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Effective Screening Recommendations
N C I A N D T H E U . S . P R E V E N T I V E S E R V I C E S TA S K F O R C E ( U S P S T F )
have outlined evidence-based
recommendations for cancers with effective screening tests. NCI defines tests as effective if they “find cancer early, reduce the chance that someone who is screened regularly will die from the cancer, and have more potential benefits than harms,” including iatrogenic side effects or disease, false positive and negative results, and overdiagnosis (15, 16).
All four of these recommended tests—for lung, breast, colorectal, and cervical cancers—address cancers in the UFHCC top ten for incidence, advanced incidence and/or mortality.
CANCER SITE OR TYPE
EFFECTIVE SCREENING TEST
NCI/USPSTF SCREENING GUIDELINES (16)
• LUNG
Low Dose Computed Tomography
• •
BREAST
Mammogram
C O L O R E C TA L
Colonoscopy, Sigmoidoscopy and Stool Tests
Biennial screening mammography for women aged 50 to 74 Women at higher risk for breast cancer may benefit more than average-risk women from beginning screening in their 40s
•
Screening for colorectal cancer starting at age 50 and continuing until age 75
• • C ERVIC A L
Adults aged 55 to 80 with a 30 pack-year smoking history and currently smoke or have quit within the past 15 years Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.
Pap Test/Smear, HPV Test
•
Women aged 21 to 29, screening every 3 years with cervical cytology alone Women aged 30 to 65: Every 3 years with cervical cytology alone OR Every 5 years with high-risk human papillomavirus (hrHPV) testing alone OR Every 5 years with hrHPV testing in combination with cytology (cotesting) Does not recommend screening for under 21 or older than 65, women who had a hysterectomy with no history of precancerous lesions or cervical cancer.
• • •
USPSTF GRADE
B
B (C)
A
A
https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations
UF Health Cancer Center Catchment Area Profile
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