Update to the Preventive Care Checklist Form©

Alina Zaltzman; Vinita Dubey; Karl Iglar

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Table 1.

New recommendations included in the updated Preventive Care Checklist Form^©

TOPIC	RECOMMENDATION	SOURCE OF RECOMMENDATION
Education and counseling
• Calcium intake^2,3	1000–1200 mg daily	Osteoporosis Canada (2010) Health Canada (2010)
• Vitamin D intake^2,4	400–1000 IU daily for low risk 800–1000 IU (up to 2000 IU) if aged ≥ 50 y	Osteoporosis Canada (2010) SOGC (2014)
Physical examination
• BP⁵	Removal of the previous guidelines for different BP goals for the elderly (systolic BP < 150 mm Hg if aged ≥ 80 y) Consideration to target systolic BP < 120 mm Hg in high-risk patients	Hypertension Canada (2018)
Functional inquiry
• Cognitive impairment⁶	Do not screen asymptomatic adults (≥ 65 y of age) for cognitive impairment	CTFPHC (2015)
Laboratory tests and Investigations
• AAA⁷	One-time screening with ultrasound for AAA for men aged 65–80 y Do not screen men > 80 y of age for AAA Do not screen women for AAA	CTFPHC (2017)
• Hepatitis C⁸	Do not routinely screen for hepatitis C if not at elevated risk	CTFPHC (2017)
• Lung cancer⁹	Screen those aged 55–74 y with > 30 pack-year smoking history or who quit < 15 y ago with low-dose CT Do not use chest x-ray scanning for screening	CTFPHC (2016)
• Colorectal cancer¹⁰	Screen with FIT or FOBT every 2 y, or flexible sigmoidoscopy every 10 y, if aged 50–75 y Do not use colonoscopy for screening	CTFPHC (2016)
• Dyslipidemia^11,12	Screen with nonfasting lipid profile in men aged ≥ 40 y, women aged ≥ 40 y (or postmenopausal), or earlier if at increased risk	CCS (2016) Simplified lipid guidelines (2015)
Immunizations
• Pneumococcal vaccination¹³	Give Pneu-P-23 vaccine to all adults ≥ 65 y Can also give Pneu-C-13 vaccine to those at high risk or to reduce individual risk if ≥ 65 y	PHAC (2016)
• HPV vaccination¹³	To men and women with no upper age limit, if at ongoing risk	PHAC (2018)
• Herpes zoster vaccination¹³	Recombinant herpes zoster vaccine in those aged ≥ 50 y	PHAC (2018)

AAA—abdominal aortic aneurysm, BP—blood pressure, CCS—Canadian Cardiovascular Society, CT—computed tomography, CTFPHC—Canadian Task Force on Preventive Health Care, FIT—fecal immunochemical test, FOBT—fecal occult blood test, HPV—human papillomavirus, PHAC—Public Health Agency of Canada, Pneu-C-13—13-valent pneumococcal conjugate, Pneu-P-23—23-valent pneumococcal polysaccharide, SOGC—Society of Obstetricians and Gynaecologists of Canada.