What does this research mean for the field?

Routine case finding by general practitioners is highly effective at detecting hypertension, with mass population screening identifying only a small percentage of previously undiagnosed cases requiring treatment. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This research evaluates the effectiveness of screening versus case finding in detecting hypertension among adults in Nord-Trøndelag, Norway.

January 26, 1991BMJOpen Access

Detecting hypertension: screening versus case finding in Norway.

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Why the study?

Does population screening improve the detection of hypertension compared to routine case finding by general practitioners in adults?

Population

74,977 adults (aged 20 years and over) in the county of Nord-Trøndelag, Norway

Comparison

Population-based health screening for hypertension vs Routine case finding by general practitioners

Design

Cross-sectional

Authors

JHJostein HolmenGeneral / Preventive / Lipids LFLisa ForsénNorwegian Institute of Public Health PHPeter Fredrik HjortVejle Sygehus

Discussion

Member takes

Implication

Supports prioritizing routine case finding over screening in developed systems; leaves open value in other settings.

Key Points

This research evaluates the effectiveness of screening versus case finding in detecting hypertension among adults in Nord-Trøndelag, Norway.
Cross sectional survey conducted with clinical follow-up examinations.
74,977 participants (88.1% of those aged 20 years and over) were involved during 1984-1986.
Screening teams used standardized measures and questionnaires to categorize hypertension cases.
2,399 participants were identified as hypertensive following screening.
406 participants initiated antihypertensive treatment; 1,007 began regular blood pressure monitoring post-screening.
94% of participants on treatment had prior diagnoses before screening, confirming pre-existing conditions.

Structured PICO

Does population screening improve the detection of hypertension compared to routine case finding by general practitioners in adults?

Population

74,977 adults (aged 20 years and over) in the county of Nord-Trøndelag, Norway

Intervention

Population-based health screening for hypertension

Comparator

Routine case finding by general practitioners

Outcome

Detection of hypertension according to blood pressure thresholds used in the Norwegian treatment programme

Population screening for hypertension adds little to routine case finding by general practitioners in a well-developed primary care system.

Cite This Study

Holmen et al. (1991) studied this question.

synapsesocial.com/papers/6a1787da56b3e2ada41288a9 https://doi.org/10.1136/bmj.302.6770.219

Topics

Hypertension management

View Full Paper

Ask AI

Bookmark

Detecting hypertension: screening versus case finding in Norway.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Detecting hypertension: screening versus case finding in Norway.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

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