Postal risk appraisal questionnaire slightly increases cholesterol testing in high risk patients

Postal risk appraisal questionnaire slightly increases cholesterol testing in high risk patients

Opportunistic approaches to screening are widely advocated but often fail to reach eligible patients. On p 1208 Hutchisonet al report the effect on cholesterol testing of a self administeredquestionnaire appraising risk of coronary heart disease. In all,3152 adults with no history of coronary heart disease and no cholesteroltest during the previous five years were randomly assigned toreceive either the risk appraisal questionnaire or a general healthquestionnaire and were followed up for three months. Of thosewho met predefined risk based screening criteria, 10.7% who receivedthe risk appraisal questionnaire and 1.8% who received the generalquestionnaire had a cholesterol test.

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Screening for hypercholesterolaemia in primary care: randomised controlled trial of postal questionnaire appraising risk of coronary heart disease: Brian Hutchison, Stephen Birch, C Edward Evans, Laurie J Goldsmith, Barbara A Markham, John Frank, and Michael Paterson
BMJ 1998 316: 1208-1213. [Abstract] [Full Text] [PDF]