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

Int J Epidemiol. 1998 Apr;27(2):194-8. doi: 10.1093/ije/27.2.194.

Abstract

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

Method: 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.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cause of Death / trends
  • Cohort Studies
  • Female
  • Health Care Surveys
  • Health Services Needs and Demand / statistics & numerical data*
  • Humans
  • Male
  • Medical Assistance / statistics & numerical data*
  • Middle Aged
  • Multiphasic Screening / mortality*
  • Registries
  • Social Work / statistics & numerical data*
  • Sweden / epidemiology