Recommended Preventive Screening 2016                                                                                                        updated 3/17/2016 (original QI Project Team Garan, Hamm, Gedmintas)

 
 


Age

 

21

 

 

 

Cervical Cancer

 

 

Lipids

B

High risk >20 years

DM, CAD or PAD, earlyfamily CV tobacco, HTN, BMI >30

 

 

 

 

 

 

 

 

 

 

 

 

Diabetes

B 40-70 for obese or overweight adult

 

 

 

 

 

 

 

 

 

 

 

 

A 21-65 with nl cytology q 3.  30-65 w dual testing q 5.  

 

 


D for TAH w no cervix and no prior abnl pap

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35

 

 

 

 

 

A  Men>35 years

 

 

 

 

 

 

 

 

 

 

 

 

 

40

 

Breast Cancer

 

 

C

 

 

 

Lung Cancer

 

 

B 55-80  

 

 annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 year*

 

  

 

 

Colorectal Cancer

Earlier if HNPCC, familial polyposis, UC, early family history  of colon CA

 

 

 

 

 

 

 

 

45

 

 

A High risk

Women >45 years

B for 20-45 w hi

 

 

 

 

 

 

 

50

 

 

B 50-74 biannual mammo

 

 

Consider genetic testing

 

 

 

A  Women, Men

50-75  years

 

 

 

 

 

 

 

 

 

60

 

 

 

 

Osteoporosis

High risk > 60 years

low BMI, white or Asian, h/o fracture, FH of osteoporotic fracture, falls, sedentary, smoking, excessive etoh or caffeine use, low Ca or vit D intake

 

 

 

 

 

 

 

65

 

 

 

If history of normal Paps, can stop screening at 65

B  AAA

Men 65-75

past/present smokers

 

B Women avg risk

> 65 years

 

DEXA scan- interval determined clinically.

 

See FRAX calculator to risk stratify

 

 

 

 

 

75

 

I No evidence for mammo after age 75

If history of normal testing, can consider STOP screening at 75 (C), stop for all at 85 (D)

 

*screening needs to stop if pt has limited life span, stop smoking 15 yrs before, or unwilling to undergo curative surgery,

 

 

 

 

 

85