CTF Quick Tables: elderly women

Elderly Women (> 65 years) Quick Table: "Conflicting"

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Please note: In 2003, the CTF updated its Grades of Recommendations to include an "I Recommendation" for situations where insufficient evidence exists to allow a recommendation to be made. (Formerly, these situations were captured under a "C Recommendation".) This change is not retroactive, and all "C Recommendations" made prior to 2003 have not been reevaluated in light of the new "I" recommendation grade. For a discussion of these recommendation grades, please link to the 2003 article in the Canadian Medical Association Journal here.

Quick Table of C Recommendations Specific to Elderly Women (>65 years)

Condition	Maneuver	Population
"C" Recommendations
Age-related macular degeneration	Fundoscopy	Elderly
Breast cancer follow-up	Follow-up for local recurrence	Women having been previously diagnosed with breast cancer
Breast cancer follow-up	Follow-up for contralateral breast cancer	Women having been previously diagnosed with breast cancer
Cognitive impairment	Mental status screening	Elderly
Elder abuse	Elder abuse questionnaire	Elderly
Glaucoma	Fundoscopy, tonometry or automated perimetry	Elderly
Household and recreational injury	Monitor medical impairment	Elderly
Household and recreational injury	Public education, non-flammable fabrics, self-extinguishing cigarettes	Elderly
Ovarian cancer	Pelvic exam, transvaginal ultrasound, CA 125 or combination	Pre- and post-menopausal women
Pneumococcal pneumonia	Immunization, one dose	Immunocompetent elderly living independently
Thyroid disorders	Thyroid stimulating hormone test	Perimenopausal women
Urinary infection	Urine dipstick or culture	Elderly, ambulatory women

Quick Table of C Recommendations from General Population Recommendations Relevant to Elderly Women (>65 years)

Condition	Maneuver	Population
"C" Recommendations
Abdominal aortic aneurysm	Abdominal palpation	General population
Abdominal aortic aneurysm	Abdominal ultrasound	General population
Adverse consequences, children of alcoholics	Routine evaluation; some screening options	General population
All-cause mortality and morbidity	Counselling, physical activity; prevent obesity	General population
All-cause mortality, morbidity	Measure body mass index and treat obesity	General population
Cardiovascular disease	Acetylsalicylic acid prophylaxis	General population
Colorectal cancer	Hemoccult/sigmoidoscopy in combination	Average risk adults > age 50
Colorectal cancer	Colonoscopy	Average risk adults, high-risk adults with family history of polyps/CRC
Coronary artery disease events	Screening for total plasma homocysteine levels	General population or those at high risk for coronary artery disease events
Coronary artery disease events	Vitamin therapy (folic acid alone or with vitamin B12) to lower total plasma homocysteine levels	All populations
Coronary heart disease	Diet/drug treatment	Individuals with elevated cholesterol or LDL-C except males 30-59 yrs
Coronary heart disease	Measurement of blood total cholesterol level	General population with case-finding for males 30-59 years
Coronary heart disease	General dietary advice on fat and cholesterol	General population except males 30-69 years
HIV/AIDS	History, sexual and drug use counselling	General population
HIV/AIDS	Voluntary HIV screening	General population including pregnant women
Household and recreational injury	Public education/ Legislation, gun control and use of Heimlich maneuver	General population
Household and recreational injury	Counselling, household and recreational injury (except some home hazards)	Adult population
Iron deficiency anemia	Routine hemoglobin	General population
MVA injury	Counselling, helmet, alcohol use	General population
MVA injury	Monitor medical impairment	General population
Obesity	BMI measurement	General population
Obesity	Community-based obesity prevention programs	General population
Obesity	Weight-reduction therapy	Obese adults without obesity-related disease
Oral cancer	Physical exam, oral cavity	General population
Oral cancer mortality	Opportunistic screening by clinical examination	Asymptomatic patients
Protein/calorie malnutrition	Protein/calorie malnutrition screening	Adult population
Skin cancer	Counselling, Skin self-examination	General population
Skin cancer	Counselling, Sun block	General population
Skin cancer	Physical examination, skin	General population
Stroke	Ambulatory ECG	All patients presenting with stroke or transient ischemic attack
Stroke	Echocardiography: Transthoracic (TTE) or transesophageal (TEE) for detection of intracardiac masses	Patients without clinical cardiac disease
Stroke	Treatment for patent foramen ovale	General population
Suicide	Suicide risk evaluation	General population
Thyroid cancer	Neck Palpation	Adult population
Tuberculosis	INH Prophylaxis	General population aged >35 years

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