Preventive Medicine/Screening: USPSTF
Madison James
- Refer to USPTF for list of Grade A & B recommendations: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-brecommendations
- Grade A recommendation: High certainty that the net benefit is substantial.
- Grade B recommendation: Either (1) high certainty that the net benefit is moderate, OR (2) moderate certainty that the net benefit is moderate to substantial.
- Recommend downloading the CDC Vaccine Schedules App to easily filter by medical condition or identify contraindications
Preventative Measures for Women |
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|---|---|---|
| Cervical Cancer |
USPSTF:
Ages 21-29: q3yrs with cervical cytology alone Ages 30-65: q3yrs with cervical cytology alone, q5yrs w/ high-risk HPV testing alone or q5yrs with HPV testing in combination with cytology (co-testing) ACS: primary HPV testing q5yrs age 25-65 preferred; HPV/cytology co-test q5yrs or cytology q3yrs also acceptable |
Grade A |
| Breast Cancer |
USPSTF: Mammogram q2yrs ages 50-74 ACS: Mammogram q1yr ages 45-54, q2yrs ages 55+ with average risk If family or personal history of breast, ovarian, tubal, or peritoneal cancer or ancestry associated BRCA1/2 gene mutations, assess risk and refer to genetic counseling |
Grade B |
| Folic acid | Daily folic acid supplement (0.4-0.8mg) in all women who are planning or capable of pregnancy | Grade A |
| Chlamydia Gonorrhea |
All sexually active women <24 y/o, older women with increased risk | Grade B |
| Osteoporosis (DEXA) | Women >65 y/o OR postmenopausal <65 y/o with increased osteoporosis risk by FRAX score | Grade B |
Preventive Measures for MEN |
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|---|---|---|
| Abdominal aortic aneurysm (AAA) screening | One time screening with US in men 65-75 y/o who ever smoked (≥100 cigarettes total) | Grade B |
Preventative Measures for ALL Patients |
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|---|---|---|
| Colorectal Cancer |
All adults age 45-75 FOBT OR FIT annually DNA-FIT (Cologuard) q1-3yr CT colonography q5yrs Colonoscopy q10yrs Flexible sigmoidoscopy q5yrs OR q10yrs + FIT annually Screen earlier if: family h/o CRC or adenoma (start at 40 or 10 years before the earliest diagnosis), IBD, hereditary CRC syndrome, or h/o abdominopelvic radiation |
Grade A for age 50-75; Grade B for age 45-49 |
| Depression | Screen for depression in all adults aged ≥19 with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up | Grade B |
| Diabetes | Screen in adults aged 35-70 who are overweight or obese | Grade B |
| Cardiovascular Health | BP screening annually ≥18 y/o with office BP measurement | Grade A |
| Low-dose Aspirin for primary prevention in adults aged 40-59 with a ≥10% 10-year CVD risk should be individualized and net benefit is small | Grade C | |
| Statin for primary prevention of CVD for adults aged 40-75 who have ≥1 CVD risk factor and estimated ASCVD 10-year risk >10% | Grade B | |
| Hepatitis C | One time screening in all adults aged 18-79 | Grade B |
| HIV | One time screening in all adolescents and adults aged 15-65 | Grade A |
| Lung Cancer |
Low-dose CT annually aged 50-80 with 20 pack year smoking history and currently smoke or have quit within the past 15 years Discontinue screening when have quit smoking for ≥15 year or health status limits life expectancy or ability to undergo curative treatment |
Grade B |
| Obesity | BMI ≥30 offer intensive, multicomponent behavioral interventions | Grade B |