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Clinical Prevention
 
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Rankings of Preventive Services for the U.S. Population PDF  | Print |  E-mail

Click on each service for additional information.

Clinical Preventive Services CPB CE Total
Discuss daily aspirin use—men 40+, women 50+
Childhood immunizations
Smoking cessation advice and help to quit—adults 		5
5
5		 5
5
5		 10
Alcohol screening and brief counseling—adults 4 5 9
Colorectal cancer screening—adults 50+
Hypertension screening and treatment—adults 18+
Influenza immunization—adults 50+
Vision screening—adults 65+ 		4
5
4
3		 4
3
4
5		 8
Cervical cancer screening—women
Cholesterol screening and treatment—men 35+, women 45+
Pneumococcal immunizations—adults 65+ 		4
5
3		 3
2
4		 7
Breast cancer screening—women 40+
Chlamydia screening—sexually active women under 25
Discuss calcium supplementation—women
Vision screening—preschool children 		4
2
3
2		 2
4
3
4		 6
Discuss folic acid use—women of childbearing age
Obesity screening—adults 		2
3		 3
2		 5
Depression screening—adults
Hearing screening—adults 65+
Injury prevention counseling—parents of children ages 0-4
Osteoporosis screening—women 65+ 		3
2
1
2		 1
2
3
2		 4
Cholesterol screening—men < 35, women < 45 at high risk
Diabetes screening—adults at risk
Diet counseling—adults at risk
Tetanus-diphtheria booster—adults 		1
1
1
1		 1
1
1
1		 2

Notes:

CPB is clinically preventable burden, or the disease, injury and premature death that would be prevented if the service were delivered to all people in the target population.

CE is cost effectiveness, which is a standard measure for comparing services' return on investment.

Services with the same total score tied in the rankings:
10 = highest impact, most cost effective among these evidence-based preventive services
2 = lowest impact, least cost effective among these evidence-based preventive services

For more information about the rankings and how to interpret the scores see:
Maciosek MV, Coffield AB, Edwards NM, Goodman MJ, Flottemesch TJ, Solberg LI.
Priorities among effective clinical preventive services: results of a systematic review and analysis.
Am J Prev Med 2006; 31(1):52-61.