Section 5.

Preventive Health Guideline for Adult Care

ADULT PREVENTIVE CARE TIMELINE

MEN AND WOMEN 18-29 30-39 40-49 50-64 65-69

Blood Pressure1 Every 1-2 years beginning at age 18

Universal screening once between ages 17-21, then every 5 years.

Lipid Screening2
lo,
High Sensitivity Fecal Occult
Blood Test annually
or
Sigmoidoscopy every 5 years
or
Colorectal CT Colonography (Virtual)
every 5 years*
Screening 3
or
Optical Colonoscopy
every 10 years
50-75 years of age

*Requires prior authorization

Screening for Pre Screen all people beginning at age 45. If

diabetes and normal and person has no risk factors, retest
Diabetes4 in 3 years.

Tobacco, Alcohol
All adults
and Depression5

BMI6 All adults

Hepatitis C Virus Not recommended at this

Screening7 time.

HIV Screening8 Screen all adults at increased risk.

Begin screening
Fall Screening9
at age 65.

MEN ONLY 18-29 30-39 40-49 50-69 70 AND OLDER

Once for 65
Abdominal Aortic yrs-75 men
Aneurysm10 who have
ever smoked.

27
 Counsel men at least once
Prostate
regarding screening for
Screening11
prostate cancer.

Chlamydia and
Not recommend routine screening.
Gonorrhea12

WOMEN ONLY 18-29 30-39 40-49 50-64 65-69

Chlamydia and
Annually for all sexually active women age 24 and younger and others
Gonorrhea
at increased risk
Screening

Begin
screening
low risk
Screen low risk populations every 3
Cervical Cancer populations
years with cytology only or 5 years with
Screening14 at age 21,
cotesting (cytology and high risk HPV).
every 3
years with
cytology.

Routine screening mammography every 1-2 years

for women aged 50-74. A baseline screening
mammogram should be obtained in average risk 40-
49 year old women, preferably at age 40.
Mammogram (with Recommend additional screening mammography
or without clinical for women age 40-49 every 1-2 years based on a
breast exam)15 discussion of the risks and benefits of
mammography in this age group. Recommend
screening every 1-2 years for women age 75-85
based on a discussion of the risks and benefits
of screening mammography in this age group.

Screen for
65 and older
Osteoporosis16

Screen women of childbearing age for

Screen for Violence17
intimate partner violence.

1. Hypertension –
Refer to the Physicians Plus Guideline for the Treatment of Hypertension for
detailed screening and treatment recommendations at
http://www.pplusic.com listed under Clinical Practice Guidelines. (Grade A
Recommendation, USPSTF)2

28