People at increased risk
Based on a person’s risk of developing chronic disease or cancer, additional tests or assessments are appropriate:
- chronic kidney disease — tobacco use, hypertension, obesity, family history of CKD, diabetes and Aboriginal and Torres Strait islander peoples aged over 30 are all associated with higher risk of developing CKD1
- breast cancer — family history of breast cancer may be an indication for additional screening
- colorectal cancer — family history of colorectal cancer may indicate a need for increased screening frequency or earlier age of screening.
People from certain population groups are at increased risk of developing chronic disease and may obtain greater benefit from preventive activities. These groups include:1
- Aboriginal and Torres Strait Islander peoples
- people from low socioeconomic backgrounds
- people with disabilites.
It may be appropriate to assess people in these population groups earlier than usual. For example, it is recommended that for Aboriginal and Torres Strait Islander peoples:
- absolute cardiovascular risk be assessed from age 35, or from 18 if there is a family history of CVD, CKD or other risk factor
- risk for type 2 diabetes be assessed from age 18
- testing for kidney disease should start from age 30.
For more information
- The Royal Australian College of General Practitioners. Guidelines for preventive activities in general practice (the red book) 8th edn. Melbourne: RACGP, 2012. www.racgp.org.au/Content/NavigationMenu/ClinicalResources/RACGPGuidelines/TheRedBook/redbook_7th_edition_May_2009.pdf (accessed 11 February 2013).