Cadman D, Chambers L, Feldman W, Sackett D
JAMA. 1984;251(12):1580-5.
Community screening programs seek to detect disorders or risk factors in seemingly healthy persons. The following seven guidelines for determining whether a screening program is likely to be effective are proposed and discussed: (1) Has the effectiveness of the program been demonstrated in a randomized trial? (2) Are efficacious treatments available? (3) Does the burden of suffering warrant screening? (4) Is there a good screening test? (5) Does the program reach those who could benefit? (6) Can the health system cope with the program? (7) Do persons with positive screenings comply with advice and interventions?
社区筛查项目旨在检测看似健康的人群中的疾病或风险因素。以下提出并讨论了七条用于确定筛查项目是否可能有效的指导原则：（1）该项目的有效性是否已在随机试验中得到证实？（2）是否有有效的治疗方法？（3）痛苦负担是否值得进行筛查？（4）是否有良好的筛查测试？（5）该项目是否覆盖了可能受益的人群？（6）卫生系统能否应对该项目？（7）筛查结果呈阳性的人是否遵守建议并接受干预？
