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- W1993723213 abstract "<h3>Abstract</h3> <h3>Objective</h3> To guide family physicians in creating preventive screening and treatment plans for their elderly patients. <h3>Sources of information</h3> The MEDLINE database was searched for Canadian guidelines on primary health care and the elderly; guidelines or meta-analyses or practice guidelines or systematic reviews related to mass screening in those aged 80 and older and the frail elderly, limited to between 2006 and July 2016; and articles on preventive health services for the elderly related to family practice or family physicians, limited to English-language publications between 2012 and July 2016. <h3>Main message</h3> Estimating life expectancy is not an easy or precise science, but frailty is an emerging concept that can help with this. The Canadian Task Force on Preventive Health Care offers cancer screening guidelines, but they are less clear for patients older than 74 years and management plans need to be individualized. Estimating remaining years of life helps guide your recommendations for preventive screening and treatment plans. Risks often increase along with an increase in frailty and comorbidity. Conversely, benefits often diminish as life expectancy decreases. Preventive management plans should take into account the patient’s perspective and be mutually agreed upon. A mnemonic device for key primary care preventive areas—<i>CCFP</i>, short for cancer, cardiovascular disease, falls and osteoporosis, and preventive immunizations—might be useful. <h3>Conclusion</h3> Family physicians might find addressing the following areas helpful when considering a preventive health intervention: age, life expectancy (including concept of frailty), comorbidities and functional status, risks and benefits of screening or treatment, and values and preferences of the patient." @default.
- W1993723213 created "2016-06-24" @default.
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- W1993723213 date "2014-02-19" @default.
- W1993723213 modified "2023-10-17" @default.
- W1993723213 title "NHS England postpones roll-out of care.data programme by six months" @default.
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- W1993723213 doi "https://doi.org/10.1136/bmj.g1689" @default.
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