Which tests are supported for people in their 40s and which are not?

Three tests with no proven benefit in asymptomatic 40–49-year-olds

These tests are not recommended for routine testing in assumed healthy people with no symptoms or known risk factors. They may be appropriate for some people with clinical suspicion of disease or increased risk as outlined in the RACGP ‘red book’.1

Prostate cancer testing

Prostate cancer kills more Australian men than any other cancer. It can be aggressive, and early detection is vital to survival. However, routine prostate cancer testing in healthy people puts a significant proportion of men at risk of harm. Are you up to date with the evidence?

Vitamin D tests

In anything other than cases of extreme deficiency the treatment for low levels of vitamin D is increased sun exposure and/or supplementation. The at-risk population is well defined, the treatments are low risk — do you really need to perform Vitamin D tests routinely?

Thyroid function tests

There is limited evidence that treatment of subclinical thyroid dysfunction benefits the patient or prevents development of the full condition. Routine thyroid function testing of asymptomatic people may result in people taking medicines for a condition that would not lead to harm. Does this fit with your current practice?

Three tests/examinations with proven benefit in 40–49-year-olds

These tests have been shown to identify risk in assumed healthy people with no symptoms or known risk factors. These should be performed at ages and with a frequency outlined in the RACGP red book.1

Pap tests

Regular screening for cervical cancer in women reduces the incidence of this disease. Women in their 40s should be having a pap test every 2 years.

Diabetes risk assessment

Accurately assessing patients for diabetes risk is more important than routine blood glucose testing in healthy patients.

Absolute cardiovascular risk assessment

Many CVD risk factors are additive, so assessing them individually may not accurately define a person’s actual risk of developing CVD. Assessing absolute cardiovascular risk is recommended.

For more information

Reference

  1. 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).

Related information -

Audience:
       

For health professionals (CPD activity)
24 Feb 2017 This course will guide you through the principles of safe prescribing and demonstrate how to complete the National Standard Medication Charts correctly.
(Media release)
10 Feb 2017 With temperatures in Sydney expected to reach the high 30’s this weekend, it’s important to think about how to look after your medicines.
(Medicine)
10 Feb 2017 Find out aboutAptamil Gold+ AllerPro Follow-on Formula Powder for oral suspension. Plus information and tips on how to use medicines wisely and safely.
(Medicine)
09 Feb 2017 Find out about Pemetrexed Accord Powder for infusion. Plus information and tips on how to use medicines wisely and safely.
(Medicine)
09 Feb 2017 Information on medicines available in Australia containing trihexyphenidyl (benzhexol) hydrochloride, including our latest evidence-based information and resources for health professionals and consumers. Trihexyphenidyl (benzhexol) hydrochloride is also known as benzhexol hydrochloride. The active ingredient is the chemical in a medicine that makes it work. Medicines that contain the same active ingredient can be available under more than one brand name. Brands include both active ingredients and inactive ingredients. You'll find information about brands of medicines that contain trihexyphenidyl (benzhexol) hydrochloride below, including their consumer medicine information (CMI) leaflets.
(Medicine)
09 Feb 2017 Find out about Kyprolis Powder for injection. Plus information and tips on how to use medicines wisely and safely.
(Medicine)
09 Feb 2017 Find out about Remifentanil APOTEX Powder for infusion. Plus information and tips on how to use medicines wisely and safely.
(Medicine)
09 Feb 2017 Find out about Desven Extended release tablets. Plus information and tips on how to use medicines wisely and safely.
(Medicine)
09 Feb 2017 Information on medicines available in Australia containing ceritinib, including our latest evidence-based information and resources for health professionals and consumers. The active ingredient is the chemical in a medicine that makes it work. Medicines that contain the same active ingredient can be available under more than one brand name. Brands include both active ingredients and inactive ingredients. You'll find information about brands of medicines that contain ceritinib below, including their consumer medicine information (CMI) leaflets.
(Medicine)
09 Feb 2017 Information on medicines available in Australia containing glucose - fructose - phosphoric acid, including our latest evidence-based information and resources for health professionals and consumers. The active ingredient is the chemical in a medicine that makes it work. Medicines that contain the same active ingredient can be available under more than one brand name. Brands include both active ingredients and inactive ingredients. You'll find information about brands of medicines that contain glucose - fructose - phosphoric acid below, including their consumer medicine information (CMI) leaflets.