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Related Experiment Videos

A controlled trial of multiphasic screening.

D M Olsen, R L Kane, P H Proctor

    The New England Journal of Medicine
    |April 22, 1976
    PubMed
    Summary
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    Automated Multiphasic Health Testing (AMHT) did not significantly improve health outcomes. Screened individuals experienced a slight increase in hospitalizations, with few previously unknown conditions leading to treatment.

    Area of Science:

    • Clinical Medicine
    • Health Services Research
    • Preventive Medicine

    Background:

    • Health screening aims to detect diseases early.
    • The impact of Automated Multiphasic Health Testing (AMHT) on patient outcomes requires evaluation.
    • Understanding patient attitudes towards screening is crucial.

    Purpose of the Study:

    • To assess the effect of AMHT on morbidity and patient attitudes.
    • To compare outcomes between screened and non-screened populations.
    • To analyze physician-identified abnormalities and subsequent treatment.

    Main Methods:

    • A clinical controlled trial involving 574 families across three socioeconomic strata.
    • Interviews conducted pre- and post-screening to gather data on utilization, morbidity, health status, and attitudes.

    Related Experiment Videos

  • Screening of 60% of adults, followed by physician interviews regarding diagnosed abnormalities and treatments.

    • Main Results:

    • The primary significant difference observed was an increase in hospitalization nights for screened subjects.
    • Only 28% of previously unknown abnormalities prompted retesting.
    • Few confirmed abnormalities led to treatment initiation.

    Conclusions:

    • AMHT did not demonstrate a clear benefit in reducing morbidity.
    • The yield of new diagnoses and subsequent treatments from AMHT was low.
    • Further research is needed to optimize health screening protocols.