. 2014 Oct 10:771–819. doi: 10.1016/B978-0-12-415766-8.00015-X

TABLE 15.5.

Adult Health Maintenance Checklist by Age Group

	Age (years)
Procedure	20–39	40–64	65+
Checkup visit	Every 3 years	Every 2 years	Annually
Cholesterol	With checkups	With checkups	With checkups
Fecal occult blood	Age 40–49 if high risk	Annually	Annually
Clinical breast examination	Every 1–3 years	Annually^a	Annually^a
Mammography	Baseline age 35	Age 40–49, every 1–2 years	Over 70, every 2 years
Pelvic examination	Every 1–3 years	Every 1–3 years	Every 1–3 years
Pap smear	From age 21-29 every 3 years; from 30-65 every 5 years with HPV DNA test	From age 30–65 every 5 years with HPV DNA test	If previously negative, may stop 3 years
Colonoscopy	No	From age 40 for those with family history of colon cancer or polyps. After age 50, every 3–5 years	After age 50, every 3–5 years
Prostate and PSA Immunizations	No	Annually^a	Annually^a
Tetanus–diphtheria	Every 10 years	Every 10 years	Every 10 years
Pneumococcal pneumonia	For high risk	For high risk	Every 6 years
Influenza	For high risk	For high risk	Annually
Skin cancer	Annually^a	Annually^a	Annually^a
Bladder cancer	Annual routine urinalysis	Annual routine urinalysis	Annual routine urinalysis
Lung cancer	Routine examination^b	Routine examination^b	Routine examination^b
Testicular cancer	Routine examination^b	Routine examination^b	Routine examination^b
Oral cancer	Routine examination^b	Routine examination^b	Routine examination^b
Ovarian cancer	Routine examination^b	Routine examination^b	Routine examination^b
Pancreatic cancer	Routine examination^b	Routine examination^b	Routine examination^b
Routine vitamin supplements	Routine^b	Routine^b	Routine^b

Note:

PSA = prostate-specific antigen.

Agency for Healthcare Research and Quality. Rockville, MD: AHRQ. http://www.ahrq.gov [Accessed 13 September 2012].

Inconclusive

negative recommendation. The topics are under continuing review, and recommendations are in some cases left to the opinion of the provider as the current cumulative evidence is not affirmative, e.g., clinical breast examination annually or breast self-examination.

Sources: US Preventive Services Task Force Ratings: Strength of recommendations and quality of evidence. guide to clinical preventive services. 3rd ed. Periodic updates, 2000–2003. Available at: http://www.uspreventiveservicestaskforce.org/3rduspstf/ratings.htm [Accessed 13 September 2012].