In my small town routine mammography for women at age 50 has just diagnosed at least 6 women that I know of who have had to have mastectomies in the last month. I think that all these women would have regularly checked their breasts.

At least health screening encourages us to review our health and lifestyles every so often.

regards

Mandy

-----Original Message-----
From: Mark O'Connor [mailto:[log in to unmask]]
Sent: 12 May 2004 13:37
To: [log in to unmask]
Subject: Re: Executive medicals / screening

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)

See http://www.jr2.ox.ac.uk/bandolier/band16/b16-5.html for more

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

From: James Beresford [mailto:[log in to unmask]]
Sent: 11 May 2004 15:40
To: [log in to unmask]
Subject: Executive medicals / screening

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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