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A long follow-up time of a cohort of rather young men with a high participating rate in the baseline health examination.
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In addition the large and unselected population and the high participating rate, reduces the risk of selection bias.
This gives a participating rate of 97%.
This is mitigated by a high participant consent rate, indicating that the sample was representative of participating practices.
Only a very high participation rate guarantees representativeness of the participating sample.
Strengths are that all important headache centres participated in the study, the high participation rate among patients, and that we assessed clinical diagnoses in addition to Eurolight diagnoses.
This study had a high response rate of participating adolescents and their parents.
This study had a high number of participating GPs and a high response rate to the survey among the evaluated GPs, which yielded high precision and minimised selection bias.
However, there was a high response rate from the FP invited to participate to the study (86%), and the participating FP had a countrywide distribution.
Among 150 eligible participants contacted in four health facilities, 129 (86%) agreed to participate, with a higher rate of participation in rural than in urban areas.
By addressing these challenges and implementing screening within current workflow parameters, participating practices showed a high rate of screening (84.8%).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com