Ages 65 Years and Older: Laboratory and Other Tests

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Ages 65 Years and Older
     Screening
     Evaluation and counseling
     Immunizations

Periodic

□ Bone mineral density screening (In the absence of new risk factors, screen no more frequently than every 2 years.) 
□ Cervical cytology: 

  • Age 65: Preferred--Co-test with cytology and HPV testing every 5 years;  Option--Screen with cytology alone every 3 years. 
  • Age 66 years and older: Discontinue in women with evidence of adequate negative prior screening test results and no history of CIN 2 or higher. Adequate negative prior screening test results are defined as three consecutive negative cytology results or two consecutive negative cotest results within the previous 10 years, with the most recent test performed within the past 5 years.

□ Colorectal cancer screening: colonoscopy every 10 years (preferred)*
□ Other methods include: 

  1. Fecal occult blood testing or fecal immunochemical test, annual patient-collected (each method requires two or three samples of stool collected by the patient at home and returned for analysis. A single stool sample obtained by digital rectal examination is not adequate for the detection of colorectal cancer.)
  2. Flexible sigmoidoscopy every 5 years
  3. Double contrast barium enema every 5 years
  4. Computed tomography colonography every 5 years
  5. Stool DNA

□ Diabetes testing (every 3 years)
□ Hepatitis C virus testing (one-time testing for persons born from 1945 through 1965 and unaware of their infection status)
□ Lipid profile assessment (every 5 years) 
□ Mammography (yearly)
□ Thyroid-stimulating hormone testing (every 5 years)
□ Urinalysis

*The College supports stopping routine screening at age 75 years.

High-Risk Groups (See High-Risk Table for more information)

□ Hemoglobin level assessment
□ Human immunodeficiency virus (HIV) testing
□ Sexually transmitted infection testing
□ Thyroid-stimulating hormone testing
□ Tuberculosis skin testing

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998