Most health checks in young children are not evidence based

Almost no evidence is available to validate most of the components of health supervision visits to children. There is some evidence that fewer visits than in the standard schedules are sufficient to detect physical abnormalities and psychosocial and developmental outcomes in children aged under 2 years and that group care is as effective as individual care for routine checks. In the first in a series of articles on evidence based paediatrics, Dinkevich and colleagues (p 846) also say that the Adams forward bend test is not accurate enough for screening for ideopathic scoliosis.


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Relevant Article

Evidence based paediatrics: Evidence based well child care
Eugene Dinkevich, Jordan Hupert, and Virginia A Moyer
BMJ 2001 323: 846-849. [Extract] [Full Text] [PDF]

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