NCHR Comments on the USPSTF Draft Recommendations for Osteoporosis Screening

December 5, 2017. We strongly suggest the USPSTF provide a separate and clear “D” recommendation against screening in premenopausal women younger than 65. We strongly recommend that the USPSTF not finalize its recommendations until further information is made available regarding the direct benefits and harms of screening as noted above. In addition, we strongly urge that the evidence supports that the harms of drug therapies are “moderate” or “moderate to severe” and these risks be compared to the lack of evidence that these drugs reduce hip fractures, rather than concluding that the benefits are substantial and the risks are “no greater than small.” Last, we urge that USPSTF examine the benefits and harms of non-drug therapies as part of its screening recommendations.

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NCHR Testimony at the FDA about Ciprofloxacin Dry Powder Inhaler (DPI) for Non-Cystic Fibrosis Bronchiectasis

November 16, 2017. We do not know enough to approve this drug for people who really need it, and we respectfully urge you to consider the inadequacy of the current data. We recommend further study of this drug with clinically meaningful primary endpoints, such as severity of exacerbation, overall lung function, and patient-reported outcomes to directly assess patients’ symptoms such as cough, wheezing, and sputum production. We also recommend comparing the drug to a non-powder to ensure that the method of use does not worsen symptoms and including more patients 75 and older.

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NCHR Comments on the USPSTF’s Evidence Review and Draft Recommendation Statement for Behavioral Counseling for Skin Cancer Prevention

November 6, 2017. We support USPSTF’s draft recommendations for behavioral counseling interventions to prevent skin cancer as well as their broader efforts to improve the health of all Americans by making evidence-based recommendations about clinical preventive services. As more information becomes available, we encourage the provision of additional recommendations about more specific behavioral interventions to prevent skin cancer for individuals in various subgroups.

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