Universal screening for diabetes in patients aged over 45 should not be adopted in Britain
The American Diabetes Association has proposed screening all
patients aged over 45 once every three years by measuring fasting plasma glucose concentration. Lawrence et al's assessment (p 548) of
such a policy in a general practice in southwest England shows that it
would not be appropriate in the United Kingdom. Screening had a low
yield of new cases, and considerable staff time would be needed to
screen patients whose only risk factor for diabetes is age. Screening
would be better targeted at patients with additional risk factors.
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- Screening for diabetes in general practice: cross sectional population study
- James M Lawrence, Paul Bennett, Alan Young, and Anthony M Robinson
BMJ 2001 323: 548-551.[Abstract] [Full Text] [PDF]
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