Canadian Task Force (CTF) - Summary Table of "C" Recommendations

Summary Table of "I" Recommendations
When Evidence is Insufficient

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.

CONDITION MANEUVER POPULATION

Cancers (esophageal, stomach, colorectal, urological, prostate) Vitamin E General population

Cardiovascular disease Vitamin E General population and male smokers

Diabetes Metformin or acarbose treatment to prevent diabetes progression Overweight adults with impaired glucose tolerance

Domestic violence Screening Pregnant or non-pregnant women

Domestic violence Primary care counseling Pregnant or non-pregnant women

Domestic violence Referral to shelters Pregnant or non-pregnant women

Domestic violence Referral to personal and vocational counseling Pregnant or non-pregnant women

Falls prevention in long-term care facilities Structured multidisciplinary programs High-Risk Elderly

Falls prevention in long-term care facilities Interventions (e.g., physiotherapy or exercise programs) to reduce specific risk factors Elderly

Lung Cancer Spiral CT scanning General population

Osteoporotic fractures Screening using bone turnover markers to predict fractures Postmenopausal women

Osteoporotic fractures Primary prevention of fragility fractures using raloxifene, bisphosphonates, calcitonin, parathyroid hormone, fluoride or combination therapy Postmenopausal women

Osteoporotic fractures Secondary prevention of fragility fractures using calcium and vitamin D alone, HRT, exercise, calcitonin, parathyroid hormone, fluoride or combination therapy Postmenopausal women

Osteoporotic fractures Tertiary prevention of fragility fractures using exercise, HRT, calcitonin, fluoride or combination therapy Postmenopausal women

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CONDITION	MANEUVER	POPULATION
Cancers (esophageal, stomach, colorectal, urological, prostate)	Vitamin E	General population
Cardiovascular disease	Vitamin E	General population and male smokers
Diabetes	Metformin or acarbose treatment to prevent diabetes progression	Overweight adults with impaired glucose tolerance
Domestic violence	Screening	Pregnant or non-pregnant women
Domestic violence	Primary care counseling	Pregnant or non-pregnant women
Domestic violence	Referral to shelters	Pregnant or non-pregnant women
Domestic violence	Referral to personal and vocational counseling	Pregnant or non-pregnant women
Falls prevention in long-term care facilities	Structured multidisciplinary programs	High-Risk Elderly
Falls prevention in long-term care facilities	Interventions (e.g., physiotherapy or exercise programs) to reduce specific risk factors	Elderly
Lung Cancer	Spiral CT scanning	General population
Osteoporotic fractures	Screening using bone turnover markers to predict fractures	Postmenopausal women
Osteoporotic fractures	Primary prevention of fragility fractures using raloxifene, bisphosphonates, calcitonin, parathyroid hormone, fluoride or combination therapy	Postmenopausal women
Osteoporotic fractures	Secondary prevention of fragility fractures using calcium and vitamin D alone, HRT, exercise, calcitonin, parathyroid hormone, fluoride or combination therapy	Postmenopausal women
Osteoporotic fractures	Tertiary prevention of fragility fractures using exercise, HRT, calcitonin, fluoride or combination therapy	Postmenopausal women