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PPRNet - Primary (Care) Practices Research Network


Screening for genital chlamydia in 16-25 year old women annually.
The US Preventive Services Task Force (USPSTF) strongly recommends that clinicians routinely screen all sexually active women aged 25 years and younger, and other asymptomatic women at increased risk for chlamydial infection.  The USPSTF also recommends screening for chlamydial infection for all pregnant women 24 years old or younger and for all older pregnant women who are at increased risk. The USPSTF recommends against screening women who are older than 24 years who are not an an increased risk for infection.

Reference: USPSTF: Screening for Chlamydial Infection



Bone density recorded since age 65 in women
The U.S. Preventive Services Task Force (USPSTF) has updated its 2002 recommendations for osteoporosis screening. The article appears in the Annals of Internal Medicine. The major changes in recommendations for bone-mineral density testing in women are:

  • screen all women aged 65 and older;
  • screen women younger than 65 if their 10-year fracture risk is similar to or greater than that of a 65-year-old white woman without additional risk factors -- roughly 9%. (The article recommends using the WHO's FRAX tool to estimate fracture risk.)

The USPSTF expanded its review to include men, and concludes that there is not enough evidence to determine whether screening is beneficial or harmful. The recommendations apply to all racial and ethnic groups.

Reference: USPSTF: Screening for Osteoporosis


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