Tuesday, July 22, 2008

Screening for risk factors or detecting disease.

Here is an interesting report I read on theHeart.org, that is very germane to the subject of prevention and should be of significant interest to our group. It talks about the controversy in the cardiology community that is dividing those in favor of risk-factor screening and prevention on one side from those who advocate early screening for the disease itself.
Although there are many issues here, this ultimately boils down to the controversy between evidenced based information (screening for risk factors) and not yet proven, but compelling diagnostic techniques. I think that the whole argument for me can be summarized by Greenland's statement near the end:
"So I think the only way that this issue is going to get resolved is not by editorials or opinions like mine or Jay Cohn's but by more data, and the data that are needed are clinical trials."

That would be the view of the "Board" in the HPfHR plan as well.
Gil

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