If you aren’t sure when to start getting colonoscopies and mammograms, just think family history.

According to a multi-institutional study published in the July 13 issue of the Journal of the American Medical Association, changes in family history significant enough to alter screening recommendations are common in adults ages 30 to 50.

About 22 percent of individuals have a family history that suggests familial or hereditary predisposition to cancer, the study reports. However, little is known about how risk changes over time and if those changes may qualify patients as candidates for earlier or more intense screening.

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