Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Ann Intern Med. 2007 Feb 20;146(4):289-300.

Systematic review: the value of the periodic health evaluation.

Author information

  • 1Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins School of Medicine, and Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. lboulwa@jhmi.edu

Abstract

BACKGROUND:

The periodic health evaluation (PHE) has been a fundamental part of medical practice for decades despite a lack of consensus on its value.

PURPOSE:

To synthesize the evidence on benefits and harms of the PHE.

DATA SOURCES:

Electronic searches of such databases as MEDLINE and the Cochrane Library, review of reference lists, and hand- searching of journals through September 2006.

STUDY SELECTION:

Studies (English-language only) assessing the delivery of preventive services, clinical outcomes, and costs among patients receiving the PHE versus those receiving usual care.

DATA EXTRACTION:

Study design and settings, descriptions of the PHE, and clinical outcomes associated with the PHE.

DATA SYNTHESIS:

The best available evidence assessing benefits or harms of the PHE consisted of 21 studies published from 1973 to 2004. The PHE had a consistently beneficial association with patient receipt of gynecologic examinations and Papanicolaou smears, cholesterol screening, and fecal occult blood testing. The PHE also had a beneficial effect on patient "worry" in 1 randomized, controlled trial but had mixed effects on other clinical outcomes and costs.

LIMITATIONS:

Descriptions of the PHE and outcomes were heterogeneous. Some trials were performed before U.S. Preventive Services Task Force guidelines were disseminated, limiting their applicability to modern practice.

CONCLUSIONS:

Evidence suggests that the PHE improves delivery of some recommended preventive services and may lessen patient worry. Although additional research is needed to clarify the long-term benefits, harms, and costs of receiving the PHE, evidence of benefits in this study justifies implementation of the PHE in clinical practice.

Comment in

PMID:
17310053
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Silverchair Information Systems
    Loading ...
    Write to the Help Desk