1 / 45

Screening Elderly

Facts on Elderly Populations . persons 65 years or older--numbered 34.5 million in 1999. 12.7% of the U.S. population, about one in every eight Americans Since 1900, the percentage of Americans 65 has more than tripled (4.1% in 1900 to 12.7%) older population itself is getting older ) By 2030, it

saki
Download Presentation

Screening Elderly

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Screening Elderly Syed I. Nabi, MD Resident MHRI

    2. Facts on Elderly Populations persons 65 years or older--numbered 34.5 million in 1999. 12.7% of the U.S. population, about one in every eight Americans Since 1900, the percentage of Americans 65+ has more than tripled (4.1% in 1900 to 12.7%) older population itself is getting older ) By 2030, it will double to 70 million older persons,

    5. Commonly screened conditions: DM HTN ANEMIA CANCERS CAS LIPID DEMENTIA

    6. But I forget……..!!!

    8. Screening Guideline Trends… GENERAL TREND ORGANIZATION WITH SPECIALITY ARE MORE AGGRESSIVE THAN ORGANIZATION COVERING BROADER POPULATIONS E.G. AAFP/ USPSTF

    9. When and How???

    19. ACAS (Asymptomatic Carotid Atherosclerosis Study) JAMA 1995;5: 5 year Risk of Ipsilateral Stroke, operative stroke, and Death was ~5% with CEA (Carotid endarterectomy ) vs. 11% in control group More benefit in men than women Cost-effectiveness of targeted screening and surgery for high grade carotid artery stenosis is ~ $43,000 per QALY (Quality Adjusted Life Year) Prevalence of ICAS (Internal Carotid Artery Stenosis) of <70% tends to increase as follows: Thus lowest in patients with ONLY RISK Factors Intermediate in patients with MI and Angina Highest in patients with PAD and AAA ACST (Asymptomatic Carotid Surgery Trial): LANCET 2004 Absolute Risk reduction for stroke or death was 5.4% at 5 years with significant benefit for women CARESS Trial (Clopidogrel & ASA for Reduction of Emboli in Symptomatic Carotid Stenosis) Circulation 2005 May Clopidogrel & ASA more affective than ASA alone in reducing asymptomatic embolization in RECENTLY SYMPTOMATIC >50% CAS

    31. CANCERS??? MALE ORAL THYROID LUNG GASTRIC LIVER PANCREATIC COLORECTAL BLADDER PROSTATE TESTICULAR SKIN FEMALE ORAL THYROID BREAST LUNG GASTRIC LIVER PANCREATIC COLORECTAL BLADDER OVARIAN CERIVICAL ENDOMETRIAL SKIN

More Related