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Is This Disease/Disorder Screenable?
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Does its significance warrant its consideration as a community problem?
Can the disease be detected by screening?
Should screening for disease be done? (Consider health benefits and cost)
USPSTF Screening Guidelines for Common Conditions
Please review these common conditions carefully as they will be part of your certification testing. You can review the full pocket
guide through the Agency for Healthcare Research and Quality website, another resource: The Guide to Clinical Preventive
Services (Links to an external site.).
Condition
Breast cancer
Screening Guidelines
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Age 40-49: individualized decision to begin biennial mammogram screening
based on circumstances & values.
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Screening mammography every 1 to 2 years, with or without clinical breast
exam (CBE) for women 50-74 yrs
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Cervical cancer
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Self-breast exam: Encouraged; weak data of efficacy
Age 21-30: pap smear every 3 years (no pap < 21 yrs)
Age 30-65: pap smear q 3 years or co-testing (pap w/ HPV testing) every 5
years. (No HPV testing < age 30).
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Routine screening not recommended if not high risk; 65 or older; recent
normal Pap tests
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Colorectal cancer
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Not recommended if total hysterectomy for benign disease
Insufficient evidence for/against new screening techniques
Age 50- 75: one of following
Annual fecal occult blood test (FOBT)
Sigmoidoscopy every 5 years with FOBT every 3 yrs.
Colonoscopy every 10 years More intensive screening if high risk
No automatic screening 76-85, no screening > 85
Testicular cancer
No current recommendation regarding screening
Prostate cancer
No current recommendation regarding screening
Cholesterol
Hypertension
Human immunodeficiency virus (HIV)/acquired
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immunodeficiency syndrome (AIDS)
Non-fasting or fasting serum lipid
Men age 35+; women age 45+ who are at increased risk
Men age 20-35/ women 20-45 if coronary heart disease risk factors
Screening every 5 years up to age 65
General adult population
Screen every 2 years with BP <120/80
Every year with BP 120-139 or DBP 80-90
Assess other cardiovascular risk factors
Assess risk factors (e.g., IV drug use, unprotected sex); at risk with one or
more risk factors
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Provide periodic screening for those at increased risk of HIV
Pregnant women: Screen to reduce mother-to-child transmission
CDC—recommends all between 13 to 64 years old be screened regardless
of risk factors
Diabetes
Osteoporosis
Depression
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Assess risk factors for Type 2 diabetes
Screen adults with consistent BP >135/80
Mass screening not recommended
Screen high-risk individuals every 3 years
Screen w/ dual-energy x-ray absorptiometry (DEXA)
Screen all women age > 65
Screen women < 65 w/ fracture risk = to 65 year-old
No recommendation for screening men
Nonpregnant adults age 18 & older
Screen only if adequate support is in place to ensure accurate diagnosis,
treatment and follow-up.
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Previous
Numerous screening tools are published