{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:24:32Z","timestamp":1780471472952,"version":"3.54.1"},"reference-count":0,"publisher":"University of the Philippines Manila","issue":"10","license":[{"start":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:00:00Z","timestamp":1780099200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Philipp"],"abstract":"<jats:p>Background and Objective. The first Philippine Guidelines on Periodic Health Examination (PHEX) provided evidencebased\u00a0recommendations for prevention strategies in the Philippines, published in 2004. This 2021 clinical practice\u00a0guideline (CPG) on PHEX aimed to update the previous PHEX recommendations to align with the implementation of\u00a0the Universal Health Care Act. This CPG aimed to guide primary care providers, specialists, patients, and the general\u00a0public and provide recommendations for safe, accessible, and cost-effective screening practices.\nMethods. We followed the Grading of Recommendations Assessment, Development and Evaluation (GRADE)\u00a0approach, including the GRADE Adolopment and Evidence-to-Decision framework (EtD). A multisectoral panel\u00a0developed the recommendations by a formal consensus method upon evaluation of the evidence on benefits and\u00a0harms, cost-effectiveness, patient values and preferences, acceptability, feasibility, and impact on equity. A conflicts\u00a0of interest (COI) committee reviewed, evaluated, and managed the potential or declared conflicts of interest of this\u00a0CPG's Task Force members.\nResults. The 2020 PHEX CPG had 23 recommendation\u00a0statements. Strong recommendations were made to\u00a0screen for the following conditions 1) Hypertension, 2)\u00a0Type 2 Diabetes Mellitus using fasting blood sugar, 3)\u00a0Adult obesity using Body Mass Index (BMI), 4) Unhealthy\u00a0alcohol use in adults, 5) Tobacco smoking, 6) Colorectal\u00a0cancer, and 7) Cervical cancer.\nWeak recommendations were developed to screen\u00a0for the following: 1) Lipid disorder among adults with\u00a0cardiovascular risk factors, 2) Type 2 DM using HBA1C,\u00a03) Acute malnutrition in children, 4) Unhealthy alcohol\u00a0use in adolescents, 5) High-risk sexual behavior, 6)\u00a0Depression, and 7) Pulmonary Tuberculosis using chest\u00a0X-ray.\nOn the other hand, strong recommendations were also\u00a0made AGAINST screening for the following: 1) Developmental\u00a0delay using developmental screening tools,\u00a02) Coronary artery disease using ECG, and 3) Chronic\u00a0Kidney Disease (CKD) using serum creatinine.\nWeak recommendations were also formulated AGAINST\u00a0screening for the following: 1) Anemia using hemoglobin\u00a0and\/or hematocrit, 2) CKD using urinalysis, and\u00a03) Lung cancer using chest X-ray.\nConclusion. This guideline encourages adherence without\u00a0restricting clinical judgment or patient-specific considerations.\u00a0It also informs payers and policymakers\u00a0without serving as the sole basis for financial or legal\u00a0decisions. The strong recommendations in this CPG can\u00a0be used as quality-of-care indicators when evaluating\u00a0primary care programs. The recommendation statements\u00a0will be updated at least every three years or as\u00a0new evidence emerges.\n\u00a0<\/jats:p>","DOI":"10.47895\/amp.v60i10.12061","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:56:31Z","timestamp":1780469791000},"source":"Crossref","is-referenced-by-count":0,"title":["2021 Clinical Practice Guidelines on Periodic Health Examination"],"prefix":"10.47895","volume":"60","author":[{"given":"Ian Theodore G.","family":"Cabaluna, MD, Gdip (Epi), MSc","sequence":"first","affiliation":[{"name":"Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Vanessa V.","family":"Sulit, MSc","sequence":"additional","affiliation":[{"name":"Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myzelle Anne J.","family":"Infantado-Alejandro, PTRP","sequence":"additional","affiliation":[{"name":"De La Salle Medical and Health Sciences Institute, Cavite, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howell Henrian G.","family":"Bayona, MSc","sequence":"additional","affiliation":[{"name":"Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonila F.","family":"Dans, MD, MSc","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27557","published-online":{"date-parts":[[2026,5,30]]},"container-title":["Acta Medica Philippina"],"original-title":[],"link":[{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/12061\/7141","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/12061\/7141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:56:31Z","timestamp":1780469791000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/view\/12061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,30]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,5,30]]}},"URL":"https:\/\/doi.org\/10.47895\/amp.v60i10.12061","relation":{},"ISSN":["2094-9278","0001-6071"],"issn-type":[{"value":"2094-9278","type":"electronic"},{"value":"0001-6071","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5,30]]}}}