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Wien Med Wochenschr. 2019 Jun 11. doi: 10.1007/s10354-019-0699-6. [Epub ahead of print]

[Evidence-based recommendations for the revision of the Austrian periodic health examination].

[Article in German]

Author information

1
Department für Evidenzbasierte Medizin und Klinische Epidemiologie, Universität für Weiterbildung, Krems, Österreich. isolde.sommer@donau-uni.ac.at.
2
Department für Evidenzbasierte Medizin und Klinische Epidemiologie, Universität für Weiterbildung, Krems, Österreich.
3
Hauptverband der österreichischen Sozialversicherungsträger, Wien, Österreich.
4
Zentrum für Public Health, Abteilung für Sozial- und Präventivmedizin, Medizinische Universität Wien, Wien, Österreich.
5
Institut für Allgemeinmedizin und evidenzbasierte Versorgungsforschung, Medizinische Universität Graz, Graz, Österreich.
6
Institut für Allgemeinmedizin, Goethe-Universität, Frankfurt am Main, Deutschland.
7
Steiermärkische Gebietskrankenkasse, Graz, Österreich.
8
Medizinische Universität Innsbruck, Innsbruck, Österreich.
9
Institut für Public Health, Medical Decision Making und Health Technology Assessment, UMIT - Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik, Hall i.T., Österreich.
10
Center for Health Decision Science, Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
11
Institute for Technology Assessment and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
12
Research Triangle Institute International, Raleigh, NC, USA.

Abstract

The Austrian periodic health examination (PHE) was introduced in 1974 as a health insurance benefit and was redesigned for the last time in 2005. Therefore, the aim of this work was to revise the scientific basis of the PHE using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. We updated the scientific evidence of examinations and consultations that are currently part of the PHE and searched and integrated new examinations. We assessed the expectations of the population towards the PHE in three focus groups. A panel of experts developed evidence-based recommendations for the revised PHE. They formulated 26 recommendations on 20 target diseases or risk factors. In comparison to the previous PHE, the panel added screening for abdominal aortic aneurysm, osteoporotic fracture risk, and chronic kidney disease to the recommendations, while screening for asymptomatic bacteriuria, screening for iron deficiency/pernicious anaemia, and risk identification of glaucoma should no longer be included.

KEYWORDS:

Benefit assessment; Evidence; Evidence-based medicine; Periodic health examination; Preventive medical check-up; Screening

PMID:
31187373
DOI:
10.1007/s10354-019-0699-6

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