Table 2.
Tests | Results | Feedback to GPa | Feedback to Study Member (SM)b |
---|---|---|---|
Blood samples listed in Table S2 | Action level | Telephone call from survey doctor (SD), results normally faxed the day results available. | Telephone call from SD advising seeing GP ASAP |
Out of normal range | Results posted to GP | Letter with results advising seeing GP ASAP or at next routine visitc | |
Normal | Letter advising results are normal | ||
Bone scan | Osteoporotic | Full report sent to GP | Letter advising seeing GP |
Osteopenic | Letter advising GP may wish to give lifestyle advice | ||
Normal | ‘Normal’ letter | ||
ECG criteria listed in Table S1 | Abnormal | Copy of ECG annotated as ‘normal’ or ‘abnormal’ | ‘Abnormal’ letter to GP and letter advising SM to visit GP |
Normal | ‘Normal’ letter to GP and SM | ||
Cardiac echo | Abnormal and full echo done | Letter from CRF cardiologist with clinical advice | Local cardiologist may send copy of letter to SM |
Normal | None | None | |
Carotid intima media thickness | Abnormal | Letter from JD advising referral for full clinical assessment | Letter advising seeing GP |
Normal | None | None | |
Blood pressure | Severely raised | BP results sent to GP | Advised at CRF to see GP within 5 days |
Moderately raised | Advised at CRF to see GP within 2–3 weeks | ||
Mildly raised | Advised at CRF to see GP within 3 months | ||
GHQ or other documentation | Suicidal ideation or significant mental health concerns | None | Telephone call from research team counsellor. SM encouraged to see GP if appropriate. |
Urine dipstix | Significant blood, glucose or protein | None | SM advised at CRF to see GP ASAP |
aFeedback to GP only with SM permission. If permission not given and SMs do not agree to have survey doctor contact them blood samples are not done.
bIf SM requests feedback (most do).
cDecision as to which letter made at blood sample monthly review meeting.
ASAP = as soon as possible; BMC = bone mineral content; BMD = bone mineral density; BP = blood pressure; CAGE = CAGE questionnaire; CS = cross sectional; DXA = dual energy X-ray absorptiometry; ECG = electrocardiogram; GHQ = general health questionnaire; HDL = high density lipoprotein.