Marker check · 5 questions

Preventive care

Most of what kills people early — cancers, heart disease, diabetes — is far more survivable when caught at a screening than at symptoms. Colorectal and breast screening trials show 15–30% disease-specific mortality reductions; regular dental care tracks with cardiovascular health (gum disease and heart disease travel together). Chronic inflammatory disease is the sharpest case for treatment: rheumatoid arthritis carried ~47% excess mortality across fifty years of cohorts — mostly cardiovascular, driven by the inflammation itself — but under modern treat-to-target care that gap has closed to near the general population. Untreated chronic inflammation costs years; treated, it costs very few.

The research

  • Zauber et al., NEJM 2012 — colonoscopy polypectomy, ~53% lower CRC mortality
  • Independent UK Panel, Lancet 2012 — breast screening ~20% mortality reduction
  • Sanz et al., J Clin Periodontol 2020 — periodontitis–CVD consensus
  • CDC / Cochrane 2018 — influenza vaccination and severe-outcome reduction
  • Dadoun et al., Joint Bone Spine 2013 — RA excess mortality ≈ +47% (SMR 1.47)
  • Lacaille et al., Ann Rheum Dis 2017 — treated RA mortality ≈ general population
  1. 1. How often do you get a medical checkup?

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  2. 2. Are you up to date on age-appropriate screenings?

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  3. 3. How often do you see a dentist?

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  4. 4. Are you up to date on flu and COVID vaccines?

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  5. 5. Do you have a chronic inflammatory or autoimmune condition (rheumatoid arthritis, IBD, psoriasis, lupus)?

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