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Table 2. Aims and Processes of the U.S. Preventive Services Task Force to Ensure Integritya

Goal Process

Transparency

  • Standardized methodology described in methods papers published on the USPSTF Web site (http://www.preventiveservices.ahrq.gov) and in peer-reviewed journals;b updates of this methodology in upcoming issues of Annals of Internal Medicine.
  • Publication of all evidence reports and recommendations on the USPSTF Web site.
  • Topics in progress posted on the USPSTF Web site.
  • Federal Register notice soliciting new member and new topic nominations.

Accountability

  • Conflict of interest policy for EPC researchers and USPSTF members.
  • Process for prioritizing topics for review by the USPSTF.
  • Peer review of EPC evidence syntheses and all USPSTF recommendation statements by content experts in federal and professional organizations.
  • Updating to keep recommendations consistent with current literature.

Consistency

  • Systematic reviews of the literature on effectiveness and harms (http://www.ahrq.gov/clinic/epc/).
  • Use of outcomes tables to assess balance of benefits and harms.
  • Evidence grid defining letter grades.
  • Standardized language for recommendations.

Independence

  • Evidence review process.
  • Voting process (members only).
  • Meeting attendance by invitation.
  • Formalized communication between USPSTF and stakeholders.

Notes:

a. EPC = Evidence-based Practice Center; USPSTF = U.S. Preventive Services Task Force.
b. Go to Reference 1.

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