PPRNet - Primary (Care) Practices Research Network

Cervical Cancer

Pap test performed for women 21-64 years old without hysterectomies at least every three years.
The US Preventive Services Task Force (USPSTF) strongly recommends screening for cervical cancer in women with cervixes who have been sexually active. The USPSTF recommends against routine screening for women older than 65 years who had adequate recent screening with normal pap smears and are not considered high risk for cervical cancer. The USPSTF also recommends against routine Pap smear screening in women who, due to a benign disease, have had a total hysterectomy.

Reference:  USPSTF: Screening for Cervical Cancer Recommendation Statement

Breast Cancer Screening

Screening mammography every two years for women aged 50-74 years.
The US Preventive Services Task Force (USPSTF) recommends screening mammography every two years for all women aged 50-74 years. The USPSTF also recommends that the decision to start screened mammography before age 50 should be an individual one considering patient context, including the patient's values regarding specific benefits and harms. The USPSTF reports that currently, there is a lack in sufficient evidence to assess the additional benefits and harms of screening mammography in patients 75 years or older, but that there is convincing evidence that screening with film mammorgraphy reduces breast cancer mortality for women ages 50-74 years, with the greatest benefit among women ages 60-69. The USPSTF also recommends against teaching breast self-exams (BSE).

Reference: USPSTF: Screening for Breast Cancer Recommendation Statement

Colorectal Cancer Screening

Periodic fecal occult blood testing (FOBT), sigmoidoscopy, or colonoscopy in patients aged 50-75 years.
The US Preventive Services Task Force (USPSTF) recommends screening for Colorectal Cancer (CRC) using fecal occult blood testing (FOBT), sigmoidoscopy, or colonoscopy in patients beginning at age 50 and continued through age 75. The USPSTF recommends against routine screening for CRC in adults ages 76-85 years (barring considerations of an individual patient) and against CRC screening in adults older than 85 years.

Reference: USPSTF: Screening for Colorectal Cancer Recommendation Statement


 
 
 
 
 
 

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