Number needed to screen reveals worthwhile screening programmes

Too often politics rather than evidence dictates national strategies for disease screening. In response Rembold (p 307) developed a new statistic, the number needed to screen, defined as the number of people that need to be screened to prevent one death or other adverse event. On this basis screening for, and treatment of, dyslipidaemia and hypertension should save more lives than screening for cancer of the colon with haemoccult tests or for breast cancer by mammography.


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Relevant Article

Number needed to screen: development of a statistic for disease screening
Christopher M Rembold
BMJ 1998 317: 307-312. [Abstract] [Full Text] [PDF]




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