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PubMed1975

Guidelines for blood pressure mass screening projects.

Community-wide blood pressure screening is one of many methods of detecting unknown or inadequately treated hypertension. The first mass blood pressure screeing in a major metropolitan area was conducted in New Orleans on Aril 28 and 29, 1973. The 43 public and parochial schools were used as screening sites. Medical volunteers screened 30,329 individuals, 8,953 of whom were referred to their physician for treatment of high blood pressure. This project has shown that with adequate volunteers and publicity, mass screening is feasible and may be the only realistic method of reaching the numerous undetected hypertensives. An added bonus has been the spin-off in public awareness of the problem and its sequelae. A follow-up program for those individuals referred for further evaluation is strongly recommended. Guidelines and suggestions for mass screeings are described for use by medical groups or agencies. The blood pressure data are studied in relation to demographic data to facilitate comprehension of the problem on a larger scale.

Adult↗
PubMed2001

Introduction: mass screening, health technology assessment, and health policy in some European countries.

OBJECTIVE: The series of papers in this issue was developed to examine the use of health technology assessment in policies toward prevention-specifically toward mass screening-in European countries. The papers actually examined three screening strategies: mammography screening for breast cancer, prostate-specific antigen screening for prostate cancer, and routine ultrasound in normal pregnancy. METHODS: Papers were sought from the member states of the European Union, plus Switzerland. Ultimately, nine acceptable papers were received, and were reviewed, revised, and edited. RESULTS: Screening is an accepted strategy in many countries for reducing the burden of disease through early detection and intervention. In part, this is because of successful screening programs that have been evaluated and implemented in many countries. At the same time, unevaluated and even useless and harmful screening programs-unjustified medically or economically-are widespread. Health technology assessment could help assure that only effective and cost-effective screening programs are implemented. CONCLUSION: The main conclusion is that screening is an important preventive strategy. Any screening program, however, should be carefully assessed before implementation.

Cost-Benefit Analysis↗