. "Appendix E: Selected Cancer-Screening Recommendations." Assessment of the Scientific Information for the Radiation Exposure Screening and Education Program. Washington, DC: The National Academies Press, 2005.
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Assessment of the Scientific Information for the Radiation Exposure Screening and Education Program
APPENDIX E-2:USPSTF GRADE A AND GRADE B SCREENING RECOMMENDATIONS FOR ADULTS
Disease
Screening Test
Comments
Abdominal aortic aneurysm
Abdominal ultrasound
Men who have ever smoked
Alcohol misuse
History
If present, behavioral counseling
Breast cancer
Mammogram
Age ≥ 40 years
Cervical cancer
Pap smear
Sexually active women with a cervix
Colorectal cancer
Colonoscopy, flexible sigmoidoscopy or FOBT
Age ≥ 50 years
Depression
Two-question quick screen
Mechanism for referral and followup required.
Quality improvement program desirable
Dyslipidemia
Lipid profile
If present, also screen for diabetes
Hypertension
Blood pressure measurement
If present, also screen for diabetes
Obesity
Calculate body mass index (BMI)
Counsel if BMI ≥ 30
Osteoporosis
History, Risk assessment, DEXA
Age ≥ 65 years; ≥ 60 years if high risk
Syphilis infection
VDRL, RDR, or TP-PA
Persons at increased risk
Pregnant Women
Asymptomatic bacteriuria
Urine culture
Chlamydial infection
Culture or Antibody or DNA tests
Hepatitis B infection
HBsAg test
Rh incompatibility
Rh (D) blood typing
Syphilis infection
VDRL, RDR, or TP-PA
REFERENCES
Canadian TF (Canadian Task Force on Preventive Health Care). Evidence-Based Clinical Prevention. Available at: http://www.ctfphc.org/; accessed May 4, 2004.
Harris, R.P., Helfand, M., Woolf, S.H., Lohr, K.N., Mulrow, C.D., Teutsch, S.M., Atkins, D. Current Methods of the U.S. Preventive Services Task Force: A Review of the Process. Am. J. Prev. Med. 20(suppl 3):21-35. 2001.
USPSTF (U.S. Preventive Services Task Force). U.S. Preventive Services Task Force Ratings: Strength of Recommendations and Quality of Evidence. Guide to Clinical Preventive Services, Third Edition: Periodic Updates, 2000-2003. Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.ahrq.gov/clinic/3rduspstf/ratings.htm#irec; accessed May 4, 2004.
USPSTF (U.S. Preventive Services Task Force). Preventive Services. U.S. Preventive Services Task Force (USPSTF). Available at: http://www.ahrq.gov/clinic/prevenix.htm; accessed May 4, 2004.