Systematic review: the value of the periodic health evaluation - PubMed (original) (raw)
Review
Systematic review: the value of the periodic health evaluation
L Ebony Boulware et al. Ann Intern Med. 2007.
Free article
Abstract
Background: The periodic health evaluation (PHE) has been a fundamental part of medical practice for decades despite a lack of consensus on its value.
Purpose: To synthesize the evidence on benefits and harms of the PHE.
Data sources: Electronic searches of such databases as MEDLINE and the Cochrane Library, review of reference lists, and hand- searching of journals through September 2006.
Study selection: Studies (English-language only) assessing the delivery of preventive services, clinical outcomes, and costs among patients receiving the PHE versus those receiving usual care.
Data extraction: Study design and settings, descriptions of the PHE, and clinical outcomes associated with the PHE.
Data synthesis: The best available evidence assessing benefits or harms of the PHE consisted of 21 studies published from 1973 to 2004. The PHE had a consistently beneficial association with patient receipt of gynecologic examinations and Papanicolaou smears, cholesterol screening, and fecal occult blood testing. The PHE also had a beneficial effect on patient "worry" in 1 randomized, controlled trial but had mixed effects on other clinical outcomes and costs.
Limitations: Descriptions of the PHE and outcomes were heterogeneous. Some trials were performed before U.S. Preventive Services Task Force guidelines were disseminated, limiting their applicability to modern practice.
Conclusions: Evidence suggests that the PHE improves delivery of some recommended preventive services and may lessen patient worry. Although additional research is needed to clarify the long-term benefits, harms, and costs of receiving the PHE, evidence of benefits in this study justifies implementation of the PHE in clinical practice.
Comment in
- Review: Periodic health examination increases delivery of some clinical preventive services and reduces patient worry.
Fletcher RH. Fletcher RH. Evid Based Med. 2007 Aug;12(4):118. doi: 10.1136/ebm.12.4.118. Evid Based Med. 2007. PMID: 17885166 No abstract available.
Similar articles
- Value of the periodic health evaluation.
Boulware LE, Barnes GJ, Wilson RF, Phillips K, Maynor K, Hwang C, Marinopoulos S, Merenstein D, Richardson-McKenzie P, Bass EB, Powe NR, Daumit GL. Boulware LE, et al. Evid Rep Technol Assess (Full Rep). 2006 Apr;(136):1-134. Evid Rep Technol Assess (Full Rep). 2006. PMID: 17628127 Free PMC article. Review. - Effect of periodic health exam on provider management of preventive services.
Hoang PT, Hodgkin D, Thomas JP, Ritter G, Chilingerian J. Hoang PT, et al. J Eval Clin Pract. 2019 Oct;25(5):827-833. doi: 10.1111/jep.13083. Epub 2018 Nov 29. J Eval Clin Pract. 2019. PMID: 30488532 - Benefits and harms of prostate-specific antigen screening for prostate cancer: an evidence update for the U.S. Preventive Services Task Force.
Lin K, Lipsitz R, Miller T, Janakiraman S; U.S. Preventive Services Task Force. Lin K, et al. Ann Intern Med. 2008 Aug 5;149(3):192-9. doi: 10.7326/0003-4819-149-3-200808050-00009. Ann Intern Med. 2008. PMID: 18678846 Review. - Telemedicine for the Medicare population: pediatric, obstetric, and clinician-indirect home interventions.
Hersh WR, Wallace JA, Patterson PK, Shapiro SE, Kraemer DF, Eilers GM, Chan BK, Greenlick MR, Helfand M. Hersh WR, et al. Evid Rep Technol Assess (Summ). 2001 Aug;(24 Suppl):1-32. Evid Rep Technol Assess (Summ). 2001. PMID: 11569328 Free PMC article. - Screening for skin cancer: an update of the evidence for the U.S. Preventive Services Task Force.
Wolff T, Tai E, Miller T. Wolff T, et al. Ann Intern Med. 2009 Feb 3;150(3):194-8. doi: 10.7326/0003-4819-150-3-200902030-00009. Ann Intern Med. 2009. PMID: 19189909 Review.
Cited by
- Patient perspectives on tablet-based technology to collect risk factor information in primary care.
Kosowan L, Katz A, Halas G, Singer A. Kosowan L, et al. BMC Fam Pract. 2021 May 26;22(1):103. doi: 10.1186/s12875-021-01443-7. BMC Fam Pract. 2021. PMID: 34039256 Free PMC article. - Periodic cohort health examinations in the TAMRISK study show untoward increases in body mass index and blood pressure during 15 years of follow-up.
Kunnas T, Määttä K, Palmroos P, Nikkari ST. Kunnas T, et al. BMC Public Health. 2012 Aug 14;12:654. doi: 10.1186/1471-2458-12-654. BMC Public Health. 2012. PMID: 22897921 Free PMC article. - Personal Characteristics and Experience of Primary Care Predicting Frequent Use of Emergency Department: A Prospective Cohort Study.
Hudon C, Sanche S, Haggerty JL. Hudon C, et al. PLoS One. 2016 Jun 14;11(6):e0157489. doi: 10.1371/journal.pone.0157489. eCollection 2016. PLoS One. 2016. PMID: 27299525 Free PMC article. - Participants' expectations and experiences with periodic health examinations in Austria - a qualitative study.
Sommer I, Titscher V, Gartlehner G. Sommer I, et al. BMC Health Serv Res. 2018 Oct 30;18(1):823. doi: 10.1186/s12913-018-3640-6. BMC Health Serv Res. 2018. PMID: 30376830 Free PMC article. - Is Master Health Checkup the Answer to Tackle the Rising Non-Communicable Disease Burden in India? - A Cross-Sectional Study.
Sathiyamoorthi S, Anand DP, Muthunarayanan L. Sathiyamoorthi S, et al. J Lifestyle Med. 2019 Jul;9(2):111-118. doi: 10.15280/jlm.2019.9.2.111. Epub 2019 Jul 31. J Lifestyle Med. 2019. PMID: 31828029 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical