Public record of meeting, 24 February, 2014

MINUTES

1. Welcome and meeting document review

Dr. Birtwhistle welcomed the CTFPHC and all participants and thanked them for attending the meeting. A round table of introductions was held and those who were attending by phone were introduced. Dr. Birtwhistle welcomed the new members, Dr. Roland Grad, Dr. Ainsley Moore and Dr. Brett Thombs.

1.1 Approval of October 2013 meeting minutes and public record of meeting

CTFPHC members reviewed the Minutes and the Public Record of Meeting (PROM) for the October 2013 Meeting. No errors or omissions were noted. Dr. Lewin moved to accept the Minutes of the October 2013 meeting and Dr. Dickinson seconded the motion. Approved.

1.2 Review of actions from October 2013 meeting

Members also reviewed the list of action items and were encouraged to contact Ms. Borne with any comments or concerns.

1.3 Review of meeting agenda

CTFPHC members reviewed the meeting agenda and several minor revisions were made.

2. Patient preferences—Update on pilot of patient outcome ranking

Ms. Mitra presented a new initiative between the KT program and the CTFPHC regarding how to integrate patient preferences into CTFPHC guidance and requested CTFPHC members’ feedback.

3. E-health update

Dr. Birtwhistle updated the CTFPHC regarding the ongoing development of a mobile phone “app”. A new RFP to develop the app will be issued and it is hoped that the app will be developed by the end of May 2014. An RFP is also being developed for EMR integration of guidelines.

4. Presentation of adult obesity guidelines and provisional guideline approval

Dr. Brauer reviewed the analytical framework and key questions for the Adult Obesity Guidelines. The CTFPHC discussed a number of issues including the approach to diet and exercise, challenges around terminology, nuances related to prevention and treatment, interval, etc.

5. Prostate Cancer Working Group status update

Dr. Neil Bell provided an overview of the changes to the evidence review for prostate cancer screening and reviewed the current draft of the recommendations on screening for prostate cancer using the PSA test with or without digital rectal examination (DRE) for men in the general population. The CTFPHC reviewed the guideline and discussed a number of issues including overdiagnosis. It is expected that the final guideline should be ready to submit to the CMAJ by mid-April.

6. KT Working Group update—Dr. Sharon Straus and Mr. Marlon Rhoden

Dr. Sharon Straus and Mr. Marlon Rhoden reviewed the development of CME modules for diabetes and cervical cancer and members provided input regarding revisions and updates to the CTFPHC website. Dr. Straus also updated the CTFPHC regarding the development of critical appraisal tools and upcoming conferences.

7. Clinical practice guideline evaluation plan update

Dr. Sharon Straus reported that the CTFPHC is seeking to evaluate the breadth and scope of its activities to ensure optimal reach and effective knowledge uptake. This evaluation will include retrospective and prospective assessments of the systematic reviews, guidelines, and tools created by the CTFPHC and will measure the impact of dissemination activities and the uptake of CPGs. The final evaluation report will be completed by March 31, 2014 and distributed to all CTFPHC members.

8. Topics

Dr. Lesley Dunfield reviewed the 2013 Topics List and informed the group that lung cancer screening was a new topic underway. Prostate cancer screening and obesity prevention should be completed by spring/summer 2014 and new topics for summer/fall 2014 are being considered.

9. Critical appraisal media strategy—Dawn Opgenorth, David Rodier

In March, the CTFPHC will launch a set of Critical Appraisal Reports which will cover screening for HIV, domestic and elder abuse, ovarian cancer, melanoma, osteoporosis and stroke prevention and rate/rhythm control. CTFPHC members provided input to Ms. Dawn Opgenorth and Mr. David Rodier regarding the proposed media strategy to release these reports. It was noted that although the target is the media, the main focus for these will be health practitioners and that a dissemination plan is needed in addition to a marketing plan.

10. Methods working group update: Vote on procedure manual

Dr. Lesley Dunfield provided an update on the revisions to the CTFPHC Methods Manual. The previous Methods Manual was published in October 2011 and since then, a number of updates have been made. The new version will include an updated KT section, no duplication and updated figures.

11. Evidence Review and Synthesis Centre update

Dr. Donna Ciliska provided a brief overview of the activities being carried out by the Evidence Review and Synthesis Centre including staff changes and the submission of evidence review papers for publication.

12. Guideline timelines: Overview—Dr. Sarah Connor Gorber

Dr. Sarah Connor Gorber reviewed a spreadsheet regarding timelines for the development of current protocols, evidence reports and guidelines. It was agreed that the current timelines were reasonable and there was some discussion regarding process issues required to ensure that CTFPHC members not involved with a specific Working Group remained engaged during periods of inactivity.

13. CTFPHC strategic approach to engagement with Aboriginal populations

Dr. Rachel Rodin and Dr. Neil Bell presented information regarding how the CTFPHC could better engage with Aboriginal populations. The CTFPHC suggested that a framework be sought for inclusion of Aboriginal approaches.

14. Cognitive impairment guideline approval

Dr. Kevin Pottie provided an update on the progress of guidelines for screening adults for mild cognitive impairment. It was noted that there is no evidence regarding the merits of screening because the evidence of treatment does not show that it is beneficial. The CTFPHC considered a number of possible options for proceeding.

15. Lung cancer screening—Update and approval of key questions

Dr. Gabriela Lewin presented the PICO inclusion criteria and proposed key and contextual questions regarding lung cancer screening and requested input on how to proceed with an update. The CTFPHC held an extensive discussion of a number of issues regarding the development of screening recommendations for lung cancer including the results of other international reviews and critical harms.

16. Childhood Obesity Working Group update

Dr. Patricia Parkin provided an update on the current draft of the recommendations and key points regarding the prevention of childhood obesity. Dr. Parkin highlighted that there was a positive effect of screening but in educational settings and only in school aged children, and raised issue about the role of PCPs in early identification and referrals. The ERSC will further explore effects in very young children 0–2 years of age. The group discussed draft recommendations.

17. Update on SharePoint

Ms. Brandee Borne provided a brief update regarding the work on the SharePoint system. The system is currently being tested and will go live in a four-stage role out.

18. Next steps and adjournment

Dr. Tonelli thanked all present for their contribution to a very productive meeting. The next meeting will take place June 9–10 in Edmonton.