Limited data suggest that systematic risk assessment for CVD has no statistically significant effects on clinical endpoints .
There is limited evidence to suggest that CVD systematic risk assessment may have some favourable effects on cardiovascular risk factors .
BACKGROUND Screening programmes can potentially identify people at high cardiovascular risk and reduce cardiovascular disease ( CVD ) morbidity and mortality .
However , there is currently not enough evidence showing clear clinical or economic benefits of systematic screening-like programmes over the widely practised opportunistic risk assessment of CVD in primary care setting s. OBJECTIVES The primary objective of this review was to assess the effectiveness , costs and adverse effects of systematic risk assessment compared to opportunistic risk assessment for the primary prevention of CVD .
Evaluation of two contrasting types of screening programs.
Abstract Two quite different approaches have been taken to the evaluation of screening programs in the Health Insurance Plan of New York ( HIP ) . In one , a highly specific end result is at issue . The central question in this project is whether periodic screening with mammography and clinical examination of the breast results in a reduction in mortality from breast cancer in the female population . The project is being conducted as a r and omized clinical trial with study and control groups selected from the enrolled population of HIP . Of 31,000 study group women contacted , 20,200 , or 65 % participated in at least one examination . The other study is concerned with whether the impact of a multiple array of services , automated multiphasic health testing , and follow-up paramedical and medical services , on health status and health care behavior is greater among the poor than the rest of the population . The results of the breast cancer study provide clear evidence that over the short run period of 5 years of follow-up , the study women have about one-third lower mortality from breast cancer than the controls . Reduction in breast cancer mortality was found at ages 50 and over but not at ages 40–49 years . In the multiphasic health testing study , preliminary analysis of the data confirms one of the initial assumptions of the study , i.e. that a significant gap exists between the poverty and nonpoverty groups in the occurrence of health problems . A higher proportion of the poverty group reported a health complaint or specific condition . The study indicated that this group was also likely to report these problems with greater frequency and greater severity of the complaints
Limited data suggest that systematic risk assessment for CVD has no statistically significant effects on clinical endpoints .
There is limited evidence to suggest that CVD systematic risk assessment may have some favourable effects on cardiovascular risk factors .
BACKGROUND Screening programmes can potentially identify people at high cardiovascular risk and reduce cardiovascular disease ( CVD ) morbidity and mortality .
However , there is currently not enough evidence showing clear clinical or economic benefits of systematic screening-like programmes over the widely practised opportunistic risk assessment of CVD in primary care setting s. OBJECTIVES The primary objective of this review was to assess the effectiveness , costs and adverse effects of systematic risk assessment compared to opportunistic risk assessment for the primary prevention of CVD .