An Evaluation of the Periodic Health Examination:

Article1 December 1964An Evaluation of the Periodic Health Examination:A Study of Factors Discriminating Between Survival and Death from Coronary Heart DiseaseSTANLEY S. SCHOR, PH.D., KENDALL A. ELSOM, M.D., KATHRINE O. ELSOM, M.D., JAMES P. DUNN, M.D.STANLEY S. SCHOR, PH.D.Search for more papers by this author, KENDALL A. ELSOM, M.D.Search for more papers by this author, KATHRINE O. ELSOM, M.D.Search for more papers by this author, JAMES P. DUNN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-61-6-1006 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn a recent investigation (1) we found that coronary heart disease was the leading cause of death (52%) in a group of 350 adult males who had died while in the regular periodic health examination programs of ten different clinics. In only 58% of these 181 deaths from coronary heart disease had the condition been diagnosed prior to death. Since the type of examination carried out routinely in these clinics represents the periodic health examination in the most complete form commonly employed, this low yield of prior diagnosis of the leading cause of death is of considerable concern. Accordingly, it...References1. SCHORCLARKPARKHURSTBAKERELSOM STWLWJPKA: An evaluation of the periodic health examination: the findings in 350 examinees who died. Ann. Inter. Medicine 61: 999, 1964. LinkGoogle Scholar2. WARDWELLBALINSONCARON WICBHS: Social and pathological factors in coronary heart disease. J. Health Hum. Behav. 4: 154, 1963. CrossrefMedlineGoogle Scholar3. DAWBERKANNEL TRWB: Susceptibility to coronary heart disease. Mod. Cone. Cardiov. Dis. 30: 671, 1961. MedlineGoogle Scholar4. DOYLEHESLINHILLEBOEFORMEL JTSHEPF: Early diagnosis of ischemic heart disease. New Eng. J. Med. 261: 1096, 1959. CrossrefMedlineGoogle Scholar5. STAMLER J: The epidemiology of atherosclerotic coronary heart disease II. Postgrad. Med. 25: 685, 1959. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, PennsylvaniaFrom the School of Medicine, University of Pennsylvania, Philadelphia, Pa.This study was conducted under Contract SAph-78790 with the U. S. Public Health Service, with some financial assistance from the Kellogg Foundation.Requests for reprints should be addressed to Stanley S. Schor, Ph.D., B-2 McIlhenny Dorms, University of Pennsylvania, 36th and Hamilton Walk, Philadelphia, Pa. 19104.*A second method was also used. A normal range was established for each test, and any value outside this range was classified as abnormal. The results using this procedure were quite similar to those presented in this paper and are and are therefore not shown. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByPrevention and Treatment of Sudden Cardiac DeathClinical and Biological Observations on Working MenThe Medical Scholar and His DilemmaR. H. KAMPMEIER, M.D., F.A.C.P.Social factors and coronary heart disease: Some general introductory remarksTHE PRECURSORS OF HYPERTENSION AND CORONARY ARTERY DISEASE: INSIGHTS FROM STUDIES OF BIOLOGICAL VARIATIONREFERENCES 1 December 1964Volume 61, Issue 6Page: 1006-1014KeywordsCoronary heart diseaseDyspneaElectrocardiographyHypertensionMedical services Issue Published: 1 December 1964 PDF DownloadLoading ...