martes, 12 de junio de 2012

U.S. Preventive Services Task Force: Draft Recommendation Statement ▲► Vitamin D and Calcium Supplementation to Prevent Cancer and Osteoporotic Fractures Draft Recommendation Statement

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U.S. Preventive Services Task Force: Draft Recommendation Statement

USPSTF Posted Draft Recommendations for Public Comment on Vitamin D and Calcium Supplementation to Prevent Cancer and Osteoporotic Fractures and Screening Women for Intimate Partner Violence and Elderly and Vulnerable Adults for Abuse

Vitamin D and Calcium Supplementation to Prevent Cancer and Osteoporotic Fractures Draft Recommendation Statement
Today, the Task Force posted its draft recommendation statement on vitamin D and calcium supplementation to prevent cancer and osteoporotic fractures. The recommendation will be available for review and public comment from June 12th to July 10th. To review the draft recommendation and submit comments click here http://www.uspreventiveservicestaskforce.org/draftrec3.htm.

Screening Women for Intimate Partner Violence and Elderly and Vulnerable Adults for Abuse Draft Recommendation Statement
The Task Force also posted its draft recommendation statement on screening women for intimate partner violence and elderly and vulnerable adults for abuse. The recommendation will be available for review and public comment from June 12th to July 10th. To review the draft recommendation and submit comments, click here http://www.uspreventiveservicestaskforce.org/draftrec2.htm.


Vitamin D and Calcium Supplementation to Prevent Cancer and Osteoporotic Fractures in Adults: U.S. Preventive Services Task Force Recommendation Statement
DRAFT

Summary of Recommendations and Evidence

The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of the benefits and harms of vitamin D supplementation, with or without calcium, for the primary prevention of cancer in adults.
This is an I statement.
The USPSTF concludes that the current evidence is insufficient to assess the balance of the benefits and harms of combined vitamin D and calcium supplementation for the primary prevention of fractures in premenopausal women or in men.
This is an I statement.
The USPSTF concludes that the current evidence is insufficient to assess the balance of the benefits and harms of daily supplementation with >400 IU of vitamin D3 and 1,000 mg of calcium for the primary prevention of fractures in noninstitutionalized postmenopausal women.
This is an I statement.
The USPSTF recommends against daily supplementation with ≤400 IU of vitamin D3 and 1,000 mg of calcium carbonate for the primary prevention of fractures in noninstitutionalized postmenopausal women.
This is a grade D recommendation.
The USPSTF has previously concluded in a separate recommendation that vitamin D supplementation is effective in preventing falls in community-dwelling adults aged 65 years or older who are at increased risk for falls (B recommendation). The full recommendation statement is available at http://www.uspreventiveservicestaskforce.org/
Go to the Clinical Considerations section for suggestions for practice regarding the I statements.
Go to the Figure for a summary of the USPSTF's draft and final recommendations on vitamin D supplementation.
Table 1 describes the USPSTF grades, and Table 2 describes the USPSTF classification of levels of certainty about net benefit.

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