CTF Quick Tables: women - A & B recommendations

Women 21-64 Years of Age Quick Table: "DOs"

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Quick Table of A & B Recommendations Specific to Women 21-64 Years of Age

Condition	Maneuver	Population
"A" Recommendations
Breast cancer	Mammography and clinical exam	Women aged 50-69 yrs
Hypertension	Pharmacologic treatment	Adults aged 21-64 yrs with DBP >90 mmHg
Influenza	Influenza vaccination	General population
Influenza	Neuraminidase inhibitor prophylaxis	General population
Neural tube defects	Folic acid supplementation	Women capable of becoming pregnant
Pneumococcal pneumonia	Single dose of 23-valent pneumococcal vaccine	Immunocompetent patients >age 55 years in institutions
"B" Recommendations
Breast cancer	Counselling on benefits and risks of using tamoxifen to reduce likelihood of breast cancer	High-risk women
Cardiovascular events	Screening for type 2 diabetes mellitus to prevent CV events	High-risk adults with hypertension
Cardiovascular events	Screening for type 2 diabetes mellitus to prevent CV events	High-risk adults with hyperlipidemia
Cardiovascular events	Acarbose treatment to prevent CV events	Overweight adults with impaired glucose tolerance
Cervical cancer	Papanicolaou smear	Women
Chlamydial infection	Smear, culture or analysis	High-risk women
Congenital rubella syndrome	Screen and vaccinate or universal vaccination	Non-pregnant women of child-bearing age
Diabetes	Lifestyle interventions to reduce the incidence of progression to diabetes	Overweight adults with impaired glucose tolerance
Domestic violence	Referral to post-shelter advocacy counseling	Pregnant and non-pregnant women
Hypertension	Acarbose treatment to prevent CV events	Overweight adults with impaired glucose tolerance
Osteoporotic fractures (and side effects)	Counselling, hormone replacement therapy	Perimenopausal women

Quick Table of A & B Recommendations from General Population Recommendations Relevant to Women 21-64 Years of Age

Condition	Maneuver	Population
"A" Recommendations
Colorectal cancer	Multiphase screening with the Hemoccult test	Average risk adults > age 50
Dental caries	Community fluoridation, fluoride toothpaste or supplement	General population
Dental caries, periodontal disease	Brushing and flossing teeth to apply toothpaste (A) and prevent gingivitis (B) but not cariostatic (C)	General population
Hearing impairment	Noise control and hearing protection	General population
Household and recreational injury	Public education/ Legislation on poison control	General population
MVA injury	Legislation, restraint use and control of drinking and driving	General population
Oral cancer mortality	Smoking cessation counselling	General population
Periodontal disease	Flossing teeth	Adult population
Progressive renal disease	Urine dipstick	Adults with IDDM
Tobacco-caused disease	Counselling, smoking cessation or offer nicotine replacement therapy	Smokers
"B" Recommendations
All-cause mortality and morbidity	Moderate physical activity	General population
Colorectal cancer	Sigmoidoscopy	Average risk adults > age 50
Colorectal cancer	Flexible sigmoidoscopy beginning at puberty, genetic testing	High-risk adults with FAP
Colorectal cancer	Colonoscopy	High-risk adults with HNPCC
Depression	Screening in settings with integrated feedback and treatment systems	General population
Diet-related illness	Counselling on adverse nutritional habits	Adult population
Gingivitis	Brushing teeth	General population
Gonorrhea	Counselling, Educational materials	General population
Household and recreational injury	Legislation, window and stair guards, smoke detectors	General population
Household and recreational injury	Public education/ Legislation, fire burn and water (tub and swimming) safety	General population
Household and recreational injury	Legislation, avoidance of alcohol with water recreation	General population
Lung cancer	Dietary advice on green leafy vegetables and fruit	Smokers
MVA Injury	Counselling on restraint use and avoidance of drinking and driving	General population
Obesity	BMI measurement	Obese adults with obesity-related disease
Obesity	Weight-reduction therapy	Obese adults with obesity-related disease
Periodontal disease	Tooth scaling and prophylaxis	General population
Problem drinking	Case finding and counselling	General population
Skin cancer	Counselling, sun exposure, clothing	General population
Tobacco-caused disease	Referral to validated cessation program	Smokers
Varicella vaccine	Immunization with varicella vaccine	Susceptible adults
Vehicle-related injury	Legislation, bicycle motorcycle or all terrain vehicle helmet	General population

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