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Screening recommendations for the elderly.

M H Beers1, A Fink, J C Beck

  • 1School of Medicine, University of California, Los Angeles.

American Journal of Public Health
|September 1, 1991
PubMed
Summary
This summary is machine-generated.

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This study recommends essential preventive screening tests for older adults, including vision, skin, hearing, dental, blood pressure, and cancer screenings. These evidence-based tests aim to improve public health outcomes for the elderly population.

Area of Science:

  • Gerontology
  • Public Health
  • Preventive Medicine

Background:

  • Preventive health care programs show potential benefits.
  • Limited understanding exists regarding optimal screening tests for older adults within public health initiatives.
  • This study provides recommendations for essential screening tests for the elderly population.

Purpose of the Study:

  • To recommend specific screening tests for inclusion in public health programs targeting older persons.
  • To synthesize current evidence and expert consensus on geriatric screening.

Main Methods:

  • Synthesized findings from the US Preventive Services Task Force and existing literature.
  • Conducted a literature evaluation to identify methodologically sound studies on disorder prevalence and screening benefits.

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  • Convened expert panels in geriatrics, gerontology, and health policy to evaluate literature and provide insights.
  • Main Results:

    • Recommended screenings include: vision testing (refractive error), skin inspection (fungal infections, skin cancer, drug eruptions, xerosis), hearing tests (presbycusis, hearing loss), otoscopic inspection (cerumen impaction), dental examination (caries), blood pressure measurement (hypertension), and breast examination/mammography (cancer).

    Conclusions:

    • The identified screening procedures are deemed beneficial for public health screening programs for older adults.
    • Further research is required to ascertain the impact of these screening services on the health and functional status of older individuals.