Topic 7: Evidence-based screening in primary care (evidence-based medicine)
Self-learning materials
1. The Royal Australian College of General Practitioners. Guidelines for preventive activities in general practice. — 10th edn, updated. — East Melbourne, Vic: RACGP, 2024.
2. The WORLD book of family medicine 2020
3. Screening programmes: a short guide. Increase effectiveness, maximize benefits and minimize harm
3. Family medicine: in 3 books. — Book 1. General Issues of Family Medicine: textbook (IV a. l.) / O.M. Hyrina, L.M. Pasiyeshvili, O.M. Barna et al.; edited by O.M. Hyrina, L.M. Pasiyeshvili — Kyiv: Medicine, 2016. — 560 p.
4. Family medicine: in 3 books. — Book 2. Symptoms and syndromes in clinical course of internal diseases / O.M. Hyrina, L.M. Pasiyeshvili, O.M. Barna et al.; edited by O.M. Hyrina, L.M. Pasiyeshvili. — Kyiv: Medicine, 2018. — 376 p.
5. Clinical Methods in Medicine: Clinical Skills and Practices. — Ed. by SN Chugh & Eshan Gupta. —Second Edition. — New Delhi, London, Philadelphia, Panama: Jaypee Brothers Medical Publishers, 2015.
6. Pocket Guide to Clinical Preventive Services
7. USPSTF
8. USPSTF Screening Recommendations
Wilson & Jungner’s principles of screening
1. The condition should be an important health problem.
2. There should be an accepted treatment for patients with recognized disease.
3. Facilities for diagnosis and treatment should be available.
4. There should be a recognizable latent or early symptomatic phase.
5. There should be a suitable test or examination.
6. The test should be acceptable to the population.
7. The natural history of the condition, including development from latent to declared disease, should be adequately understood.
8. There should be an agreed policy on whom to treat as patients.
9. The cost of case-finding (including a diagnosis and treatment of patients diagnosed) should be economically balanced in relation to possible expenditure on medical care as a whole.
10. Case-finding should be a continuous process and not a “once and for all” project.
Task
3. Study screening in general practice:
a. Screening for children (Height / Weight / Head circumference, Developmental Dysplasia of the Hip, Phenylketonuria (PKU), Congenital Hypothyroidism, Hearing Loss in Newborns, High Blood Pressure in Children, Lipid Disorders in Children, Obesity in Children and Adolescents, Strabismus, Visual Impairment in Children Ages, Dental assessment / fluoride,. Scoliosis. Congenital heart disease. Femoral pulses. Speech and Language Delay, Iron Deficiency Anemia (Screening), Major Depressive Disorder in Children and Adolescents.
b. Screening for adults (Breast Cancer (Screening), Alcohol Misuse, BRCA-Related Cancer In Women, Cervical Cancer, Chronic Obstructive Pulmonary Disease, Colorectal Cancer, Healthful Diet and Physical Activity, High Blood Pressure in Adults, Lipid Disorders in Adults, Lung Cancer, Obesity in Adults, Oral Cancer, Osteoporosis, Ovarian Cancer, Prostate Cancer, Skin Cancer (Counseling), Skin Cancer (Screening), Tobacco Use in Adults, Depression in Adults)
5. Solve clinical cases by screening (1-10)
Address for sending of control works: