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Screenings - Cervical Cancer in High Risk
Cervical Cancer screening - abnormal results, HPV (+), immunocompromised, etc.:
cervical cytology (Pap) + high risk HPV together every 6 months or 1 year
Screenings - Colorectal Cancer tools
Colorectal Cancer screening Tools:
- high-sensitivity guaiac fecal occult every 1 yr
- fecal immunochemical test (FIT) every 1 year
- stool DNA-FIT every 1 - 3 yrs (ex. Cologuard)
- CT colonography every 5 yrs
- colonoscopy every 10 yrs
- flexible sigmoidoscopy every 5 yrs
- flexible sigmoidoscopy + FIT every 10 yrs
,Screenings - Colorectal Cancer in Average Risk
USPSTF Colorectal Cancer screening:
age 45 - 75 (Grade A) with a screening tool preferably a colonoscopy
- age 76 - 85 (Grade C)
*recommendations differ for high risk (fam hx, ulcerative colitis, etc.) & require
colonoscopy*
Screenings - Colorectal Cancer with Family History
Family History of Colorectal Cancer screening:
colonoscopy starting at 10 years younger than the youngest age a 1st degree relative
was diagnosed
,Screenings - Dental Caries
USPSTF Dental Caries screening: age 6 months to 5 years
- prescribe oral fluoride to those whose water is deficient in fluoride
- primary care providers apply fluoride varnish to primary teeth annually starting at
primary tooth eruption
(grade B)
Screenings - Depression
USPSTF Depression screening:
screening in all age 12 & older for depression at an interval determined by clinical
judgement
(grade B)
- with PHQ, Geriatric Depression Scale, or Edinburgh Postnatal Depression Scale
- may do PHQ-2, then follow-up with PHQ-9, if needed, but the PHQ-9 is superior for
screening
- specifically screen for MDD in age 12-18 with the PHQ-9
Screenings - Diabetes
USPSTF Prediabetes & Type 2 Diabetes screening:
asymptomatic age 35 - 70 who are overweight or obese with HbA1c or fasting plasma
glucose
(grade B)
, Screenings - Fall Prevention
USPSTF Fall Prevention screening: recommend effective exercise interventions in
community-dwelling adults age 65+ who are at increased risk for falls
including supervised individual or group classes & physical therapy
(grade B)
Screenings - Hepatitis C
USPSTF Hepatitis C screening: 1 time screen all asymptomatic age 18 - 79 without
known liver disease
- with anti-HCV antibody testing and, if needed, PCR confirmatory test
- also in increased risk who are < age 18 or > age 79
(grade B)
Screenings - Prostate Cancer
USPSTF Prostate Cancer screening:
periodic screen of males age 55-69 with a PSA-based screening; it is a individualized
decision
(grade C)
Screenings - HIV
USPSTF HIV screening:
at least 1 time screen in all age 15-65
- increased frequency for those at high risk such as those with partners with HIV, IDVU,
MSM, sex-workers, etc.
(grade A)