Screening for diseases in elderly persons: the correlation between physical checkup findings and chief complaints.

Bibliographic Details
Title: Screening for diseases in elderly persons: the correlation between physical checkup findings and chief complaints.
Authors: Cheung, Bruno M. H., Jeng, Kee-Ching G., Yeu-Jun Lau, Cheung, B M, Jeng, K C, Lau, Y J
Source: Gerontology; 1999, Vol. 45 Issue 5, p283-288, 6p, 4 Charts
Subject Terms: DISEASES in older people, MEDICAL screening, PHYSICAL diagnosis, BACKACHE, ABDOMINAL pain, DIABETES complications, DIAGNOSIS of diabetes, TUMOR diagnosis, AGE distribution, COMPARATIVE studies, DISEASES, DIZZINESS, DYSPNEA, HEADACHE, HYPERTENSION, KNEE, RESEARCH methodology, MEDICAL cooperation, RESEARCH, SEX distribution, TUMORS, EVALUATION research, JOINT pain, DISEASE complications, DIAGNOSIS
Abstract: Background: The effectiveness of a physical checkup program for screening for diseases in the elderly, in terms of correlation with their chief complaints has not been previously evaluated.Objective and Methods: The study was to examine the correlation between physical checkup findings and chief complaints of elderly people. Study subjects were over 65 years of age. There were 792 males and 373 females. They all attended a 2-day physical checkup program at Taichung Veterans General Hospital from January 1, 1994, to December 31, 1995.Results: The results showed a significant difference (p<0.05) between male (12.0%) and female (16.8%) subjects in the relationship of clinical findings to chief complaints. When the locations of chief complaints were compared, those concerning the neck and the limbs corresponded well to our clinical findings. However, there were differences between female and male subjects (42.4 and 24.4%, respectively; p<0.01) in this aspect. There was a good relationship (p<0.05) between physical checkup findings and complaints of lower back pain (75.2%), upper abdominal pain (46.2%) and knee joint pain (38.3%). However, we found that 43.7% of physical checkup findings were not linked to chief complaints.Conclusions: The results suggest that additional appropriate clinical tests may improve the effectiveness of physical checkups and thus result in health benefits for elderly persons. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
More Details
ISSN:0304324X
DOI:10.1159/000022103
Published in:Gerontology
Language:English