Men 21-64 Years of Age Quick Table: All Relevant 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 All Recommendations Specific and Relevant to Men 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
Depression Screening in settings with integrated feedback and treatment systems General population
Hearing impairment Noise control and hearing protection General population
Household and recreational injury Public education/ Legislation on poison control General population
Hypertension Pharmacologic treatment Adults aged 21-64 yrs with DBP >90 mmHg
Influenza Influenza vaccination General population
Influenza Neuraminidase inhibitor prophylaxis 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
Pneumococcal pneumonia Single dose of 23-valent pneumococcal vaccine Immunocompetent patients >age 55 years in institutions
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
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
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
Coronary heart disease Diet/drug treatment Males 30-59 years with Elevated Cholesterol or LDL-C 
Coronary heart disease General dietary advice on fat and cholesterol Males 30-69 years
Diabetes Lifestyle interventions to reduce the incidence of progression to diabetes Overweight adults with impaired glucose tolerance
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
Hypertension Acarbose treatment to prevent CV events Overweight adults with impaired glucose tolerance
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
"C" Recommendations
Abdominal aortic aneurysm Abdominal palpation General population
Abdominal aortic aneurysm Abdominal ultrasound 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
Bladder cancer Urine dipstick or cytology High-risk males >60 years 
Cardiovascular disease Acetylsalicylic acid prophylaxis General population
Child maltreatment Sexual abuse, abduction prevention programs 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
Congenital rubella syndrome Universal vaccination Young men (living in crowded conditions) 
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
Domestic violence Batterer/couples interventions General population
Hemoglobinopathies Screening for carrier status and counselling Adult 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
Household and recreational injury Counselling, household and recreational injury (except some home hazards) Adult population
Influenza Immunization, annual General population <65 years 
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
Occupational low back pain Use of back belts in the workplace General population
Oral cancer Physical exam, oral cavity General population
Oral cancer mortality Opportunistic screening by clinical examination Asymptomatic patients
Prostate cancer Digital rectal examination Males >50 years 
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
Suicide Suicide risk evaluation General population
Testicular cancer Physical exam or self-examination Men
Thyroid cancer Neck Palpation Adult population
Tuberculosis INH Prophylaxis General population aged >35 years 
"D" Recommendations
Bladder cancer Urine dipstick or cytology General population
Cardiovascular disease Vitamin E Patients with established CVD or risk factors for CVD
Carotid disease/Stroke Neck auscultation or carotid endarterectomy General population
Child maltreatment Screen for risk of maltreating children General population
Chlamydial infection Smear, culture or analysis General population
Cystic fibrosis DNA analysis for carrier status General population
Cystic fibrosis Sweat test, immunoreactive trypsin and "BM meconium" test General population
Depression General Health Questionnaire or Zung Self-rating depression scale General population
Diabetes mellitus Blood glucose, fasting Non-pregnant General Population 
Gonorrhea Gram stain/culture of cervical or urethral smear  General population
Lung cancer Chest radiography General population
Lung cancer Vitamin E General population
Oral cancer mortality Population screening by clinical examination General population
Pancreatic cancer Abdominal palpation, ultrasound or serologic tumor markers General population
Periodontal disease Brushing with electric toothbrush General population
Progressive renal disease Urine dipstick General population
Prostate cancer Prostate specific antigen Males >50 years 
Prostate cancer Transrectal ultrasound Males >50 years 
Testicular cancer Tumor markers Men
"E" Recommendations
Lung cancer Sputum cytology General population
Tuberculosis Mantoux tuberculin skin test General population
"I" Recommendations
Cancers (esophageal, stomach, colorectal, urological, prostate) Vitamin E General population
Cardiovascular disease Vitamin E General population and male smokers
Depression Screening in settings without integrated feedback and treatment systems General population
Diabetes Metformin or acarbose treatment to prevent diabetes progression Overweight adults with impaired glucose tolerance
Domestic violence Screening Men
Lung Cancer Spiral CT scanning General population