APPENDIX TABLE

Current screening recommendations of the U.S. Preventive Services Task Force and the American Cancer Society

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SCREENING STRATEGY U.S. PREVENTIVE SERVICES TASK FORCE* AMERICAN CANCER SOCIETY
  AGE (yr) FREQUENCY AGE (yr) FREQUENCY

Colorectal cancer
Fecal occult blood testing 50+

Yearly

and/or

50+

Yearly

and

Sigmoidoscopy 50+ Periodically (unspecified)

50+

Every 3 - 5 years

or

Colonoscopy Insufficient evidence to recommend for or against 50+

Every 10 years?

or

Double-contrast barium enema Insufficient evidence to recommend for or against 50+ Every 5 - 10 years
Digital rectal examination Insufficient evidence to recommend for or against 50+ At the same time as above tests

Prostate cancer
Digital rectal examination Not recommended 50+ Offer yearly
Prostate-specific antigen
General population Not recommended 50+ (if expected to live >= 10 years) Offer yearly
High-risk men   45+ high risk Offer yearly

Cervical cancer
Papanicolaou test 18 - 65 (sexually active) Every 1 - 3 years 18+ Yearly for 3 years then MD choice

Breast cancer
Mammography 40 - 49 Insufficient evidence to recommend for or against 40 - 49 Yearly
  50 - 75 Every 1 - 2 years 50+

Yearly

and
Clinical breast examination May be added to mammography

20 - 40

40+

Every 3 years

Yearly

and

Self breast examination Insufficient evidence to recommend for or against 20+ Monthly

Skin cancer
Complete skin examination Insufficient evidence to recommend for or against

20 - 39

40+

Every 3 years

Every year


*U.S. Preventive Services Task Force. Guide to Clinical Preventive Services, 2d ed. Baltimore: Williams & Wilkins; 1996.

Summary of American Cancer Society Recommendations for the Early Detection of Cancer in Asymptomatic People. 1998 American Cancer Society World Wide Web Page (www.cancer.org).

Family history for prostate cancer (>=2 first-degree relatives); African-American.