annual physical examination; annual health examination
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Introduction
Despite a lack of evidence to support cost-effectiveness of annual physical examination, both patients & physicians report enthusiasm for this practice.
Indications
- may strengthen provider-patient relationship
- may reduce cardiovacular risk factors
- may increase receipt of preventive services[5]
Contraindications
relative
- unlikely to benefit patients 18-64 years of age & might lead to unnecessary tests & treatment[2][3][4]
- no reduction in mortality[5]
History
- USPSTF endorses routine screening for
- USPTF endorses screening for diabetes mellitus in adults 35-70 years who are overweight or obese
Laboratory
Primary care physicians endorsed to following routine laboratories:
- lipid panel (48%)
- indicated in adults 40-75 years to calculate 10 year cardiovascular risk
- complete blood count (39%)
- urinalysis (44%)
- blood glucose (46%)
- kidney function tests (32%)
USPSTF endorses
- 1 time screening for HIV1 in all persons age 15-65 years*
- 1 time screening for hepatitis C in persons age 18-79*
* regardless of risk
More general terms
Additional terms
References
- ↑ Journal Watch 25(16):125-26, 2005 Prochazka AV, Lundahl K, Pearson W, Oboler SK, Anderson RJ. Support of evidence-based guidelines for the annual physical examination: a survey of primary care providers. Arch Intern Med. 2005 Jun 27;165(12):1347-52. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15983282
O'Malley PG, Greenland P. The annual physical: are physicians and patients telling us something? Arch Intern Med. 2005 Jun 27;165(12):1333-4. No abstract available. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15983280 - ↑ 2.0 2.1 Rubin R Debating Whether Checkups Are Time Wasted or Time Misused. JAMA. Published online June 19, 2019. PMID: https://www.ncbi.nlm.nih.gov/pubmed/31215986 https://jamanetwork.com/journals/jama/fullarticle/2736664
- ↑ 3.0 3.1 Krogsboll LT, Jorgensen KJ, Gotzsche PC General health checks in adults for reducing morbidity and mortality from disease. Cochrane Library. Jan 31, 2019 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30699470 https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009009.pub3/full
- ↑ 4.0 4.1 Bouck Z, Calzavara AJ, Ivers NM et al. Association of low-value testing with subsequent health care use and clinical outcomes among low-risk primary care outpatients undergoing an annual health examination. JAMA Intern Med 2020 Jun 8e201611 PMID: https://www.ncbi.nlm.nih.gov/pubmed/32511668 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2766917
- ↑ 5.0 5.1 5.2 Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022