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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. | Chapter 004. Screening and Prevention of Disease Ky 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 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 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 Women 40 Every 1-2 years 78 86 Colorectal cancer 50 78 87 fecal occult blood and or Every year sigmoidoscopy or Every 5 years colonoscopy Every 10 years