Functional inquiry
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Depression6 | Screen adults in the general population for depression if there are integrated programs for feedback to patients and access to case management or mental health care
A positive test result for this screening is a positive response to one or both questions:
Over the past 2 weeks, have you felt little pleasure in doing things? Over the past 2 weeks, have you felt down, depressed, or hopeless?
| B | Under Mental Health, Depression Screen will be added in italics | CTFPHC |
Education and counseling
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Osteoporosis7 | Calcium and vitamin D supplementation alone prevents osteoporotic fractures in postmenopausal women without documented osteoporosis | B | Calcium and vitamin D recommendations will be in italics on the female form | CTFPHC |
HRT8,9 | Do not use HRT for the primary prevention of myocardial infarction and death from cardiovascular disease in perimenopausal women and chronic disease in menopausal women | D | The item relating to HRT for women on the previous form will be deleted owing to evidence of harm | CTFPHC |
Physical examination
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WC10 | A WC > 102 cm (40 in) for men and > 88 cm (35 in) for women is associated with increased risk of type 2 diabetes, coronary artery disease, and hypertension
The WC measurement should be used among those with a body mass index between 18.5 and 34.9 to identify additional risk | | WC information will appear in plain text | Health Canada, WHO |
WHR11 | A WHR > 1.0 for men and > 0.85 for women is considered a marker of abdominal obesity | | WHR information will appear in plain text | WHO |
Labs or investigations
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Colonoscopy12 | Screen for colon cancer in all adults older than 50 y
Colonoscopy every 10 y can be considered as a screening option, though controlled studies of efficacy are lacking | | Colonoscopy recommendations will appear in plain text with sigmoidoscopy and hemoccult multiphase testing for colon cancer screening | Canadian Association of Gastroenterology, Canadian Digestive Health Foundation |
HIV testing13 | Offer screening to asymptomatic persons at high risk: men who have sex with men, sex workers, injection drug users, those with an STI, sexual contacts of HIV-positive persons, and those from countries with a high prevalence rate of HIV infection | A | HIV testing recommendations will appear in bold text Testing is recommended for high-risk individuals as part of an STI screen | CTFPHC |
HB14,15 | Routine pre-immunization serologic testing for HB is recommended for people at high risk of infection | | HB testing recommendations will appear in plain text Testing is recommended for high-risk individuals | NACI |
Type 2 diabetes mellitus16 | Screen adults with hypertension or hyperlipidemia for type 2 diabetes using the FBG to prevent cardiovascular events and death | B | The FBG recommendations will appear in italic text Recommendations are for patients with hypertension or hyperlipidemia; Canadian Diabetes Association guidelines17 will be used for adults 40 y and older or those with other risk factors | CTFPHC |
Osteoporosis7 | Screen postmenopausal women by DEXA if they are 65 y and older, or have a history of previous fracture, or have an Osteoporosis Risk Assessment Instrument score ≥ 9, or have a Simple Calculated Osteoporosis Risk Estimation score ≥ 6 to prevent fragility fractures | B | The recommendation for bone mineral density using DEXA will be in italics on the female form | CTFPHC |
Immunizations
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Influenza14,18 | Support yearly influenza vaccination in healthy adults; this recommendation also concurs with the recommendation by NACI | A | Annual influenza vaccination for all adults will be added in bold text | CTFPHC |
Pertussis14 | Administer a single dose of the adolescent or adult formulation of acellular pertussis vaccine to adults who have not received a dose of acellular pertussis vaccine | | Acellular pertussis vaccine recommendations will appear in plain text | NACI |
Cervical cancer19 | HPV vaccine is recommended for girls 9 to 13 y of age
Female populations between 14 and 26 y of age would benefit from the vaccine even if they are already sexually active | | HPV vaccine recommendations will appear in plain text | NACI |