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J R Coll Gen Pract. 1979 October; 29(207): 597-598, 600-601.
PMCID: PMC2159331

Screening for hypertension — some practical problems

Abstract

In 1967/68, a screening examination was carried out on 18,277 male London civil servants, of whom 488 were referred to their general practitioners with high blood pressure. After this referral, 23 per cent did not attend their doctor and among those who did, a relatively high frequency of anxiety was noted. In one third of the patients, the general practitioners were already aware of the presence of hypertension, but were not treating it. This reluctance to treat asymptomatic people continued with the management of referred and confirmed newly diagnosed hypertensive patients. The problems associated with mass screening examinations can be overcome by careful, expensive and time-consuming preparations. Where the purpose is to find and treat newly diagnosed hypertensive patients then screening by general practitioners is likely to be a more cost-effective approach.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Christie D, McPherson L, Vivian V. The Queenscliff study: a community screening programme for hypertension. Med J Aust. 1976 Oct 30;2(18):678–680. [PubMed]
  • HAMILTON M, THOMPSON EM, WISNIEWSKI TK. THE ROLE OF BLOOD-PRESSURE CONTROL IN PREVENTING COMPLICATIONS OF HYPERTENSION. Lancet. 1964 Feb 1;1(7327):235–238. [PubMed]
  • Reid DD, Brett GZ, Hamilton PJ, Jarrett RJ, Keen H, Rose G. Cardiorespiratory disease and diabetes among middle-aged male Civil Servants. A study of screening and intervention. Lancet. 1974 Mar 23;1(7856):469–473. [PubMed]
  • Shurin PA, Pelton SI, Donner A, Klein JO. Persistence of middle-ear effusion after acute otitis media in children. N Engl J Med. 1979 May 17;300(20):1121–1123. [PubMed]

Articles from The Journal of the Royal College of General Practitioners are provided here courtesy of Royal College of General Practitioners