2025 update of the Greig Health Record: Part 2-what's controversial?

OBJECTIVE

To review a selection of new resources and updated recommendations from the third update of the Greig Health Record (GHR).

SOURCES OF INFORMATION: Pediatric preventive care literature was reviewed using PubMed and Google Scholar databases. Systematic reviews of subtopics were evaluated where available. Guidance and supporting evidence were reviewed from the Canadian Paediatric Society, the American Academy of Pediatrics, the Canadian Task Force on Preventive Health Care, the United States Preventive Services Task Force, the National Advisory Committee on Immunization, and the Centers for Disease Control and Prevention.

MAIN MESSAGE: Recommendations for best practice are based on available evidence and guidance from various agencies; yet conflicting recommendations are often given. The GHR identifies 6 of these conflicts in pediatric preventive care recommendations, including depression screening; cannabis use counselling and screening; dietary recommendations for beverage selection and consumption of plant-based proteins; testicular self-examination; and meningococcal vaccination timing.

CONCLUSION

Clinicians are advised to consider options for practice as they apply to their own patients and to be aware of changing guidance as new evidence emerges.