Chapter 004. Screening and Prevention of Disease (Kỳ 3) pot

Screening and Prevention of Disease Kỳ 3 The U.S.. Preventive Services Task Force USPSTF provides recommendations for evidence-based screening Table 4-3.. In addition to these populati

Chapter 004 Screening and Prevention of Disease

(Kỳ 3)

The U.S Preventive Services Task Force (USPSTF) provides recommendations for evidence-based screening (Table 4-3) In addition to these population-based guidelines, it is reasonable to consider family and social history

to identify individuals with special risk (www.ahrq.gov/clinic/uspstfix.htm) For example, when there is a significant family history of breast, colon, or prostate cancer, it is prudent to initiate screening about 10 years before the age when the youngest family member developed cancer Screening should also be considered for many other common disorders pending the development of further evidence Three examples are screening for diabetes (using fasting blood glucose), domestic violence, and coronary artery disease in intermediate-risk asymptomatic individuals

Table 4-3 Clinical Preventive Services for Normal-Risk Adults Recommended by the U.S Preventive Services Task Force

Disorder

Population,a Years

Frequency Chapter

Reference

Blood pressure,

height and weight

Cholesterol Men > 35

Women > 45

Every 5 years

Every 5 years

235

Diabetes >45 or earlier,

if there are additional risk factors

Every 3 years

338

Pap smearb Within 3 years

of onset of sexual

Every 1–3 years

78

activity or 21–65

years

169

Mammographya

Women > 40 Every 1–2

years

78, 86

Colorectal

cancera

fecal occult

blood and/or

sigmoidoscopy

or

years

years

Osteoporosis Women > 65;

>60 at risk

Periodically 318

Abdominal

aortic aneurysm

(ultrasound)

Men 65–75 who have ever smoked

Vision, hearing >65 Periodically 22, 30

Adult

immunization

Tetanus-diptheria (Td)

years

Varicella (VZV) Susceptibles

only, >18

Two doses

Measles,

mumps, rubella (MMR)

Women, childbearing age

One dose

Human

papillomavirus (HPV)

Up to age 26 If not done

prior