Table 1.
Principle | Consumer-led screening for AF* | |
---|---|---|
1 | The condition sought should be an important health problem. | + |
2 | There should be an accepted treatment for patients with recognised disease. | (+) |
3 | Facilities for diagnosis and treatment should be available. | − |
4 | There should be a recognisable latent to early symptomatic stage. | + |
5 | There should be a suitable test or examination. | (+) |
6 | The test should be acceptable to the population. | (+) |
7 | The natural history of the condition, including development from latent to declared disease, should be adequately understood. | (+) |
8 | There should be an agreed policy on whom to treat as patients. | (+) |
9 | The cost of case finding (including diagnosis and treatment of patients diagnosed) should be economically balanced in relation to possible expenditure on medical care as a whole. | − |
10 | Case finding should be a continuing process and not a “once and for all” project. | (+) |
+ = does fulfil; (+) = does partly fulfil; - = does not fulfil
Principles 1,2, and 8 could be classified as negative (does not fulfil) for individuals at low risk of stroke.