The following recommendations for women are based on the Report of the U.S. Preventive Services Task Force, Second Edition, the American Diabetes Association and the Hawaii State Department of Health. Their appropriate use should be a shared decision between physician and patient.
| Screening | Age | Recommended Frequency |
|---|---|---|
| Blood pressure |
18-65 years Older than 65 |
At each office visit or every two years for normotensive adults Annually |
| Cholesterol | 45-65 years | Every five years |
|
FOBT and/or Sigmoidoscopy |
45 years or older |
Annually Every five years |
| Pap smear | 18-65 years | One per calendar year |
| Chlamydia | 25 years or younger | All sexually active women and other asymptomatic women at increased risk for infection |
| Random or fasting plasma glucose test | 45 years or older | Every three years; younger or more frequently if at high risk |
| Eye exam | Clinical discretion | |
| Dental exam; See notes below (1) | Ongoing | Regular visits to dental provider; brush and floss daily |
| Hearing exam | Clinical discretion | |
| Depression | Adult | Adults should be screened for depression when accurate diagnosis, effective treatment, and careful follow-up can be ensured |
| Osteoporosis |
High risk: 60 years or older Normal risk: 65 years or older |
See notes below (2) |
- Dental exams, though a recommended screening, are not a QUEST Integration benefit for adults.
- No studies have evaluated the optimal intervals for repeated screening. Because of limitations in the precision of testing, a minimum of two years may be needed to reliably measure a change in bone mineral density; however, longer intervals may be adequate for repeated screening to identify new cases of osteoporosis. Yield of repeated screening will be higher in older women, those with lower BMD at baseline and those with other risk factors for fracture.
There are no data to determine the appropriate age to stop screening and few data on osteoporosis treatment in women older than 85. Patients who receive a diagnosis osteoporosis fall outside the context of screening but may require additional testing for diagnostic purposes or to monitor response to treatment.
| Health Education | Age | Recommended Frequency |
|---|---|---|
| Tobacco, alcohol, drugs | Ongoing | Associated risks |
| Diet, exercise | Ongoing | Associated benefits |
| Adequate calcium | Ongoing | |
| Lap/shoulder car belt | Ongoing | |
| Safety, injury prevention | Ongoing | |
| High-risk sexual behavior | Ongoing | |
| Unintended pregnancy | Ongoing |
| Immunization Schedule | Age | Recommended Frequency |
|---|---|---|
| Influenza vaccine | 50 years or older | Annually; younger if at increased risk |
|
Td (tetanus, diphtheria) booster |
Every ten years for adults; if five-dose series completed in childhood every 15-30 years may be adequate | |
| Pneumococcal vaccine | 65 years or older | Younger if at increased risk; use clinical discretion to consider revaccination for individuals vaccinated prior to age 65 if five or more years have elapsed |
| Rubella | Prior to childbearing age if no documented history of immunization or disease |
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform.
|