Document Detail


Small, blue collar work site hypertension screening: a cost-effectiveness study.
MedLine Citation:
PMID:  8195906     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study determined the cost-effectiveness of one- versus two-stage hypertension screening at small to medium-sized blue collar, multicultural work sites using voluntary health organization and public health unit personnel. Workers with diastolic blood pressure (DBP) > or = 90 mm Hg were randomly allocated to one- or two-stage screening with differing physician referral protocols based on blood pressure level and treatment status. At first screening of 7856 workers, 12.5% had DBP > or = 90 mm Hg or < 90 and on medication with 64% aware of having hypertension, 42% on medication and 30% controlled (DBP < 90 mm Hg). One year later, there were no significant differences in effects or cost-effectiveness between groups. Both had significant DBP decrease (8.5 mm Hg), 54% had seen a physician within the recommended time, and 50% were controlled on medication or any treatment. One-stage screening, being easier to implement, is the preferred option.
Authors:
E Ellis; W Koblin; M J Irvine; J Legare; A G Logan
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of occupational medicine. : official publication of the Industrial Medical Association     Volume:  36     ISSN:  0096-1736     ISO Abbreviation:  J Occup Med     Publication Date:  1994 Mar 
Date Detail:
Created Date:  1994-06-30     Completed Date:  1994-06-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7502807     Medline TA:  J Occup Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  346-55     Citation Subset:  IM    
Affiliation:
Ottawa-Carleton Health Department, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cost-Benefit Analysis
Female
Humans
Hypertension / economics,  prevention & control*
Male
Mass Screening / economics,  methods*
Middle Aged
Occupational Health Services / economics*
Ontario

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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