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成人健康检查:《预防性护理检查表表格©》的更新

Adult health checkup: Update on the Preventive Care Checklist Form©.

作者信息

Ridley Jane, Ischayek Amanda, Dubey Vinita, Iglar Karl

机构信息

Lecturer in the Department of Family and Community Medicine at the University of Toronto in Ontario and a staff physician at St Michael's Hospital in Toronto.

Family physician practising in Montreal, Que.

出版信息

Can Fam Physician. 2016 Apr;62(4):307-13.

Abstract

OBJECTIVE

To describe updates to the Preventive Care Checklist Form© to help family physicians stay up to date with current preventive health care recommendations.

QUALITY OF EVIDENCE

The Ovid MEDLINE database was searched using specified key words and other terms relevant to the periodic health examination. Secondary sources, such as the Canadian Task Force on Preventive Health Care, the Public Health Agency of Canada, the Trip database, and the Canadian Medical Association Infobase, were also searched. Recommendations for preventive health care for average-risk adults were reviewed. Strong and weak recommendations are presented on the form in bold and italic text, respectively.

MAIN MESSAGE

Updates were made to the form based on the Canadian Task Force on Preventive Health Care recommendations on screening for obesity (2015), cervical cancer (2013), depression (2013), osteoporosis (2013), hypertension (2012), diabetes (2012, 2013), and breast cancer (2011). Updates were made based on recommendations from other Canadian organizations on screening for HIV (2013), screening for sexually transmitted infections (2013), immunizations (2012 to 2014), screening for dyslipidemia (2012), fertility counseling for women (2011, 2012), and screening for colorectal cancer (2010). Some previous recommendations were removed and others lacking evidence were not included.

CONCLUSION

The Preventive Care Checklist Form has been updated with current recommendations to enable family physicians to provide comprehensive, evidence-based care to patients during periodic health examinations.

摘要

目的

描述《预防性保健检查表》(预防保健检查表表格©)的更新内容,以帮助家庭医生紧跟当前预防性医疗保健建议的步伐。

证据质量

使用特定关键词及与定期健康检查相关的其他术语对Ovid MEDLINE数据库进行检索。还检索了加拿大预防性医疗保健工作组、加拿大公共卫生局、Trip数据库和加拿大医学协会信息库等二级来源。对一般风险成年人预防性医疗保健的建议进行了审查。表格中分别以粗体和斜体呈现了强推荐和弱推荐。

主要信息

该表格根据加拿大预防性医疗保健工作组关于肥胖筛查(2015年)、宫颈癌筛查(2013年)、抑郁症筛查(2013年)、骨质疏松症筛查(2013年)、高血压筛查(2012年)、糖尿病筛查(2012年、2013年)和乳腺癌筛查(2011年)的建议进行了更新。还根据加拿大其他组织关于艾滋病毒筛查(2013年)、性传播感染筛查(2013年)、免疫接种(2012年至2014年)、血脂异常筛查(2012年)、女性生育咨询(2011年、2012年)和结直肠癌筛查(2010年)的建议进行了更新。一些以前的建议被删除,其他缺乏证据的建议未被纳入。

结论

《预防性保健检查表》已根据当前建议进行更新,以便家庭医生在定期健康检查期间为患者提供全面的、基于证据的医疗服务。

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