The Government Conference Centre 2 Rideau Street, Rideau Room Ottawa, Ontario
Members reviewed the minutes of the previous meeting and noted action items that were completed.
Leigha Cotton and David Rodier of Hill and Knowlton Strategies joined the meeting and provided an overview of recent coverage of the Breast Cancer Screening Guideline. They noted that coverage was still ongoing and that there was extensive interest in the story. Monitoring will continue and a report will be prepared which will detail key learnings from this first launch.
Marcello Tonelli provided a brief update on the strategic planning stating that the report prepared was more of a short/medium term view and was not intended to be a blueprint for how the CTFPHC will become the leading guideline producer in Canada. The CTFPHC held a general discussion about strategic planning and raised a number of key points and recommendations.
The Diabetes Screening Guidelines have been reviewed by external organizational and peer reviewers from a variety of organizations such as the CNA, CDA, Dietitians of Canada, HC, FNIHB and a variety of universities. The Diabetes Screening Task Group will further discuss issues based on the input of the CTFPHC.
Alejandra Jaramillo provided an update on timelines for guidelines on diabetes, depression, hypertension, cervical cancer, adult obesity and child obesity. She also reported on the adjustment per guideline (in weeks) since the last CTFPHC meeting.
Nancy Santesso of the GRADE Working Group presented information about the grade process and guideline development. It was agreed that decision tables are useful and will be incorporated into the review process.
Patricia Parkin and Paula Brauer presented information on the topic of idealized vs. pragmatic key questions. Idealized key questions are what we would like to know and pragmatic key questions are what we can know with current evidence. This concept is analogous to concepts of explanatory and pragmatic RCTs. The Methods Group will further consider a procedure to deal with idealized vs. pragmatic key questions.
Mary Gauld and Homa Keshavarz reviewed the draft evidence report for screening for depression. Following the presentation, CTFPHC Members raised a number of issues such as screening in target populations such as children and the elderly. The Depression Screening Working Group will revise the proposed guidelines based on the discussion at the CTFPHC.
Amanda Hammill reviewed the draft evidence report for hypertension screening. Based on input from the CTFPHC, The Hypertension Screening Group will finalize the list of external stakeholders and begin to tailor the recommendations.
Dr. Karen Grimsrud provided an update on the work of the CTFPHC Office highlighting new hires and a variety of activities. The CTFPHC stressed the importance of developing a procedure for facilitating travel and logistical support for CTFPHC members who travel to meetings and presentations.
Sarah informed the group that the current topics being addressed are breast cancer; Type 2 diabetes; hypertension; depression; cervical cancer; obesity (adults and children); osteoporosis (potential endorsement, assessment components only)and atrial fibrillation (potential endorsement). Planned topics include: screening for cognitive impairment and dementia in the elderly; prevention of osteoporosis in men and women; and screening for developmental delay in preschool children.
Sarah provided an update on the work of the Methods Working Group highlighting current publications in progress or published, presentations, and work on identifying and evaluating modeling studies.
Jim Dickinson and Leslea Peirson provided an update regarding work on the development of Cervical Cancer Screening Guidelines. The Cervical Screening Working Group will revise the proposed guidelines based on the discussion at the Task Force Meeting.
Patty Lindsay reviewed a proposed CTFPHC endorsement report regarding the ccs’s Atrial Fibrillation Guidelines and the 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada. After much discussion, the CTFPHC agreed that more work was needed to develop an approach, terminology and statement for the website regarding the posting of a list of useful guidelines on prevention for practitioners.
Sharon Straus updated the CTFPHC on the work of the KT WG including an overview of the KT Process and work undertaken to develop KT Tools for the Breast Screening Guidelines.
Patricia Parkin updated the CTFPHC on the work of the Child Obesity Working Group. The Obesity (Children) Working Group will continue its work based on the discussion at the CTFPHC Meeting.
Paula Brauer presented information about the work of the Adult Obesity Working Group. The Obesity (Adults) Working Group will continue its work based on the discussion at the CTFPHC Meeting.
Rick Birtwhistle provided an update regarding the Expert Consultation on the use of Electronic Medical Records EMR for the CTFPHC on January 11, 2012 at St Michael’s Hospital in Toronto. The purpose of this meeting will be to examine ways to integrate the CTFPHC recommendations into the EMR and also using social media. The members reviewed the participant list and made a number of suggestions.
Marcello provided the CTFPHC members with an opportunity for general feedback about issues and possible future meeting topics. He stressed the importance of reviewing the Strategic Plan and providing any feedback that was necessary. Members agreed that the short and medium term are important, but emphasis also needed to be placed on the longer term. It was suggested that focused time at the next meeting be spent on strategic planning.
Marcello and Rick thanked members for their contributions and recognized the work of the CTFPHC Office. The next CTFPHC meeting will take place March 5–6, 2012.
Over lunch on Day One and at the end of Day Two of the meeting, the Methods, Obesity Screening in Children, Knowledge Translation and Hypertension Working Groups held brief meetings.