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Family Practice Vol. 8, No. 4, 360-366
© Oxford University Press 1991

research-article

Opportunistic Screening for Hypercholesterolaemia with Participants Selected by the General Practitioner. Inclusion and Drop-out Rate

INGVAR OVHED, HÅKAN ODEBERG* and LENNART RÅSTAM

Lyckeby Primary Health Care Centre, Central Hospital, Kariskron
*Department of internal Medicine, Central Hospital, Kariskrona
Department of Community Health Science, Lund University, Malmö, Malmö General Hospital, S-21401 Malmö, Sweden

The objective of this study was to evaluate a method for opportunistic hypercholesterolaemia screening in primary care. At Lyckeby Primary Health Care Centre in Southern Sweden, where six general practitioners provide care to a population of 15706 inhabitants, screening of patients aged 25–59 years was integrated with regular case-finding for hypertension. The specific characteristic of the programme was that the general practitioner adjusted, from day to day, the inclusion rate to actual resources. The study evaluated implementation during 3 years; after this time, 27 per cent of the target population was included. The included portion of those who visited the centre was 48% between ages 40 and 59 years, and 20% of those between 25 and 39 years. Compliance with the follow-up protocol differed according to age and risk group. The reattendance rates were better for those aged 40–59 years compared to the younger. It is concluded that opportunistic screening is most feasible in ages 40–59 years, while for younger people traditional population strategies may be preferable. If integrated with regular case-finding and treatment follow-up for hypertension, which are long well established components of general practice, no extra resources are needed for implementation.


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B. Hutchison, S. Birch, C E. Evans, L. J Goldsmith, B. A Markham, J. Frank, and M. Paterson
Screening for hypercholesterolaemia in primary care: randomised controlled trial of postal questionnaire appraising risk of coronary heart disease
BMJ, April 18, 1998; 316(7139): 1208 - 1213.
[Abstract] [Full Text]


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