Letters6 May 2008Indirect versus Direct Evidence in U.S. Preventive Services Task Force RecommendationsNed Calonge, MD, MPH, Diana B. Petitti, MD, MPH, and Mary B. Barton, MD, MPPNed Calonge, MD, MPHFrom the U.S. Preventive Services Task Force, Rockville, MD 20850.Search for more papers by this author, Diana B. Petitti, MD, MPHFrom the U.S. Preventive Services Task Force, Rockville, MD 20850.Search for more papers by this author, and Mary B. Barton, MD, MPPFrom the U.S. Preventive Services Task Force, Rockville, MD 20850.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-148-9-200805060-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate Dr. Hahn's thoughtful consideration of the potential distinctions between and within USPSTF recommendation grade letters and the role of certainty in arriving at the recommendation grade.His suggestion that the USPSTF never assign any grade higher than B to a recommendation based on the chain-of-evidence approach (in fact, his proposal would create a new B-minus category for any positive recommendation made on the basis of indirect evidence) implies that only evidence from randomized trials merits a judgment that “certainty of net benefit is high.” In at least some cases, randomized trials of preventive services are not ... Author, Article, and Disclosure InformationAuthors: Ned Calonge, MD, MPH; Diana B. Petitti, MD, MPH; Mary B. Barton, MD, MPPAffiliations: From the U.S. Preventive Services Task Force, Rockville, MD 20850.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUpdate on the Methods of the U.S. Preventive Services Task Force: Estimating Certainty and Magnitude of Net Benefit George F. Sawaya , Janelle Guirguis-Blake , Michael LeFevre , Russell Harris , Diana Petitti , and Indirect Versus Direct Evidence in U.S. Preventive Services Task Force Recommendations David L. Hahn Metrics Cited byPrevalence and pattern of comorbidities in chronic rheumatic and musculoskeletal diseases: the COMORD studyChanging the housing environment to reduce obesity in public housing residents: a cluster randomized trialPerioperative Management of Non-diabetic Patients with Hyperglycaemia (Stress-Induced Hyperglycaemia) 6 May 2008Volume 148, Issue 9Page: 708KeywordsConflicts of interestHIVHIV infectionsHIV preventionLung and intrathoracic tumorsMorbidityMortalityPregnancyRandomized trialsSmoking cessation ePublished: 6 May 2008 Issue Published: 6 May 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...