Recommendations regarding who should get cancer screenings and how often have changed over the years. The following are recommendations included in the Choosing Wisely™ initiative from AMDA—The Society for Post-Acute and Long-Term Care Medicine:
  • Do not recommend cancer screening in adults with a life expectancy of less than 10 years. (The Society of General Internal Medicine)
  • Do not recommend screening for breast, colorectal, or prostate cancer if life expectancy is estimated to be less than 10 years. (AMDA)
  • Do not screen women older than 65 years for cervical cancer who have had adequate prior screening and are not otherwise at high risk of cervical cancer. (American Academy of Family Physicians)
  • Do not perform screening for cervical cancer in low-risk women 65 years or older and in women who have had a total hysterectomy for benign disease. (American College of Preventive Medicine)
  • Avoid colorectal cancer screening tests in asymptomatic patients with a life expectancy of less than 10 years and no family or personal history of colorectal neoplasia. (American College of Surgeons)
  • Do not perform prostate-specific antigen testing for prostate cancer screening in men with no symptoms of the disease when they are expected to live less than 10 years. (American Society of Clinical Oncology)