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© 1998 Oxford University Press

research-article

Effects of an assessment of needs for medical and social services on long-term mortality: a randomized controlled study

Holger Theobalda,, Lars Olov Bygrenb, John Carstensenc, Mårten Hauffmand and Peter Engfeldta

aDepartment of Clinical Neuroscience and Family Medicine, Division of Family Medicine, Karolinska Institute Stockholm, Sweden
bDepartment of Social Medicine, Umeå University Umeå Sweden
cTema Hälsa, Linköping University Linköping Sweden
dDepartment of Clinical Science, Division of Ophthalmology, Karolinska Institute Stockholm, Sweden

Reprint requests to Holger Theobaid, Department of Clinical Neuroscience and Family Medicine, Division of Family Medicine, Karolinska Institute, Novum, S-141 57 Huddinge, Sweden

BACKGROUND: The aim of this study was to investigate the long-term effects of one general health screening on mortality.

METHODS: After stratification and randomization of a population of 450 000 inhabitants, two groups were formed, an intervention group of 3064 people and a control group of 29 122 people. From the National Cause of Death Register, data were collected as regards death and causes of deaths for 1970–1990.

RESULTS: Multivariate analysis was used to correct for known confounders. We then found no differences between the groups regarding deaths from all causes, cardiovascular diseases, cancer or accidents and poisoning.

CONCLUSIONS: One general health screening seems to have little, if any value in preventing fatal diseases.

Keywords Population surveys, health, screening, multiphasic, mortality

Accepted 28 August 1997


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