Screening | Who needs it | How often |
|---|
Type 2 diabetes or prediabetes | All adults beginning at age 45 and adults without symptoms at any age who are overweight or obese and have 1 or more additional risk factors for diabetes | At least every 3 years |
Alcohol misuse | All adults | At routine exams |
Blood pressure | All adults | Guidelines recommend the following screening schedules: Every 2 years if your blood pressure reading is less than 120/80 mm Hg, or Yearly if systolic blood pressure reading of 120 to 139 mm Hg or diastolic blood pressure reading of 80 to 89 mm Hg
|
Breast cancer | All women* | Yearly mammogram should be done until age 54. At age 55 switch to mammograms every other year or may choose to continue yearly mammograms.* |
Cervical cancer | All women, except those who have had a hysterectomy with removal of the cervix for reasons not related to cervical cancer and have no history of cervical cancer or serious precancer | Pap test every 3 years or Pap test with human papillomavirus (HPV) test every 5 years |
Chlamydia | Women at increased risk for infection | At routine exams |
Colorectal cancer | All adults starting at age 50 | According to the American Cancer Society (ACS): For tests that find polyps and cancer: Flexible sigmoidoscopy every 5 years1, or Colonoscopy every 10 years, or Double-contrast barium enema every 5 years1
For tests that primarily find cancer: Yearly fecal occult blood test2, or Yearly fecal immunochemical test every year2, or Stool DNA test, every 3 years
The tests that are designed to find both early cancer and polyps are preferred if these tests are available to you and you are willing to have one of these more invasive tests. Talk with your doctor about which test is best for you |
Depression | All adults in clinical practices that have staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up | At routine exams |
Gonorrhea | Sexually active women at increased risk for infection | At routine exams if at risk |
Hepatitis C | Anyone at increased risk; 1 time for those born between 1945 and 1965 | At routine exams if at risk |
HIV | All women | At routine exams if at risk |
High cholesterol and triglycerides | All women ages 45 and older at increased risk for coronary artery disease | At least every 5 years |
Obesity | All adults | At routine exams |
Lung cancer | Adults age 55 to 80 who have smoked | Yearly screening in smokers with 30 pack year history of smoking or who quits within 15 years |
Osteoporosis, postmenopausal women | Women at age 60 who are at increased risk for fractures caused by osteoporosis | Check with your health care provider |
Syphilis | Anyone at increased risk for infection | At routine exams if at risk |
Tuberculosis | Anyone at increased risk for infection | Check with your healthcare provider |
Vision | All adults3 | Check with your healthcare provider for exam frequency |
Counseling | Who needs it | How often |
|---|
Aspirin for prevention of cardiovascular problems | At-risk adults Recommended for women ages 55 to 79 years when the potential benefit of reducing strokes outweighs the potential harm of an increase in gastrointestinal bleeding | When risk is identified; discuss with your healthcare provider before starting |
Breast cancer, chemoprevention | Women at high risk | When risk is identified |
BRCA mutation testing for breast and ovarian cancer susceptibility | Women with increased risk | When risk is identified |
Diet and exercise | Women who are overweight or obese | When diagnosed |
Sexually transmitted disease prevention | Anyone at increased risk for infection | At routine exams |
Tobacco use and tobacco-related disease | All adults | Every exam |
Immunization | Who needs it | How often |
|---|
Haemophilus influenzae B type | At risk adults | 1 to 3 doses |
Tetanus/diphtheria/
pertussis (Td/Tdap) booster) | All adults | One-time Tdap booster, then Td every 10 years |
Measles, mumps, rubella (MMR) | Adults in this age group through their late 50s who have no previous infection or documented vaccinations** | 1 to 2 doses |
Chickenpox (varicella) | Adults ages 50 to 64 who have no previous infection or documented vaccinations** | Two doses; the second dose should be given at least 4 weeks after the first dose |
Flu vaccine (seasonal) | All adults | Yearly, when the vaccine becomes available in the community |
Hepatitis A vaccine | People at risk4 | Two doses given at least 6 months apart |
Hepatitis B vaccine | High risk adults | Three doses; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose (and at least 4 months after the first dose) |
Meningococcal | People at risk** | One or more doses |
Pneumococcal (PCV13) Pneumococcal (PPSV23) | People at risk6 | PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria) PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria) |
Zoster | All women ages 60 and older** | One dose |