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J R Coll Gen Pract. 1979 December; 29(209): 733-740, 742.
PMCID: PMC2160253

A randomized controlled trial of geriatric screening and surveillance in general practice

Abstract

A randomized controlled trial of geriatric screening and surveillance was undertaken on a practice population of 295 patients aged 70 years or more over a two-year period. In the screened group (145 patients) many social problems were found and a total of 380 medical conditions were reported during the study period, 144 (38 per cent) of which were previously undetected. Conditions found most frequently involved the circulatory, musculoskeletal and nervous systems; 67 per cent of the conditions found were manageable, half being improved and the remainder resolved completely.

The screening programme was found to increase the use of social and health services but it did also decrease the expected duration of stay in hospital.

Independent assessment of patients in the study and control groups at the end of the two-year period showed that the screening programme had made no significant impact on the prevalence of socio-economic, functional, and medical disorders affecting health.

We formed the firm impression that the study patients were made more comfortable (by control of pain) and less disabled, although there was no unequivocal objective evidence of this. They were, however, kept independent for longer.

The findings are discussed and a model of geriatric care is suggested combining conventional management on demand with comprehensive screening to identify the high-risk patients on whom care might need to be focussed.

Full text

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • ANDERSON WF, COWAN NR. A consultative health centre for older people; the Rutherglen experiment. Lancet. 1955 Jul 30;269(6883):239–240. [PubMed]
  • FRY J. Care of the elderly in general practice; a socio-medical reassessment. Br Med J. 1957 Sep 21;2(5046):666–670. [PMC free article] [PubMed]
  • MEYRICK RL. A geriatric survey in a general practice. Lancet. 1962 Aug 25;2(7252):393–395. [PubMed]
  • WILLIAMSON J, STOKOE IH, GRAY S, FISHER M, SMITH A, MCGHEE A, STEPHENSON E. OLD PEOPLE AT HOME. THEIR UNREPORTED NEEDS. Lancet. 1964 May 23;1(7343):1117–1120. [PubMed]
  • Fairley HF. Unrecognized disease among the elderly in a general practice. Practitioner. 1967 Aug;199(190):215–217. [PubMed]
  • Thomas P. Experiences of two preventive clinics for the elderly. Br Med J. 1968 May 11;2(5601):357–360. [PMC free article] [PubMed]
  • Bendkowski B. Incapacitating diseases in the elderly: a survey in general practice. J Am Geriatr Soc. 1968 Dec;16(12):1340–1345. [PubMed]
  • Burns C. Geriatric care in general practice. A medicosocial survey of 391 patients undertaken by health visitors. J R Coll Gen Pract. 1969 Nov;18(88):287–296. [PMC free article] [PubMed]
  • Meyrick RL, Cox A. A geriatric survey repeated. Lancet. 1969 Jun 7;1(7606):1146–1149. [PubMed]
  • Paulett JD, Buxton JD. Pilot study of old-age pensioners. Br Med J. 1969 Feb 15;1(5641):432–436. [PMC free article] [PubMed]
  • Evans SM, Wilkes E, Dalrymple-Smith D. Growing old: a country practice survey. J R Coll Gen Pract. 1970 Nov;20(100):278–284. [PMC free article] [PubMed]
  • Lowther CP, MacLeod RD, Williamson J. Evaluation of early diagnostic services for the elderly. Br Med J. 1970 Aug 1;3(5717):275–277. [PMC free article] [PubMed]
  • Sheard AV. Survey of the elderly in Scunthorpe. Public Health. 1971 Jul;85(5):208–218. [PubMed]
  • Taylor GF, Eddy TP, Scott DL. A survey of 216 elderly men and women in general practice. J R Coll Gen Pract. 1971 May;21(106):267–275. [PMC free article] [PubMed]
  • Williams EI, Bennett FM, Nixon JV, Nicholson MR, Gabert J. Sociomedical study of patients over 75 in general practice. Br Med J. 1972 May 20;2(5811):445–448. [PMC free article] [PubMed]
  • Hiscock E, Prangnell DR, Wilmot JF. A screening survey of old people in a general practice. Practitioner. 1973 Feb;210(256):271–277. [PubMed]
  • Currie G, Macneill RM, Walker JG, Barnie E, Mudie EW. Medical and social screening of patients aged 70 to 72 by an Urban General Practice Health Team. Br Med J. 1974 Apr 13;2(5910):108–111. [PMC free article] [PubMed]
  • Hay EH. A geriatric survey in general practice. Practitioner. 1976 Apr;216(1294):443–447. [PubMed]
  • Freedman GR, Charlewood JE, Dodds PA. Screening the aged in general practice. J R Coll Gen Pract. 1978 Jul;28(192):421–425. [PMC free article] [PubMed]
  • Perry J. Medical information systems in general practice--a community health project. Proc R Soc Med. 1972 Mar;65(3):241–242. [PubMed]
  • Isaacs B. Geriatric patients: do their families care? Br Med J. 1971 Oct 30;4(5782):282–286. [PMC free article] [PubMed]
  • Elliott AE, Stevenson JS. Geriatric care in general practice. J R Coll Gen Pract. 1973 Sep;23(134):615–625. [PMC free article] [PubMed]
  • Holland WW. Taking stock. Lancet. 1974 Dec 21;2(7895):1494–1497. [PubMed]

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