The following list is Bandoliers balcklist of screening
tests for which there is scant evidence of effectiveness ( remember talking
about routine screening of asymptomatic public or subset of asymptomatic
public - not investigation of suspected disease)
Chest X-ray in
older patients, smokers and travellers.
Haemoglobin for anaemia.
ESR for
inflammatory infective or malignant disease.
Liver function tests in
blood.
Renal function tests.
Calcium in blood.
Uric acid in
blood.
Glucose in blood.
Cholesterol.
HDL/LDL ratio.
Mammography in
women over 40 years.
Ultrasound examination of the ovaries.
Bone density
in women.
Resting ECG.
Exercise ECG on a treadmill.
Ultrasound
examination of the aorta in men over 55 years.
PSA in men over 50
years.
Helicobacter pylori
--
Dr Mark O'Connor
MA(Oxon) MBBS MRCP MRCGP
DipOccMed
Has anyone any examples of
"Executive Medicals / screening." protocols, questionnaires, list of tests etc
for 1-2 hour appointments.
Does
anyone have any evidence / references as to which tests have a good evidence
base for doing them in the first place?
With kind regards,
James Beresford
Occupational Health
Advisor
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