Monday, April 26, 2010

Heart screening

Heart screening tests to be offered to millions of adults across England could be a waste of resources, a study warns.

Everyone between 40 to 74 is to be invited for screening for the early signs of heart disease and other problems by their GP. However, Cambridge University researchers say targeting only "higher-risk" people would save just as many lives, and potentially cost less. Their research was published in the British Medical Journal.

The researchers said universal screening, while effective, might be "unrealistic to implement" at a time when the NHS was likely to be increasingly short of resources. "Policy makers have to decide on the balance between the number of people needed to screen or treat and the number of cases that can be prevented in the population," they said. "Given that universal screening will take years to implement, it makes sense to prioritise people who are most likely to benefit," he added. "There are untreated patients at high risk of cardiovascular disease, most of whom can be identified from their electronic primary care records. We should act on this information."