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Research Letter
Less Is More
January 13, 2020

Assessment of Cardiovascular Diagnostic Tests and Procedures Offered in Executive Screening Programs at Top-Ranked Cardiology Hospitals

Author Affiliations
  • 1St Louis University School of Medicine in St Louis, St Louis, Missouri
  • 2Department of Medicine, Cardiovascular Division, Washington University School of Medicine in St Louis, St Louis, Missouri
JAMA Intern Med. Published online January 13, 2020. doi:10.1001/jamainternmed.2019.6607

Very few screening tests have been reported to reduce mortality in asymptomatic individuals.1 Nevertheless, there is an enduring belief in the benefit of using diagnostic tests to find disease in its earliest stages. Hospitals have responded to the demand for early diagnosis by establishing executive screening programs targeted to wealthy individuals who are able to pay directly for screening tests that are generally not covered by insurance.2 Since cardiovascular disease represents the leading cause of mortality in the United States,3 we assessed the cardiovascular examinations included in the executive health screening programs offered by the top hospitals for cardiology and heart surgery as ranked by US News & World Report.4

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