[Should we screen for hemochromatosis? Critical analysis of the literature]

Rev Epidemiol Sante Publique. 1997 Sep;45(4):315-27.
[Article in French]

Abstract

This paper focus on the main issues to evaluate before planning public health interventions which may optimise the prevention of hemochromatosis. The main indicators are considered: prevalence, morbidity and mortality of the disease, efficacy of the available treatment, sensitivity, specificity and predictive values of the screening tests; potential benefit of a national screening program in a public health perspective. These are evaluated through a critical appraisal of the clinical, epidemiologic and economic literature on hemochromatosis. The paper emphasizes how individual behavior and preferences become crucial to take into account when well-being subjects will face a population-based screening program. We conclude that further arguments are required before the implementation of a national screening program for hemochromatosis.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Community Health Planning
  • Cost-Benefit Analysis
  • Female
  • Hemochromatosis / epidemiology
  • Hemochromatosis / prevention & control*
  • Humans
  • Incidence
  • Male
  • Mass Screening / economics
  • Mass Screening / methods
  • Mass Screening / standards*
  • Middle Aged
  • Morbidity
  • Population Surveillance
  • Prevalence
  • Public Health*
  • Sensitivity and Specificity