May/June 2004 Annals of Family Medicine tip sheet

U.S. Preventive Services Task Force Recommends Against Routine Ovarian Cancer Screening
Asserting that the potential harms outweigh the potential benefits, the U.S. Preventive Services Task Force recommends against routine screening for ovarian cancer. The new recommendation statement reflects no change from its 1996 recommendation against routine ovarian cancer screening. The Task Force found no existing evidence that any screening test, including screening with serum CA-125, ultrasound or pelvic examination, reduces mortality from ovarian cancer. Other clinical considerations cited by the Task Force include the low prevalence of ovarian cancer and the invasive nature of diagnostic testing after a positive screening. Ovarian cancer is the fifth leading cause of cancer death among women in the United States, accounting for an estimated 25,400 cases and 14,300 deaths in 2003.
Screening for Ovarian Cancer: Recommendation Statement
U.S. Preventive Services Task Force

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U.S. Preventive Services Task Force Recommends that Primary Care Physicians Screen Children for Common Causes of Visual Impairment According to a new U.S. Preventive Services Task Force recommendation, children under the age of 5 should be screened for the most common causes of visual impairment, including amblyopia, strabismus and visual acuity. The Task Force found that early detection and treatment of amblyopia and amblyogenic risk factors can improve visual acuity. Left uncorrected, amblyopia may harm school performance, ability to learn, self image, and may be a risk factor for future total blindness. Visual impairment caused by refractive error, amblyopia, strabismus and astigmatism is a common condition among young children, affecting five to 10 percent of all preschoolers.

Contact: Angela Lower
American Academy of Family Physicians

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