BIBLIOGRAPHIC SOURCE(S)
MAJOR RECOMMENDATIONS
Note from the National Guideline Clearinghouse (NGC) and the Institute for Clinical Systems Improvement (ICSI): For a description of what has changed since the previous version of this guidance, refer to Summary of Changes Report -- October 2008.
This guideline is intended to assist in the prioritization of screening maneuvers, tests and counseling opportunities. It is not intended to diagnose or treat any condition. Consequently, once a health issue or condition has been uncovered, other ICSI guidelines (such as "Prevention and Management of Obesity [Mature Adolescents and Adults]" guideline) will take precedence during any further diagnosis and management.
Recommendations for preventive services for children and adolescents are presented in the form of an algorithm with 6 components, accompanied by detailed annotations. An algorithm is provided for Preventive Services for Children and Adolescents. Clinical highlights follow.
Class of evidence (A-D, M, R, X) definitions are provided at the end of the "Major Recommendations" field.
Preventive services in this guideline are grouped into four groups, based on their evidence of effectiveness and their priority ranking, as follows:
Level I Preventive Services that providers and care systems must deliver (based on best evidence). (Annotation #2)
Level II Preventive Services that providers and care systems should deliver (based on good evidence). (Annotation #3)
Level III Preventive Services for which the evidence is currently incomplete and/or high burden and low cost, therefore left to the judgment of individual medical groups, clinicians and their patients. (Annotation #4)
Level IV Preventive services that are not supported by evidence and not recommended. (Annotation #5)
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