title: Screening recommendations for the elderly.
abstract: BACKGROUND
  Studies have documented the potential contributions of preventive health care programs. Yet little is known about which screening tests should be included in public health programs for older persons. This study offers recommendations regarding these tests.
  
  
  METHODS
  The recommendations come from synthesizing the findings of the US Preventive Services Task Force, the literature, and the consensus of experts in geriatrics, gerontology, and health policy research. The literature was evaluated to identify methodologically sound studies of the prevalence of selected disorders and benefits and availability of screening procedures for those disorders. Experts from various fields specializing in the care of the elderly formed panels to assist in evaluating the literature and providing further information from gerontological and public health perspectives.
  
  
  RESULTS
  We recommend vision testing for refractive error; inspection of the skin surface for fungal infection and skin cancer, drug eruptions, and xerosis; a history for symptoms of xerosis; audiometric testing for presbycusis; surveys for hearing loss; otoscopic inspection for cerumen impaction; dental examination for caries; measurement of blood pressure for hypertension; and breast examination and mammography for cancer.
  
  
  CONCLUSIONS
  Our study suggests that these screening procedures are useful for public health screening programs. More information is needed on the effects of screening services on the health and functioning of older persons.
authors.affiliation: School of Medicine, University of California, Los Angeles.
authors.forename: M H
authors.initials: MH
authors.lastname: Beers
authors.forename: A
authors.initials: A
authors.lastname: Fink
authors.forename: J C
authors.initials: JC
authors.lastname: Beck
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006299:Health Services for the Aged; D006801:Humans; D008403:Mass Screening; D014481:United States