Preventive Care Assessment
USPSTF Grade A & B Recommendations
All Pathways
Family MedicineDiagnostic
Age-Based Preventive Care Screening (USPSTF Grade A/B)
Age-Based Preventive Care Screening (USPSTF Grade A/B): Preventive Care Assessment → Age Group → All Adults → Adult Immunizations → Behavioral Counseling.
Pathway Overview
11 steps
Algorithm Steps
11 total
01Start 02Decision Age Group
Determine applicable screenings
03Action All Adults
Universal screenings
- Blood pressure: All adults, annually
- Depression: All adults (PHQ-2/9)
- Unhealthy alcohol use: All adults (AUDIT-C)
- HIV: Ages 15-65 at least once
- Hepatitis C: Ages 18-79 once
- Tobacco use: Ask all, offer cessation
04Action Adult Immunizations
ACIP recommendations (not USPSTF)
- Influenza: Annually all adults
- Tdap/Td: Once Tdap, Td every 10 years
- Shingrix: 50+ (2 doses)
- Pneumococcal: 65+ (PCV20 or PCV15+PPSV23)
- COVID-19: Per current guidance
- HPV: Through age 26
05Action Behavioral Counseling
USPSTF-recommended interventions
- Healthy diet/physical activity (CVD risk)
- Falls prevention (65+)
- Skin cancer prevention (sun exposure)
- STI prevention (sexually active)
- Tobacco cessation interventions
06Action Ages 40-75
Cardiovascular and metabolic
- Lipid panel for CV risk (40-75)
- Diabetes (prediabetes if overweight 35-70)
- Statin therapy (per ASCVD risk)
- Abdominal aortic aneurysm (men 65-75 who smoked): Once
- Path rejoins step 04Shared downstream outcome
07Action Cancer Screenings
By age and sex
- Breast (women 50-74): Mammogram every 2 years
- Cervical (women 21-65): Pap q3yr or cotesting q5yr (30-65)
- Colorectal (45-75): Colonoscopy q10yr, FIT annually, or alternatives
- Lung (50-80, 20+ pack-year): Low-dose CT annually
08Action Breast Cancer Screening
Women 50-74
- Mammography every 2 years
- Ages 40-49: Individual decision
- BRCA testing if family history suggests hereditary syndrome
- Chemoprevention discussion if ≥3% 5-year risk
- Path rejoins step 05Shared downstream outcome
09Action Colorectal Cancer Screening
Ages 45-75
- Colonoscopy every 10 years
- FIT (fecal immunochemical) annually
- FIT-DNA (Cologuard) every 1-3 years
- Flexible sigmoidoscopy every 5 years
- Stop at 75 (individual decision 76-85)
- Path rejoins step 05Shared downstream outcome
10Action Lung Cancer Screening
High-risk smokers
- Low-dose CT annually
- Ages 50-80
- ≥20 pack-year smoking history
- Currently smoke or quit within 15 years
- Shared decision-making required
- Path rejoins step 05Shared downstream outcome
11Action Women-Specific
Reproductive and perinatal
- Intimate partner violence: All women
- Folic acid (planning pregnancy)
- Gestational diabetes (24-28 weeks)
- Rh(D) incompatibility screening
- Preeclampsia: Low-dose aspirin if high risk
Guideline Source
USPSTF A and B Recommendations
Clinical Safety Information
Clinical Decision Support — Not a Substitute for Clinical Judgment
Individual patient factors may require deviation from these recommendations.
Known Limitations
- Only includes Grade A and B recommendations
- Some recommendations age-specific and abbreviated
- Shared decision-making items (Grade C) not detailed
- Does not include immunization schedules
- Individual risk factors may modify recommendations
Applicable Regions
US
AU: RACGP Red Book has different intervals
UK: NHS Health Check program differs
US: USPSTF recommendations - insurance required to cover A/B services
Version 1Next review: 2027-01-01
Next steps
Finish the workflow by opening the most relevant calculator, then convert the session into a live account when you are ready.
Related Resources
Frequently Asked Questions
What is the Age-Based Preventive Care Screening (USPSTF Grade A/B)?
The Age-Based Preventive Care Screening (USPSTF Grade A/B) is a diagnostic clinical algorithm for Family Medicine. It provides a structured decision tree to guide clinical decision-making, based on USPSTF A and B Recommendations.
What guideline is the Age-Based Preventive Care Screening (USPSTF Grade A/B) based on?
This algorithm is based on USPSTF A and B Recommendations (DOI: 10.1001/jama.2020.0833).
What are the limitations of the Age-Based Preventive Care Screening (USPSTF Grade A/B)?
Known limitations include: Only includes Grade A and B recommendations; Some recommendations age-specific and abbreviated; Shared decision-making items (Grade C) not detailed; Does not include immunization schedules; Individual risk factors may modify recommendations. Individual patient factors may require deviation from these recommendations.
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