Table 1.

Canadian Task Force for Preventive Health Care recommendations relevant to Nadia

GUIDELINERELEVANT POSITIVE RECOMMENDATION (STRENGTH OF RECOMMENDATION)
Cervical cancer5For women aged 30 to 69 we recommend routine screening for cervical cancer every 3 years (strong)
Hypertension6We recommend blood pressure measurement at all appropriate primary care visits (strong)
Diabetes7For adults at low to moderate risk of diabetes (determined with a validated risk calculator), we recommend not routinely screening for type 2 diabetes (weak) For adults at high risk of diabetes (determined with a validated risk calculator), we recommend routinely screening every 3 to 5 years with hemoglobin A1c level (weak) For adults at very high risk of diabetes (determined with a validated risk calculator), we recommend routine screening annually with hemoglobin A1c level (weak)
Breast cancer8For women aged 50 to 69 years we recommend routinely screening with mammography every 2 to 3 years (weak)
Colorectal cancer9We recommend screening adults aged 60 to 74 years for colorectal cancer with FOBT (either guaiac FOBT or FIT) every 2 years or flexible sigmoidoscopy every 10 years (strong)
Lung cancer10For adults aged 55 to 74 years with at least a 30 pack-year* smoking history who currently smoke or quit < 15 years ago, we recommend annual screening with LDCT up to 3 consecutive times. Screening should only be carried out in health care settings with expertise in early diagnosis and treatment of lung cancer (weak)
For all other adults, regardless of age, smoking history, or other risk factors, we recommend not screening for lung cancer with LDCT (strong)
Obesity11These recommendations apply to apparently healthy adults ≥ 18 years of age who present to primary care
We recommend measuring height and weight and calculating body mass index at appropriate primary care visits (strong)
  • FIT—fecal immunochemical testing, FOBT—fecal occult blood testing, LDCT—low-dose computed tomography.

  • * Pack-year is defined as the average number of cigarette packs smoked daily multiplied by the number of years smoking.