that were common to 2 or more of the organizations were included (AAP,
Bright Futures, USPSTF, GAPS, AAFP, CTF, ICSI.1
high-quality systematic reviews and randomized controlled trials were
included and the search for the articles was detailed and exhaustive.
Healthy children between birth and 18 to 21 yrs of age.
included primary and secondary prevention of disease, improvements in
overall and well-being of children, and increases in healthy behaviors.
counseling: the strongest evidence is for injury prevention, STD's,
physical activity, and breastfeeding; there are no studies of office-based
counseling to prevent smoking or drug use in adolescents; one trial
studying alcohol prevention by PCP's showed an increase in drinking
among children in the intervention.
of all the tests recommended, trials have only been conducted for chlamydia
screening and ambylopia screening.
strong evidence for immunizations, folate to prevent neural tube defects,
and iron supplemention to prevent anemia; trials have not been conducted
for fluoride treatment and newborn ocular prophylaxis.