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 Test or Disorder Population, a Years Frequency Chapter Reference Blood pressure, height and weight >18 Periodically 74 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 smear b Within 3 years of onset of sexual Every 1– 3 years 78 activity or 21–65 Chlamydia Women 18–25 Every 1– 2 years 169 Mammography a Women > 40 Every 1– 2 years 78, 86 Colorectal cancer a >50 78, 87 fecal occult blood and/or Every year sigmoidoscopy or Every 5 years colonoscopy Every 10 years Osteoporosis Women > 65; >60 at risk Periodically 318 Abdominal aortic aneurysm (ultrasound) Men 65– 75 who have e ver smoked Once Alcohol use >18 Periodically 356 Vision, hearing >65 Periodically 22, 30 Adult immunization 116, 117 Tetanus- diptheria (Td) >18 Every 10 years Varicella (VZV) Susceptibles only, >18 Two doses Measles, mumps, rubella (MMR) Women, childbearing age One dose Pneumococcal >65 One dose Influenza >50 Yearly Human papillomavirus (HPV) Up to age 26 If not done prior . 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. 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. 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.