Prostate-cancer screening: Guideline reflects lack of knowledgeable expert input.

The last guideline on prostate-cancer screening was published in 2014. At the time, the task force approached the Canadian Urologic Association (CUA) and asked that it provide an expert panel of “stakeholders” to provide input. I was asked to lead this panel. I assembled a group of five knowledgeable individuals. The draft of the guideline…

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Breast-cancer screening: Balancing harm vs. risks

One would expect that the priority of the Canadian Task Force on Preventive Health Care on breast-cancer screening would be to recommend practices that would maximally reduce mortality and morbidity from disease. In the case of breast cancer, this suggests focusing on effective guidelines for those who are at increased probability of developing disease or…

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We have a tool to help prevent suicide during pregnancy and postpartum. Why does the task force recommend against using it?

In 2022, the Canadian Task Force on Preventive Health Care released recommendations against using a tool (the Edinburgh Postnatal Depression Scale – EPDS) to screen for depression during pregnancy and the postpartum. These recommendations do not agree with those made by experts in B.C. and Ontario; and around the world in Australia, the United States,…

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