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Clinical Guidelines

2015 Changes to Adult Preventive Guidelines

  • Obesity: screening and intensive counseling.
  • Breast Cancer BRCA: screen women with family history making them high risk for BRCA1 or BRCA2. If positive, women should receive genetic counseling.
  • Diabetes: screen overweight or obese members age 40-70.
  • Pneumovax PCV13, PPSV23: vaccinate high risk patients and everyone 65 and over.
  • Note that USPSTF now recommends against screening for prostate cancer using PSA

2015 Change to Pregnancy Guideline

  • TDaP at 27 to 36 weeks gestation with each pregnancy.

Questions or Comments

Annie Cherayil, MD
CCHP Medical Consultant
595 Center Ave., Suite 100
Martinez, CA 94553
Email: annie.cherayil@hsd.cccounty.us
Telephone: 925-370-5158

For Questions Regarding Pediatric Guidelines

Diane Dooley, MD
CCHP Medical Consultant
595 Center Ave., Suite 100
Martinez, CA 94553
Email: diane.dooley@hsd.cccounty.us






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