Recommendation	AAFP11	USPSTF10	Other organizations
Hormone therapy	Same as USPSTF	Recommends against hormone therapy in postmenopausal women for management of chronic diseases, such as cardiovascular disease, osteoporosis, and dementia8	According to NAMS, extended use of estrogen or estrogen-progestogen therapy in women who are aware of the risks and benefits and are under medical supervision is acceptable for the following patients: those who feel that the benefits of symptom relief outweigh the risks; those who have moderate to severe symptoms and are at high risk of osteoporotic fractures; and those with reduced bone mass who want to prevent further bone loss when alternate therapies are inappropriate9
Osteoporosis	Screen women older than 65 years or starting at 60 years in women at high risk of osteoporotic fractures	Screen women older than 65 years15	NOF recommends routine screening of bone mineral density at 65 years of age and sooner in postmenopausal women at high risk of osteoporotic fractures13
Nutrition and lifestyle
Calcium and vitamin D	—	—	NOF recommends at least 1,200 mg of calcium and 800 to 1,000 IU of vitamin D per day for adult women13; NIH recommends 1,000 to 1,500 mg of calcium per day for postmenopausal women16
Obesity	Screen all adults for obesity; provide counseling and behavioral interventions more than once per month for at least three months	Screen and provide counseling and interventions to all adults to achieve sustained weight loss; BMI is a valid and reliable tool to identify persons at risk17	AHA recommends measurement of BMI and waist circumference as part of a periodic evaluation; encourage gradual and sustained weight loss in persons whose weight exceeds the ideal weight for their height14
Physical activity	Physical activity is important; no recommendations for counseling	Evidence is insufficient to recommend for or against counseling for exercise18	AGS recommends counseling older adults about an exercise program that balances the modalities of endurance, mobility, flexibility, strength, and gait19
Tobacco use	Same as USPSTF	Screen all adults for tobacco use and provide interventions for smoking cessation20	—
CHD and related medical conditions
Aspirin	Discuss risks and benefits of aspirin chemoprophylaxis in persons at high risk of CHD	Address aspirin chemoprevention in adults with CHD risk factors, keeping in mind the risk of gastrointestinal bleeding, and hemorrhagic stroke21	AHA recommends the use of low-dose aspirin in persons at high risk of coronary heart disease, especially those with a 10-year CHD risk of 20 percent or greater14
Blood pressure	—	Blood pressure screening is recommended in adults 18 years and older23	AHA recommends that all women receive periodic blood pressure screening14
Cholesterol	Screen women 45 years and older with a fasting lipid profile or nonfasting HDL and total cholesterol levels	Screen women 45 years and older who are at increased cardiovascular risk with HDL and total cholesterol levels; insufficient evidence for triglyceride measurement24	NCEP–ATP III recommends a fasting lipoprotein profile (LDL, HDL, and total cholesterol levels; and triglycerides) every five years in women25
Diabetes	Screen adults with hypertension and hyperlipidemia	Screen adults with hypertension and hyperlipidemia26; insufficient evidence for routine screening in asymptomatic adults	ADA recommends that all adults 45 years and older be screened every three years for diabetes with a fasting glucose test, particularly in those with a BMI ≥ 25 kg per m2 Earlier or frequent screening is recommended for overweight patients (BMI > 25 kg per m2) if diabetes risk factors are present27
Cancer prevention
Breast cancer	Mammography every one to two years in women 40 years and older	Mammography, with or without clinical breast examination, every one to two years in women 40 years and older; screen women older than70 years who have a reasonable life expectancy 28	ACS recommends yearly mammography and clinical breast examination in women 40 years and older 29
Cervical cancer	Pap smear at least every three years in women who have a cervix and who have ever had sexual intercourse	Pap smear at least every three years in women who have ever had sexual intercourse and have a cervix; discontinue after age 65 years if the patient has had regular normal Pap smears30	ACS recommends annual Pap smear beginning within three years after first sexual intercourse; screen every two to three years in women older than 30 years who have had three consecutive normal results31; stop screening at age 70 years
Colorectal cancer*	Screen adults 50 years and older	Screen adults 50 years and older; age of discontinuation is uncertain32	ACS recommends screening adults beginning at age 50 years33
Immunizations
Influenza vaccine	Recommends as per CDC	Recommends as per CDC	CDC recommends annual in.uenza vaccine for all persons 50 years and older 34
Pneumococcal(Pneumovax) vaccine	Recommends as per CDC	Recommends as per CDC	CDC recommends immunizing all adults 65 years and older, and before age 65 years in persons with chronic medical problems34
Td/Tdap vaccines	Recommends as per CDC	Recommends as per CDC	Administer a booster dose every 10 years in adults who have completed a primary series; Tdap or Td vaccine may be used; Tdap should replace a single dose of Td for adults younger than 65 years who have not previously received a dose of Tdap34