In Reply The USPSTF acknowledges the concerns expressed by Dr Qaseem and colleagues regarding our recent recommendation statement on screening for gynecologic conditions with pelvic examination. The USPSTF has a long history of informing primary care clinicians when it believes that the certainty of the evidence is too low to make a recommendation, as was determined in this case. The USPSTF’s assessment of the evidence on the pelvic screening examination resulted in an I statement, which reflects insufficient evidence to recommend for or against providing a specific preventive service. Recognizing that the I statement can lead to some uncertainty regarding clinical decision making, the USPSTF provides guidance to clinicians in the recommendation statement on how to interpret and use the I statement and, in addition, identifies key research gaps that must be addressed for an I statement to become an A, B, C, or D grade recommendation.
Grossman DC, Bibbins-Domingo K, Curry SJ. Screening Pelvic Examinations—Reply. JAMA. 2017;318(3):300–301. doi:10.1001/jama.2017.7837
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