[Published effects of screening in parental and child health care].
OBJECTIVE
A summary of research data on the evaluation of eight screening activities in Child Health Care in the Netherlands.


METHODS
Literature review.


METHODS
Department of Public Health, Erasmus University Rotterdam, the Netherlands.


METHODS
The literature was reviewed regarding screening effects on congenital hip pathology, congenital heart disease, retained testis, hydrocephalus, hearing loss, psychomotor retardation, visual disabilities, and phenylketonuria (PKU) and congenital hypothyroidism (CHT).


RESULTS
For 8 types of screenings 17 targets could be established. Targets were defined in terms of a decrease of the adverse outcome of the diseases as a result of the screening. The efficacy of the screening for 3 of these targets (decrease of the adverse outcomes of PKU and CHT and needless orchidopexy) was convincingly established. For the other targets the available data were insufficient. Data on undesirable effects of screening were scarce. For 6 of the 8 screening activities some data on test properties were available.


CONCLUSIONS
Research data on the effects of screening in Child Health Care in the Netherlands are incomplete. It is important to improve the scientific basis of these prevention activities.
Juttmann
R E
RE
Erasmus Universiteit, Instituut Maatschappelijke Gezondheidszorg Rotterdam.
de Koning
H J
HJ
Meulmeester
J F
JF
van der Maas
P J
PJ
D000328:Adult; D000013:Congenital Abnormalities / Q000175:diagnosis*; D002658:Developmental Disabilities / Q000175:diagnosis; D005260:Female; D006311:Hearing Disorders / Q000175:diagnosis; D006330:Heart Defects, Congenital / Q000175:diagnosis; D006618:Hip Dislocation, Congenital / Q000175:diagnosis; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis; D007223:Infant; D007231:Infant, Newborn; D008430:Maternal-Child Health Centers; D008661:Metabolism, Inborn Errors / Q000175:diagnosis; D009426:Netherlands; D014786:Vision Disorders / Q000175:diagnosis
Gepubliceerde effecten van screening in de ouder- en kindzorg.