CTF Quick Tables: pediatrics - C recommendations

Pediatric Quick Table: "Conflicting"

Back to Quick Tables of Current Recommendations

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 Pediatrics

Condition	Maneuver	Population
"C" Recommendations
All-cause morbidity and mortality	Office contact or home-based parenting education programs	Disadvantaged children
Child maltreatment	Comprehensive health care program	Families with children
Child maltreatment	Parent education and support program	Families with children
Child maltreatment	Combination of home-based services, including case management, education and psychotherapy	Families with children
Developmental Hip Dysplasia	Abduction therapy	Normal- or high-risk infant
Developmental Hip Dysplasia	Timing of abduction therapy (early intervention) - optimal duration of observation	Normal- or high-risk infants
Developmental problems	Developmental screening questionnaires	Preschool children
Hemoglobinopathies	Screening for carrier status & counselling	Non-pregnant adolescents
Household and recreational injury	Counselling, household and recreational injury (except some home hazards, poisoning for children)	Children
Hypertension	Pharmacologic treatment	Adults aged <21 yrs, isolated systolic hypertension
Idiopathic adolescent scoliosis	Physical exam, back	Adolescents
Iron deficiency anemia	Routine hemoglobin	Infants
Obesity	Exercise and/or nutrition and behaviour modification	Obese children
Obesity	Height, weight, skin-fold thickness, BMI, etc.	Children
Otitis Media	Screening to identify children with clinically important OME (tympanometry, microtympanometry, acoustic reflectometry and pneumo-otoscopy)	Children up to 4 years of age
Otitis Media	Screening to prevent delay in language development as a result of OME	Children up to 4 years of age
Periodontal disease	Flossing teeth	Children
Testicular cancer	Physical exam or self-exam	Adolescents

Quick Table of C Recommendations from General Population Recommendations Relevant to Pediatrics

Condition	Maneuver	Population
"C" Recommendations
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
Child maltreatment	Sexual abuse, abduction prevention programs	General population
Dental caries	Counselling, diet or baby bottle	General and high-risk population
HIV/AIDS	History, sexual and drug use counselling	General population
HIV/AIDS	Voluntary HIV antibody screening	General population including pregnant women
Household and recreational injury	Public education/ Legislation, gun control and use of Heimlich maneuver	General population
Lead exposure	Universal screening (Blood lead level or questionnaire)	General population
MVA injury	Counselling, helmet, alcohol use	General population
Skin cancer	Counselling, Sun block	General population
Suicide	Suicide risk evaluation	General population

Back to Quick Tables of Current Recommendations

CTFPHC Home Page