Abstract
In high-income countries, regular general health check-ups are part of the fabric
of the health care systems. The hidden concept of general health check-ups, promoted
for more than a century, is to identify diseases at a stage at which early intervention
can be effective. However, there has been little evidence to support the benefits
of such checkups. Choosing wisely (CW) campaigns may represent a tremendous opportunity
to eventually shift patients and physicians away from the non–evidence based yet firmly
entrenched practice of the general health check-up. As campaign leaders and members
of the CW working group of the European Federation of Internal Medicine, we want to
join the discussion by giving our perspective based on the best available evidence.
Keywords
Abbreviations:
Choosing wisely (CW), Primary care physician (PCP)To read this article in full you will need to make a payment
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References
Rockville. US preventive services task force guides to clinical preventive services. https://www.ncbi.nlm.nih.gov/books/NBK61778/?report=reader. Accessed 2022.
http://www.choosingwisely.org. Choosing wisely: an initiative of the ABIM foundation. Volume 2016, 2013. Accessed 2022.
- The health checkup: was it ever effective? Could it be effective?.JAMA. 2013; 309: 2496-2497
- Improving value in health care–against the annual physical.N Engl J Med. 2015; 373: 1485-1487
- General health checks in adults for reducing morbidity and mortality from disease.Cochrane Database Syst. Rev. 2019;
- Five-year outcomes of the Danish cardiovascular screening (DANCAVAS) trial.N Engl J Med. 2022;
- General health checks in adult primary care: a review.JAMA. 2021; 325: 2294-2306
- The challenge of implementing less is more medicine: a European perspective.Eur J Intern Med. 2020; 76: 1-7
- Cascades of care after incidental findings in a us national survey of physicians.JAMA Netw Open. 2019; 2e1913325
- Overdiagnosis and overtreatment of thyroid cancer: a population-based temporal trend study.PLoS One. 2017; 12e0179387
- The clinical and economic benefits associated with novel multi-cancer early detection tests: conference highlights from the 2022 ISPOR Annual Meeting.Am J Manag Care. 2022; 28: S123-S132
- Extended coverage for preventive services for the elderly: response and results in a demonstration population.Am J Public Health. 1995; 85: 379-386
- Population screening and intervention for vascular disease in Danish men (VIVA): a randomised controlled trial.Lancet. 2017; 390: 2256-2265
- Systematic review: the value of the periodic health evaluation.Ann Intern Med. 2007; 146: 289-300
- The impact of choosing wisely interventions on low-value medical services: a systematic review.Milbank Q. 2021; 99: 1024-1058
Article info
Publication history
Published online: January 04, 2023
Accepted:
December 22,
2022
Received:
December 19,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.