WAPCP Primary cheat sheet
WAPCP Primary · Keep the key ideas within reach.
Health Maintenance and Disease Prevention
Colorectal cancer screening: start at age 45 for average risk; options include colonoscopy every 10 years, annual FIT, or stool DNA every 3 years.
Lung cancer screening: annual low-dose CT for ages 50-80 with ≥20 pack-year history who currently smoke or quit within 15 years.
Cervical cancer screening: ages 21-29 cytology every 3 years; ages 30-65 cytology every 3 years, HPV every 5 years, or co-testing every 5 years.
Hypertension: confirm with out-of-office readings; treat to <130/80 in most adults, individualizing goals in frail older adults.
Statin therapy: moderate-to-high intensity for adults 40-75 with ≥1 risk factor and 10-year ASCVD risk ≥10%; high-intensity if risk ≥20%.
Immunizations: annual influenza; Tdap booster every 10 years; shingles vaccine at 50; pneumococcal vaccination per age/risk; COVID-19 per current guidance.
Diabetes screening: adults 35-70 with overweight/obesity; repeat every 3 years if normal; A1c 5.7-6.4% indicates prediabetes.
Osteoporosis screening: DXA for women ≥65 and men ≥70; earlier if risk factors; repeat interval individualized based on baseline bone density.