title: Implementation of the program of preventive examinations at primary health care in the city of Zagreb 2009-2013.
abstract: BACKGROUND
  The program covered all persons who had not been in contact with a physician for two years or had failed to notice symptoms themselves or to timely respond to the symptoms observed. The aim of the present study was to analyze the results of the program and try to draw conclusions regarding the necessity further implementation.
  
  
  METHODS
  This paper analyzes data on a cohort of 1375 subjects aged 45+, collected on preventive examinations by family physicians during the 2009-2013 period.
  
  
  RESULTS
  Results show 24.4% smokers and 15.5% former smokers. Up to three alcoholic drinks per week consumed 18.5% respondents (27.8% male and 11.2% female). Overweight (body mass index 25-30) was recorded in 50.6% and 38.6%, obesity (body mass index >30) in 30.1% and 29.4%, hypertension in 14.6% and 11.8%, isolated systolic hypertension in 20.5% and 17.4%, and isolated diastolic hypertension in 3.3% and 3.0% of male and female subjects, respectively. Suspicion of one or more newly diagnosed disease was recorded in 52.9% (95% CI 50.2-55.5) of study subjects. Fifty-four subjects (7.4%; 95% CI 5.5-9.3) were suspected to have neoplasm and they were immediately referred for further diagnostic evaluation.
  
  
  CONCLUSIONS
  Timely manner suspicion of malignant disease is of crucial influence on the course of treatment and outcome of the disease. The study results confirm the importance of continuing the implementation of prevention programs.
authors.affiliation: Andrija Stampar Teaching Institute of Public Health, Mirogojska cesta 16, HR-10000 Zagreb, Croatia, maja.maric-bajs@stampar.hr.
authors.forename: Maja Marić
authors.initials: MM
authors.lastname: Bajs
authors.forename: Danijela
authors.initials: D
authors.lastname: Štimac
authors.forename: Nikolina
authors.initials: N
authors.lastname: Marić