Evidence map›Paper›PMID 19274515›Full record

ArticleScandinavian journal of primary health care2009

"Couldn't you have done just as well without the screening?". A qualitative study of benefits from screening as perceived by people without a high cardiovascular risk score.

Karen-Dorthe Bach Nielsen, Lise Dyhr, Torsten Lauritzen, Kirsti Malterud

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Karen-Dorthe Bach NielsenThe Ebeltoft Health Promotion Project, Ebeltoft, Denmark. karen-dorthe.bach.nielsen@dadlnet.dk
Lise Dyhr
Torsten Lauritzen
Kirsti Malterud

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore how individuals whose health screening does not reveal a high cardiovascular risk score (CRS) interpret and respond to this result.

designQualitative semi-structured interviews. Purposeful sampling reflected variations in age, gender, and self-rated health within the sample. Analysis and interpretation were informed by the Health Belief Model concerning individuals' cues to act when told there is a health threat, and by Hollnagel and Malterud's theories about personal self-assessed health resources.

settingParticipants were recruited among participants without a high cardiovascular risk score in a Danish health-screening project. SUBJECTS: Seven men and 15 women aged 36-50 years with a low or moderate cardiovascular risk score.

resultsThe screening confirmed the participants' feeling of being in good health and they put emphasis on this acquired peace of mind. Participants used the results to eliminate worries and confirm their lifestyle up to now but were aware that the results gave no guarantee that there was nothing the matter elsewhere. Some paid a price for the reassurance since they had to undergo further examinations, had unfulfilled expectations, or were irritated at not being left in peace with their reassurance.

conclusionScreened individuals who were shown not to have a high risk score appear to be reassured and confirmed in their own feeling of being healthy, and to be aware of the limitations of the screening. Consideration should be given to the possible risk of creating either insecurity or over-complacency through population screening.

Indexed as

Mass ScreeningAdultAttitude to HealthCardiovascular DiseasesDisease SusceptibilityEmotionsFamily PracticeFemaleHumansLife StyleMaleRisk FactorsSelf ConceptSurveys and Questionnaires

Identifiers

PMID19274515
PMCPMC3410458

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.