In fact, in a corresponding editorial, Dr. Stephanie Thompson
and Dr. Marcello Tonelli from the department of medicine at
the University of Alberta, Canada argue health check-ups may
be waste of healthcare resources, advising physicians to
proceed cautiously. They write:
Since patients who seek or are willing to undergo routine
screening are generally healthier than those who are not
(indicating that general health checks are least likely to
reach those who could benefit the most), and because most
people do not receive interventions that are known to be
beneficial, general health checks do not appear to be a wise
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…When contemplating screening, practitioners should focus on
tests that are targeted to the patient’s age, sex, and
specific risk factors, and that are supported by high-quality
evidence. All screening tests (general health checks or
focused screenings based on age, sex, or specific risk
factors) have potential for benefits and harms, so
consideration of patient preferences is critical, especially
for those tests where such preferences vary between
individuals or where the overall benefit:harm ratio is less
favorable.
The authors conclude that more research is needed to target
better methods for identifying disease and to further explore
the possible misleading and harmful effects of general health
check-ups. ”All in all, we are certainly not seeing the
entire picture of the harms,” says Krogsb?ll.
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