Francisco, CA 94143 USA
[16] Olmsted Med Ctr, Rochester, MN USA
关键词
D O I
10.7326/0003-4819-148-11-200806030-00007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Description: Updated U. S. Preventive Services Task Force (USPSTF) recommendation about screening for type 2 diabetes mellitus in adults. Methods: To estimate the balance of benefits and harms of screening, the USPSTF updated its 2003 evidence review, adding evidence from new trials as well as updates on earlier studies. The review for this current recommendation focused on evidence that early treatment prevented long-term adverse outcomes of diabetes, including cardiovascular events, visual impairment, renal failure, and amputation. Recommendations: Screen for type 2 diabetes in asymptomatic adults with sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg. (B recommendation) Current evidence is insufficient to assess the balance of benefits and harms of routine screening in asymptomatic adults with blood pressure of 135/80 mm Hg or lower. (I statement).
引用
收藏
页码:846 / U63
页数:10
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