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. 1972 Aug;18(8):61–65.

The Family Physician and the Periodic Health Examination

David L Sackett
PMCID: PMC2370517  PMID: 20468802

Abstract

This article attempts to answer six questions about the periodic health examination in order to establish whether it is of enough value to warrant the time spent. Such elements as early detection, risk factors, health behavior, disease outcome, evaluation methods and effects of long term therapy are considered, the conclusion being that while screening has some value, existing programs have little hope of reducing risk or even maintaining health in the general population. National and provincial bodies should support research into the effectiveness of various screening methods.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ahluwalia H. S., Doll R. Mortality from cancer of the cervix uteri in British Columbia and other parts of Canada. Br J Prev Soc Med. 1968 Jul;22(3):161–164. doi: 10.1136/jech.22.3.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BERGMAN A. B., WERNER R. J. Failure of children to receive penicillin by mouth. N Engl J Med. 1963 Jun 13;268:1334–1338. doi: 10.1056/NEJM196306132682404. [DOI] [PubMed] [Google Scholar]
  3. BRYANS F. E., BOYES D. A., FIDLER H. K. THE INFLUENCE OF A CYTOLOGICAL SCREENING PROGRAM UPON THE INCIDENCE OF INVASIVE SQUAMOUS CELL CARCINOMA OF THE CERVIX IN BRITISH COLUMBIA. Am J Obstet Gynecol. 1964 Apr 1;88:898–906. doi: 10.1016/0002-9378(64)90736-7. [DOI] [PubMed] [Google Scholar]
  4. Blair F. X. Programing for auditorially disabled children. Except Child. 1969 Dec;36(4):259–264. [PubMed] [Google Scholar]
  5. Brett G. Z. The value of lung cancer detection by six-monthly chest radiographs. Thorax. 1968 Jul;23(4):414–420. doi: 10.1136/thx.23.4.414. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Feinleib M., Zelen M. Some pitfalls in the evaluation of screening programs. Arch Environ Health. 1969 Sep;19(3):412–415. doi: 10.1080/00039896.1969.10666863. [DOI] [PubMed] [Google Scholar]
  7. Feinstein A. R. Symptoms as an index of biological behaviour and prognosis in human cancer. Nature. 1966 Jan 15;209(5020):241–245. doi: 10.1038/209241a0. [DOI] [PubMed] [Google Scholar]
  8. Hutchison G. B., Shapiro S. Lead time gained by diagnostic screening for breast cancer. J Natl Cancer Inst. 1968 Sep;41(3):665–681. [PubMed] [Google Scholar]
  9. Inman W. H., Adelstein A. M. Rise and fall of asthma mortality in England and Wales in relation to use of pressurised aerosols. Lancet. 1969 Aug 9;2(7615):279–285. doi: 10.1016/s0140-6736(69)90051-8. [DOI] [PubMed] [Google Scholar]
  10. O'Sullivan J. B., Gellis S. S., Dandrow R. V., Tenney B. O. The potential diabetic and her treatment in pregnancy. Obstet Gynecol. 1966 May;27(5):683–689. [PubMed] [Google Scholar]
  11. SCHOR S. S., CLARK T. W., PARKHURST L. W., BAKER J. P., ELSOM K. A. AN EVALUATION OF THE PERIODIC HEALTH EXAMINATION. THE FINDINGS IN 350 EXAMINEES WHO DIED. Ann Intern Med. 1964 Dec;61:999–1005. doi: 10.7326/0003-4819-61-6-999. [DOI] [PubMed] [Google Scholar]

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