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#5-70E. Routine Physical Exams in Asymptomatic Adults: Necessity or Habit? (NEJM, 2026)
2026年9月19日 12:00·6分22秒
Should primary care physicians perform routine physical examinations on healthy, asymptomatic adults? This Clinical Decisions debate contrasts the value of physical examination in building therapeutic rapport and detecting subtle signs against the lack of evidence for mortality reduction and risks of false positives and overtesting. As an expert commentary rather than an empirical trial, it highlights a crucial practice dilemma. Re-evaluating the balance between patient expectations and value-based care enables clinicians to allocate limited consultation time more effectively and deliver evidence-aligned preventive medicine.
Citation: Nigam M, Goroll AH, Cifu AS. Physical Examination for Asymptomatic Adults. New England Journal of Medicine. 2026. DOI: 10.1056/NEJMclde2515158
URL: https://doi.org/10.1056/NEJMclde2515158
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