DISEASE | LEVEL OF FH RISK: SELF-REPORT | FH RISK ASSESSMENT ALGORITHM: SELF-REPORT | LEVEL OF FH RISK: EMR | FH RISK ASSESSMENT ALGORITHM: EMR | RECOMMENDED SCREENING |
---|---|---|---|---|---|
Diabetes21 | Average | Does not fit into elevated category | Average | Does not fit into elevated category | FPG level measured every 3 y starting at age 40 y |
Elevated | First-degree relative with diabetes | Elevated | First-degree relative with diabetes | FPG level measured every y | |
CAD22 | Average | Does not fit into elevated category | Average | Does not fit into elevated category | NA |
Elevated | First-degree relative diagnosed with CAD* at age < 60 y | Elevated | First-degree relative diagnosed with CAD* at age < 60 y | NA | |
BC23 | Average | Does not fit into elevated category (either moderate- or high-risk category) | Average | No FH of BC or ovarian cancer | Mammogram every 2 y for women aged 50–69 y |
Elevated: moderate risk | 1 first- or second-degree relative with BC at age 35–49 y OR 2 first- or second-degree relatives on the same side of the family with BC at age < 70 y | Elevated | Any relative with BC or ovarian cancer | Mammogram every y for women aged 40–69 y | |
Elevated: high risk | 3 relatives on same side of the family with BC OR 2 first- or second-degree relatives on same side of the family with BC at age < 50 y OR 1 first- or second-degree relative with any of BC at age < 35 y or ovarian cancer at any age OR 1 male relative with BC OR first- or second-degree Ashkenazi Jewish relative with BC at age < 50 y | ||||
CRC24,25 | Average | No FH of CRC | Average | No FH of CRC | FOBT every 2 y or sigmoidoscopy every 5 y or colonoscopy every 10 y starting at age 50 y |
Low: slightly increased risk | Might have 1 second- or third-degree relative with CRC | ||||
Elevated: mildly increased risk | 1 first-degree relative with CRC at age > 60 y OR ≥ 2 second-degree relatives from same side of the family with CRC | Elevated | Any relative with CRC | FOBT every 2 y or colonoscopy every 10 y starting at age 40 y | |
Elevated: moderate to high risk | 1 first-degree relative with CRC at age ≤ 60 y OR ≥2 first-degree relatives with CRC at any age | Colonoscopy every 5 y starting at age 40 y or 10 y earlier than age of youngest family member at time of diagnosis, which ever comes first |
BC—breast cancer, CAD—coronary artery disease, CRC—colorectal cancer, EMR—electronic medical record, FH—family history, FOBT—fecal occult blood testing, FPG—fasting plasma glucose, NA—not applicable.
↵* CAD included angina, myocardial infarction, congestive heart failure, and CAD.