TY - JOUR PY - 2010// TI - Reconsidering the Approach to Prevention Recommendations for Older Adults JO - Annals of internal medicine A1 - Leipzig, Rosanne M. A1 - Whitlock, Evelyn P. A1 - Wolff, Tracy A. A1 - Barton, Mary B. A1 - Michael, Yvonne L. A1 - Harris, Russell A1 - Petitti, Diana A1 - Wilt, Timothy A1 - Siu, Al SP - 809 EP - 814 VL - 153 IS - 12 N2 - The U.S. Preventive Services Task Force (USPSTF) bases its recommendations on an evidence-based model of clinical prevention that focuses on specific diseases, well-defined preventive interventions, and evidence of improved health outcomes. Applying this model to prevention for very old patients has been problematic for several reasons: Many geriatric disorders have multiple risk factors, interventions, and expected outcomes; older adults are not often represented in clinical trials; and important outcomes may not be measured and reported in ways that are conducive to evidence synthesis and interpretation. In 2005, the USPSTF convened a geriatrics workgroup to refine USPSTF methodology and processes to better address the preventive needs of older adults. The USPSTF has begun to apply these new approaches to the review and recommendation on interventions to prevent falls in older adults.

Language: en

LA - en SN - 0003-4819 UR - http://dx.doi.org/10.1059/0003-4819-153-12-201012210-00007 ID - ref1 ER -