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Adults should continue undergoing routine hypertension screening, according to the U.S. Preventive Services Task Force (USPSTF), which specified office blood pressure (BP) measurements for initial screening.
It is reasonable for adults 40 years and older and those at increased risk for hypertension to undergo screening every year. Young people not at risk, or those with a prior normal BP reading, may get screened every few years instead, said Alex Krist, MD, MPH, of Virginia Commonwealth University in Richmond, and colleagues of the task force.
Thus, the USPSTF reaffirms its 2015 grade A recommendation for hypertension screening citing its potential to reduce cardiovascular events, with few major harms while clarifying that this should be performed with office readings, leaving measurements outside the clinical setting (i.e., ambulatory BP monitoring [ABPM] or home BP measurement [HBPM]) for diagnostic confirmation before starting treatment.
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Evidence remained insufficient to support broad screening for vitamin D deficiency in adults, the U.S. Preventive Services Task Force (USPSTF) said.
As it did in 2014, USPSTF determined that the lack of direct evidence precluded the assessment of the balance of benefits and harms of routine screening in asymptomatic, community-dwelling adults.
Detecting vitamin D deficiency itself poses several challenges in particular. It is possible that 25(OH)D the major circulating form of vitamin D may not be the best measure of deficiency, and vitamin D requirements may vary by sex and race, according to Alex Krist, MD, MPH, of Virginia Commonwealth University in Richmond, and colleagues in
Keeping up with Routine Care and Preventive Services Safely During COVID-19
Posted on March 17, 2021 by ODPHP
At ODPHP, we encourage patients to use MyHealthfinder to learn about the preventive services they need to stay healthy. The COVID-19 pandemic has affected almost every part of our lives and health care is no exception. In the past year, many people may have put off routine health care and preventive services like screenings and vaccines because they’re worried about getting COVID-19. But doctors warn that this could cause problems in the future.
“This is a problem since a lot of conditions are harder to treat when they’re caught later on,” says Alex Krist, MD, MPH, a primary care physician at Fairfax Family Practice in Virginia. “Delaying some services for a couple months made sense early in the pandemic. But now delays are getting longer, which is a concern,” he says.
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If you've been delaying routine medical care in the past year, now's the time to catch up, doctors say. The consequences of missing some key screenings and health checkups can be lethal.