Wellness assessments provide an opportunity for you to counsel patients about preventive care.1-7 ACOG recommends routine screening to stop at age 75.
Colorectal cancer screening aged up to age 75 and then 76-85 (based on patient’s overall health)
Bone mineral density screening every two years with no new risk factors
Cervical cytology age 65: Preferred – Co-test cytology and HPV screening every 5 years
- Option – screen with cytology alone every 3 years
- Age 66 and older: Discontinue in women with evidence of adequate negative prior screening test results and no history of CIN 2 or higher
Cholesterol (Lipid profile)
Diabetes testing (every 3 years)
Fecal occult blood test: every year
Hepatitis C virus testing if born 1945-1965
Thyroid Stimulating Hormone testing (every 5 years)
High Risk Groups
- American College of Obstetricians and Gynecologists. Annual Women’s Health Care/Well Woman Recommendations. https://www.acog.org/About-ACOG/ACOG-Departments/Annual-Womens-Health-Ca...
- Centers for Disease Control and Prevention (CDC). Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-care Settings. Sept 22, 2006/55(RR14);1-17. Available at: https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5514a1.htm
- 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease. Accessed August 12, 2019. Available at https://www.ahajournals.org/doi/suppl/10.1161/CIR.0000000000000678
- US Preventative Services Task Force. Screening for thyroid dysfunction: Recommendation statement. Am Fam Physician. 2015;91(11):790A-F
- National Osteoporosis Foundation. What women need to know. Accessed August 12, 2019. Available at https://www.nof.org/preventing-fractures/general-facts/what-women-need-t....
- Nicolle LE, Bradley S, Colgan R, Rice JC, Schaeffer A, Hooton TM. Infectious Disease Society of America. Guidelines for diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis. 2005;40:642-54
- Centers for Disease Control and Prevention. Syphilis – CDC Fact Sheet (Detailed). Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2017. https://www.cdc.gov/std/syphilis/stdfact-syphilis-detailed.thm; last updated: February 13, 2017. Accessed January 3, 2018