Richard Smith: Can we screen for cardiovascular disease using age alone?

Using simply age to screen for cardiovascular disease is as effective as more complicated methods using blood pressure and serum cholesterol, concludes a study published in PloS One in May by Nick Wald, Mark Simmonds, and Joan Morris. (1) Can this really be right and if so what does it mean? The authors used a Monte […]

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Muir Gray:”The most effective screening programme ever”

“The most effective screening programme ever,” this was Richard Doll’s gentle jest when I was director of national screening programmes. Aware of my efforts to ensure that screening did much more good than harm, using every improvement technique I could learn from IHI, Toyota, and wherever, he would point out that the auscultation of the […]

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Tauseef Mehrali: Attack of the clipboards

I sat riveted through Kenneth Branagh’s perceptive portrayal of Ivanov in Chekhov’s eponymous play. Witnessing the desperate depression of the protagonist unfold I couldn’t help thinking how many points he would score on a Patient Health Questionnaire (PHQ-9), a common screening tool for depression in primary care and a burdensome necessity for accurate clinical coding […]

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