Selective Screening of Children at Risk of Early Atherosclerosis in the Czech Republic
Stožický F.1, Šebková A.2, Pečenková R.2, Liška J.3
Dětská klinika FN a LF UK, Plzeň1 přednosta doc. MUDr. F. Stožický, DrSc.Ordinace praktického lékaře pro děti a dorost, Plzeň2Mulačova nemocnice, s.r.o., Plzeň3 |
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Summary:
Aim: Verification of the degree of acquaintance of general practitioners for children and adolescents with
selective screening of children at risk for early manifestation of atherosclerosis and the way of its practical
execution.
Methods and cohort: In the course of 2002, information from 200 general practitioners for children and
adolescents were obtained on the selective screening of children at risk for early manifestation of atherosclerosis.
Results: General practitioners for children and adolescents, who are mainly involved in the selective screening
of children at risk of early manifestation of atherosclerosis, are well informed about the problems of coronary heart
disease in the Czech Republic. They are well acquainted with the methods of screening and consider this approach
useful in practice. Their knowledge of therapeutic approaches in the children selected by the screening may be
considered as somewhat unbalanced. Significant differences were observed among the estimates of individual
physicians concerning the incidence of children with positive cardiovascular anamnesis and those with significant
dyslipoproteinemia in the children selected by general pediatricians.
Conclusions: Prerequisites for implementation of selective screening of children at risk of early clinical
manifestation of atherosclerosis have been created within the whole Czech Republic. The efficiency of screening
will have to be regularly verified by a suitable method.
Key words:
coronary heart disease, selective screening, general practitioner of children and adolescents,
knowledge of the methods, approach to screening, estimates of the incidence of children at risk
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