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

Laboratory

Primary care physicians endorsed to following routine laboratories:

USPSTF endorses

* regardless of risk

More general terms

Additional terms

References

  1. 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. 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. 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. 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. 5.0 5.1 5.2 Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022