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Therapeutics
Review: periodic health examination increases delivery of some clinical preventive services and reduces patient worry

https://doi.org/10.1136/ebm.12.4.118

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    Boulware LE, Marinopoulos S, Phillips KA, et al. Systematic review: the value of the periodic health evaluation. Ann Intern Med 2007;146:289–300.
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 Q In adults, is the periodic health evaluation (PHE) beneficial in terms of delivering preventive services, improving clinical outcomes, and reducing healthcare costs?

    Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Public Health ★★★★☆☆☆

    METHODS

    Embedded ImageData sources:

    Medline, Cochrane Library, Health Technology Assessment Database, National Health System Economic Evaluation Database, and CINAHL (to September 2006); hand searches of 24 periodicals; and reference lists.

    Embedded ImageStudy selection and assessment:

    English language studies that evaluated the benefits and harms of the PHE compared with usual care in adults. 10 RCTs and 23 observational studies met the selection criteria, but only the 21 “best evidence” studies (10 RCTs, 2 cohort studies, and 9 cross-sectional studies) were included …

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    Footnotes

    • For correspondence: Dr L E Boulware, Johns Hopkins School of Medicine, Baltimore, MD, USA. lboulwa{at}jhmi.edu

    • Source of funding: Agency for Healthcare Research and Quality.