The diagnostic yield of the first episode of a periodic health evaluation: a descriptive epidemiology study

Kermott, Cindy A.; Kuhle, Carol S.; Faubion, Stephanie S.; Johnson, Ruth E.; Hensrud, Donald D.; Murad, M. Hassan

doi:10.1186/1472-6963-12-137

Cited by 8 publications

(4 citation statements)

References 11 publications

(14 reference statements)

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“…A periodic health examination refers to a general physical examination of patients, not an examination for a specific injury, illness, or condition, which should be provided for patients regularly within a specific period of time [9]. Of the health facilities, 63% ( n = 14) did not provide periodic health examinations (PHE) while 77.9% ( n = 651) of the patients had not been going for routine check-ups of their health (periodic medical check-ups).…”

Section: Resultsmentioning

confidence: 99%

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The integrated health service model: the approach to restrain the vicious cycle to chronic diseases

Fetene¹,

Bezuidenhout

2019

BMC Health Serv Res

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Background In life time, nearly each person succumbs to some sort of chronic disease and many develop complicated chronic diseases. It is critical to focus on preventive services with a relatively high health impact and favorable cost effectiveness. During routine health facility visits, it is advisable to evaluate both symptomatic and asymptomatic patients for their needs of health promotion and disease prevention services. This necessitates the development of an integrated health service (IHS) approach that incorporates health promotion, disease prevention and curative services. Methods There were two phases for the study. The first phase explored the degree of promotive and preventive health care delivery at the health centers and hospitals. Phase two, utilizing the Delphi strategy, centered on looking for agreement on the finding from phase 1 and on IHS approach. Delphi questions were created based on the results of phase 1, and the reply choices were tied to a five point Likert scale. Consensus was considered come to when 75% of the experts concurred on an issue. From that point, advance clarification and agreement was looked for by implies of a second-round assessment for scores between 50 and 75%. Agreement on proposed IHS model, application of case finding and Periodic Health Examination (PHE) approaches were also sought. This study focuses on finding from phase 2. Result Of the twenty experts, 90% ( n = 18) agreed that the IHS framework shows the causal relationship of diseases and included plausible intervention approaches. Experts reached consensus (90%; n = 18) that case finding testing,screening patients for conditions other than the medical care they sought at a particular time, can be performed at health facilities. All experts (100%; n = 20) recommended conducting periodic health examinations in selected diseases for patients who are apparently not sick. Conclusion The Integrated Health Service (IHS) framework was agreed by experts to be a plausible method in describing the causal relationship of chronic non-communicable, communicable, and nutrition-related diseases. The framework can play a vital role by preventing the acquiring, progression, suffering or dying from diseases through restraining the vicious cycle of chronic diseases. Electronic supplementary material The online version of this article (10.1186/s12913-019-4179-x) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…A comprehensive PHE may also be an opportunity for identification of several essential diagnoses or risk factors that cannot be recognized through routine screening. The PHE that consists of a comprehensive medical history, physical examination and testing is a valuable practice in outpatient department [9].…”

Section: Introductionmentioning

confidence: 99%

The integrated health service model: the approach to restrain the vicious cycle to chronic diseases

Fetene¹,

Bezuidenhout

2019

BMC Health Serv Res

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“…9 In another study of employer-sponsored executive exams, the rate of new diagnoses per single episode of care was 0.9 diagnoses per patient, with 29% of these new diagnoses resulting from patient complaints. 19 Agenda-setting tools like the one used in this study may have mixed effects on patient satisfaction, depending on how the tool is used. It is clear from the literature and our results that patients find agenda-setting useful and desirable.…”

Section: Resultsmentioning

confidence: 99%

Improving Patient-Centered Care

Kuhle¹,

Truitt

Steffen³

et al. 2013

Journal of Occupational &Amp; Environmental Medicine

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“…9 Moreover, it was determined that the increase in new diagnoses as a result of check-up examinations led to more testing and increased use of medical services. 10 It became apparent that with each new diagnosis, it was necessary to factor in the subsequent confirmatory and advanced tests, more invasive examinations and their associated complications, and unnecessary additional examinations and interventions due to false-positive results, and the increase in patient anxiety that these can cause.…”

Section: Discussionmentioning

confidence: 99%

Hematuria frequency and association with abnormal urological findings in medical check-up patients

Sarıer,

Demir,

Emek

et al. 2024

Preprint

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Background: Hematuria is one of the most common findings in urology. The management of hematuria detected in routine medical check-ups is also important in this respect. The aim of this study was to determine the frequency of hematuria in patients undergoing medical check-ups and evaluate its association with abnormal urological findings in laboratory tests and imaging. Methods: Asymptomatic patients who presented to the check-up clinic between January 1 and December 31, 2020 were included. All patients underwent a complete laboratory workup and total abdominal ultrasound (TAUS). The distributions of hematuria by sex and age and the relationship between hematuria and abnormal urological findings in the laboratory tests and TAUS were calculated. Results: The mean age of the 2077 check-up patients was 45.8±12.8 years. The female to male ratio was 1.07:1 and there was no significant difference in age between the sexes (p=0.655). Microscopic hematuria was detected in 15.9% of the patients. The frequency of hematuria was 10.8% in men and 20.7% in women (p<0.001). Men with hematuria were significantly older than men without hematuria (p=0.033), while hematuria was not associated with age in women (p=0.521). When its relationship between abnormal urological findings was evaluated, hematuria had sensitivity of 21.70% (95% CI: 18.84, 24.86) and specificity of 87.11% (95% CI: 85.23, 88.79). Conclusion: The frequency of hematuria in check-up patients was remarkable, at 15.9%. Hematuria in women is more common and unrelated to age, unlike in men. Hematuria had high specificity but low sensitivity for urological abnormal findings.

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The diagnostic yield of the first episode of a periodic health evaluation: a descriptive epidemiology study

Cited by 8 publications

References 11 publications

The integrated health service model: the approach to restrain the vicious cycle to chronic diseases

The integrated health service model: the approach to restrain the vicious cycle to chronic diseases

Improving Patient-Centered Care

Hematuria frequency and association with abnormal urological findings in medical check-up patients

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