27
Table 5. Routine Healthcare Maintenance for People With
HIV (After Initial Assessment)
Intervention Recommendation Comments
Screening for and Prevention of Cancer
Smoking Recommend cessation (if presently
smoking ) at every visit.
Provide resources per
local guidelines, including
classes/agents that facilitate
smoking cessation.
Low dose chest
CT scan
For smokers. Between ages 55–80 who
have 30 pack-years of
smoking and are current
smokers or have quit in the
last 15 years should have an
annual low-dose computed
tomography scan of lung
until smoking has been
discontinued for 15 years.
Prostate cancer
screening
Digital rectal exam: Considered
primary evaluation before PSA
screening. Consider for men aged
55–69.
PSA screening :
Age 50–69: Discuss risks and
potential benefits with patient.
Age ≥70: PSA screening is NOT
recommended.
e impact of HIV on
prostate cancer risk is
not yet known. African-
Americans and people with
a relative with prostate
cancer have a higher burden
of prostate cancer. Clinicians
should follow USPSTF or
American Cancer Society
guidelines, and consider
patient wishes.
Colon cancer
screening
Age 45–75 years if average risk
(including personal and family
history).
Age 76–85 years: individualize
screening based on overall health
and prior screening.
Screening tests include:
Stool-based screening
(gFOBT, FIT, FIT-DNA)
every year, or colonoscopy
every 10 years if normal, or
more frequently if polyps are
identified.
Breast cancer
screening
Age 50–75: Mammography
performed at least every 2 years.
Age 40–49: Inform of the
potential risks and benefits
of screening and offer
screening every 2 years.
See Section IV for further
discussion.
(cont'd)
