Preventive care in adults: Recommendations
- H Nancy Sokol, MD
H Nancy Sokol, MD
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult Primary Care and Geriatrics
Quality healthcare for individuals includes two fundamental elements: appropriate treatment for current illness and appropriate preventive care to lessen future health decline.
This topic will summarize primary prevention and screening recommendations primarily targeting United States adults <65 years old. The recommendations are a compilation of those from individual UpToDate topics, in which the rational and evidence base for the recommendations are provided.
Recommendations for older adults, an approach to prioritizing and delivering preventive services, and basic epidemiologic principles of screening are discussed elsewhere. (See "Geriatric health maintenance" and "Preventive care in adults: Strategies for prioritization and delivery" and "Evidence-based approach to prevention".)
Preventive care in special populations and disease-specific screening recommendations are discussed in more detail in specific topic reviews. As examples:
●Pregnant women (see "Initial prenatal assessment and first-trimester prenatal care" and "Prenatal care (second and third trimesters)")
- Screening for high blood pressure in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2015; 163:I.
- Siu AL, U.S. Preventive Services Task Force. Screening for high blood pressure in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2015; 163:778.
- Centers for Disease Control and Prevention (CDC). Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine in adults aged 65 years and older - Advisory Committee on Immunization Practices (ACIP), 2012. MMWR Morb Mortal Wkly Rep 2012; 61:468.
- PRIORITIZING PREVENTIVE SERVICES
- OLDER ADULTS
- CARDIOVASCULAR DISEASE
- Cardiovascular risk assessment
- Physical activity
- Diabetes mellitus
- Aspirin for primary prevention
- Routine ECG
- Nontraditional measures
- Breast cancer
- Cervical cancer
- Ovarian cancer
- Colorectal cancer
- Lung cancer
- Prostate cancer
- SEXUALLY TRANSMITTED AND BLOOD-BORNE INFECTIONS
- PSYCHOSOCIAL HEALTH CONCERNS
- Substance related problems
- Intimate partner violence
- VASCULAR DISEASE
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS