General practice -based health checks are associated with statistically significant , albeit clinical ly small , improvements in surrogate outcome control , especially among high-risk patients .
BACKGROUND A recent review concluded that general health checks fail to reduce mortality in adults .
AIM This review focuses on general practice -based health checks and their effects on both surrogate and final outcomes .
Effect of screening for Type 2 diabetes on population-level self-rated health outcomes and measures of cardiovascular risk: 13-year follow-up of the Ely cohort
Aims There is continuing uncertainty regarding the overall net benefits of population -based screening for Type 2 diabetes . We compared clinical measures , prescribed medication , cardiovascular morbidity and self-rated health in individuals without diabetes in a screened vs. an unscreened population . Methods A parallel-group , cohort study of people aged 40–65 years , free of known diabetes , identified from the population register of a general practice in Ely , Cambridgeshire ( n = 4936 ) . In 1990–1992 , one third ( n = 1705 ) , selected r and omly , received an invitation for screening for diabetes and cardiovascular risk factors at 5-yearly intervals ( screened population ) . From the remainder of the sampling frame , 1705 r and omly selected individuals were invited to diabetes screening 10 years later ( unscreened population ) . Patients without known diabetes from both population s were invited for a health assessment . Results Of 3390 eligible individuals without diabetes , 1442 ( 43 % ) attended for health assessment , with no significant difference in attendance between groups . Thirteen years after the commencement of screening , self-rated functional health status and health utility were identical between the screened and unscreened population s. Clinical measures , self-reported medication and cardiovascular morbidity were similar between the two groups . Conclusions Screening for diabetes is not associated with long-term harms at the population level . However , screening has limited long-term impact on those testing negative ; benefits may largely be restricted to those whose diabetes is detected early through screening
General practice -based health checks are associated with statistically significant , albeit clinical ly small , improvements in surrogate outcome control , especially among high-risk patients .
BACKGROUND A recent review concluded that general health checks fail to reduce mortality in adults .
AIM This review focuses on general practice -based health checks and their effects on both surrogate and final outcomes .