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Routine health check-ups: A boon or a burden?
Bianca Honnekeri1, Aniruddha Vyas2, Disha Lokhandwala3
1Grant Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
The National Medical Journal of India
|August 6, 2016
Summary
Many health check-up packages in India include unnecessary screening tests, potentially causing more harm than benefit. Recommendations are provided for appropriate routine health screening in asymptomatic adults.
Area of Science:
- Preventive Medicine
- Diagnostic Accuracy
- Public Health
Background:
- Healthcare providers in India offer structured health check-up packages for disease screening.
- Some included tests align with recommendations, while others are unwarranted.
Purpose of the Study:
- To evaluate the appropriateness of health screening packages offered in India.
- To provide recommendations for routine health screening in asymptomatic adults.
Main Methods:
- Reviewed current screening guidelines for cardiovascular disease and common cancers.
- Surveyed health check-up packages offered at 8 centers in Mumbai, India.
Main Results:
- Identified unwarranted screening tests within offered packages.
- Highlighted potential harms of inappropriate screening, including over-diagnosis, over-treatment, and psychological distress.
Conclusions:
- Clinicians must ensure net benefit from screening tests and interventions.
- Recommendations are proposed for efficient and effective preventive services through appropriate health screening.
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