Journal article
Screening for Unhealthy Drug Use: US Preventive Services Task Force Recommendation Statement
JAMA : the journal of the American Medical Association, Vol.323(22), pp.2301-2309
06/09/2020
DOI: 10.1001/jama.2020.8020
PMID: 32515821
Abstract
An estimated 12% of adults 18 years or older and 8% of adolescents aged 12 to 17 years report unhealthy use of prescription or illegal drugs in the US.
To update its 2008 recommendation, the USPSTF commissioned reviews of the evidence on screening by asking questions about drug use and interventions for unhealthy drug use in adults and adolescents.
This recommendation statement applies to adults 18 years or older, including pregnant and postpartum persons, and adolescents aged 12 to 17 years in primary care settings. This statement does not apply to adolescents or adults who have a currently diagnosed drug use disorder or are currently undergoing or have been referred for drug use treatment. This statement applies to settings and populations for which services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred.
In adults, the USPSTF concludes with moderate certainty that screening by asking questions about unhealthy drug use has moderate net benefit when services for accurate diagnosis of unhealthy drug use or drug use disorders, effective treatment, and appropriate care can be offered or referred. In adolescents, because of the lack of evidence, the USPSTF concludes that the benefits and harms of screening for unhealthy drug use are uncertain and that the balance of benefits and harms cannot be determined.
The USPSTF recommends screening by asking questions about unhealthy drug use in adults 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred. (Screening refers to asking questions about unhealthy drug use, not testing biological specimens.) (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for unhealthy drug use in adolescents. (I statement).
Details
- Title: Subtitle
- Screening for Unhealthy Drug Use: US Preventive Services Task Force Recommendation Statement
- Creators
- Alex H Krist - Virginia Commonwealth UniversityKarina W Davidson - Northwell HealthCarol M Mangione - University of California, Los AngelesMichael J Barry - Harvard UniversityMichael Cabana - University of California, San FranciscoAaron B Caughey - Oregon Health & Science UniversitySusan J Curry - University of IowaKatrina Donahue - University of North Carolina at Chapel HillChyke A Doubeni - Mayo ClinicJohn W Epling Jr - Virginia TechMartha Kubik - Temple UniversityGbenga Ogedegbe - New York UniversityLori Pbert - University of Massachusetts Chan Medical SchoolMichael Silverstein - Boston UniversityMelissa A Simon - Northwestern UniversityChien-Wen Tseng - Pacific Health Research and Education Institute, Honolulu, HawaiiJohn B Wong - Tufts UniversityUS Preventive Services Task Force
- Resource Type
- Journal article
- Publication Details
- JAMA : the journal of the American Medical Association, Vol.323(22), pp.2301-2309
- DOI
- 10.1001/jama.2020.8020
- PMID
- 32515821
- ISSN
- 0098-7484
- eISSN
- 1538-3598
- Language
- English
- Date published
- 06/09/2020
- Academic Unit
- Health Management and Policy; Community and Behavioral Health
- Record Identifier
- 9984366274202771
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