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Patients diagnosed with a recent clinical manifestation of atherosclerosis in the coronary, cerebral or peripheral arteries underwent a standardised vascular risk screening programme.
3 In an attempt to reduce the burden of cardiovascular disease further, the Department of Health has introduced a national vascular risk screening programme to identify those at high risk of cardiovascular disease.
We did not have any information on the risk score that was being used by the practices for the vascular risk screening programme, but there is no consensus or guideline from NICE on the choice of a specific risk score.
In this study, we describe an efficient, automated method for measuring breast density and compare it with Cumulus in terms of predicting breast cancer risk, screening programme sensitivity, risk of small and large screen-detected cancers and interval cancers, and tumour size at diagnosis.
The authors concluded that the integration of a large scale CVD risk screening programme into a regular primary healthcare system was successful and that, taking into account the low uptake, opportunistically screening patients was successful in identifying those with high CVD risk factors whose risk factor level could be reduced.
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The Department of Health has recently published a report on the simulated population impact of various vascular risk screening programmes.
There are, however, several problems using CP-subtype as indicator of hips at risk in screening programme.
Jones et al 29 recruited 3800 patients (aged 25 55 years) across six GP practices in Wales who were invited for a CHD risk factor screening programme.
By using GMFCS, instead of CP-subtype, as an indicator of hips at risk in screening programme, all the problems discussed with subtypes seem to be avoided.
A rise can also be expected for South Asians as findings from the Stockport Stroke Risk Factor Screening Programme showed an increase in smoking prevalence in South Asians between 1988 and 1999.
In a prospective cohort study in patients with established vascular disease or type 2 diabetes, 1.5 years after referral to the hospital and even after participation in a risk factor screening programme, prevalences were 43% for hypertension, 40% for hypercholesterolaemia, 24% for obesity, and 19% for smoking.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com