Those who have no complaints but want to make sure they are healthy. The aim of these tests is to detect early stage diseases that are not yet causing symptoms or complaints.
Manager screening – or manager screening – is designed to prevent major problems and (even fatal) complications by early and timely detection, and thus save lives.
There are three broad areas to focus on:
We offer our full investigation to those who are looking for answers to their specific complaints:
For which age group is the test recommended? | W30+ Deluxe | W30+ Executive | W40+ Deluxe | W40+ Executive | W55+ Deluxe | W55+ Executive |
---|---|---|---|---|---|---|
Lab tests: complete blood count, Cn, Kreat, eGFR, Mg, Ca, Fe, P, Na, K, liver function, TSH, blood lipids and uric acid, OF, ALb, fasting blood glucose and HbA1c , urinalysis, PSA for men | x | x | x | x | x | x |
Fecal blood test (3x) | x | x | x | x | ||
ECG, heart rate, blood pressure, weight and height measurement, BMI calculation, ankle and arm index | x | x | x | x | x | x |
Chest X-ray | x | |||||
Low-intensity chest CT* | x | x | x | x | x | |
Abdominopelvic ultrasound | x | x | x | x | x | x |
Cervical soft tissue and thyroid ultrasound | x | x | x | x | x | x |
Dermatology | x | x | x | x | x | x |
Gynaecology for women | x | x | x | x | x | x |
Urology for gentlemen | x | x | x | x | x | |
Ophthalmology | x | x | x | x | x | |
Cardiology + cardiac ultrasound | x | x | x | x | ||
Bone sparsity measurement | x | x | x | x | ||
Complex breast examination for women | x | x | x | x | ||
Carotid ultrasound | x | x | x | |||
Gastroenterology | x | x | ||||
Musculoskeletal assessment | x | x | ||||
Otolaryngology | x | x | ||||
Calcium score CT (low-intensity cardiac CT) | x | |||||
Neurology | x | |||||
Internal medicine + summary consultation | x | x | x | x | x | x |
Health Report | x | x | x | x | x | x |
Expected duration | 3-4 hours | 4 hours | 4-5 hours | 5 hours | 5-6 hours | 6 hours |
Screening package price | 230 000 Ft | 280 000 Ft | 360 000 Ft | 430 000 Ft | 455 000 Ft | 535 000 Ft |
* Based on a preliminary consultation, the doctor will recommend whether a CT scan or chest X-ray is needed.
Our packages are tailored to age-specific needs:
There are two packages to choose from for each age group: for those with risk factors, we recommend the larger packages; for those without risk factors, the smaller packages are ideal.
We need to pay particular attention to the prevention of cardiovascular disease, which tops the list of causes of death worldwide. They account for more than 30% of annual deaths, with heart attacks and strokes accounting for 85%. In Hungary, we have three times higher mortality rates in this group of diseases than the European average. Most cardiovascular diseases are caused by atherosclerosis, which can lead to and cause vasoconstriction, blockages and blood clots:
– heart disease (e.g. coronary heart disease, myocardial infarction),
– kidney failure (artificial kidney replacement),
– lower limb artery disease (ultimately leading to amputation),
– stroke,
– intestinal death3
Cardiological screening includes an assessment of individual risk factors, complaints and abnormalities suggestive of heart disease (chest pain, palpitations, choking, leg swelling).
An ECG is used to check the electrical function of the heart to detect signs of coronary artery disease, arrhythmias and cardiac enlargement.
The cardiac ultrasound scan is completely painless and looks for signs of previous heart attacks, valve disease, high blood pressure and myocardial disease. Carotid Doppler ultrasound allows us to detect early signs of atherosclerosis and to visualise the flow and narrowing of the carotid arteries.
The low-dose Calcium Score CT scan is used to check for coronary artery calcification.
Depending on the results of these tests, further investigations may be necessary, for example, the cardiologist may recommend 24-hour blood pressure measurement (ABPM), Holter monitor (arrhythmia analysis), exercise ECG, exercise echocardiogram, coronary CT or cardiac MRI.
The morbidity and mortality rates indicate that the majority of cancer patients are diagnosed and treated at an advanced stage, when the patient is still treatable but the prospects for an effective cure are limited. At the same time, a significant proportion of cancer deaths could be avoided, given the current state of medical science.
Some cancers should be screened for at a young age. However, the incidence of most cancers only increases with age, particularly after 40 and 50. The most common cause of death from cancer is lung cancer4, followed by colorectal cancer, breast cancer, cervical cancer and prostate cancer5.
Tumours of the lung and thoracic organs
Lung cancer is the leading cause of cancer death worldwide. Its incidence increases over the age of 50. The most common risk factor is smoking (both active and passive), with the risk persisting for up to 15 years after smoking cessation. There is also an increased risk of chronic obstructive pulmonary disease, tuberculosis, a family history of lung cancer and certain occupational diseases.
For patients over 50 years of age, we recommend low dose chest CT (LDCT), which has been shown to reduce lung cancer mortality by 25% in both smokers and non-smokers6.7 CT scans at an earlier age may be considered for heavy smokers and those with a significant risk factor, on medical advice. For patients under 50 years of age without a risk factor, chest X-ray is recommended.
Colon and abdominal tumours
The incidence of colon tumours increases over the age of 45-50 years, with symptoms of abdominal pain, haemoptysis, change in bowel movements, weight loss. As the development of colon cancer is a very long process and is not symptomless for a long time, it can be prevented by screening.
Tumours and pre-cancerous conditions can cause microscopic (not visible to the naked eye) amounts of bleeding, so the detection of blood in faeces is a widely used and simple, painless screening method.
A specialist gastroenterology examination involves an assessment of individual risk, a physical examination including palpation of the abdomen and rectal digital examination. The need for colonoscopy (whether for screening or investigation of complaints) is determined during a gastroenterology consultation.
Abdominopelvic ultrasound gives an image of the shape, structure and abnormalities of the liver, gall bladder, bile ducts, pancreas, spleen and kidneys. In addition to a full bladder, the pelvic organs can also be examined: the bladder, uterus, ovaries and prostate.
Mammary tumours
After lung cancer, breast cancer is the most common cancer in women. There are around 5,000 new cases and between 2,100 and 2,000 deaths each year. One in every 10-11 women will develop it in her lifetime.1
Breast cancer is not a risk for people at average risk under the age of 40, so complex breast screening is recommended for those over 40. At our institution, we use state-of-the-art digital three-dimensional tomosynthesis, which detects even the smallest malignant lesions and can screen 35% more invasive breast cancers compared to conventional mammography. The images obtained are complemented by a physical and ultrasound examination of the breast. In case of a complaint or a positive mammogram, further targeted examinations (ultrasound, MRI, cytological/ histological sampling, surgical, oncological consultation) are recommended as necessary.
Cervical cancer
Regular screening for cervical cancer at gynaecological examination is important from a young age, and we recommend repeat cytological sampling (PAP test) every 3 years from the age of 25 until the age of 65. HPV (Human Papilloma Virus) screening is recommended every 5 years if done at the same time as cytology, repeating the latter every 5 years is sufficient if you have a negative cytology result before.8
In addition to cancer, gynaecological screening may also reveal inflammations, cysts and post-menopausal abnormalities.
Prostate and urological tumours
While testicular tumours can develop as early as adolescence, prostate tumours are more common between the ages of 40 and 50. To screen for these, our screening kits include the following:
A blood test to determine PSA (prostate-specific antigen) levels, which are elevated in cases of benign prostate enlargement, inflammation and cancer.
The specialist urological examination includes a physical examination of the external genital organs and an ultrasound scan of the kidneys and prostate: inflammation, hernias, anatomical abnormalities, kidney stones, tumours can be detected.
Skin tumours, melanoma
Although malignant tumours originating from moles are more common with age, they can also develop at a young age. Therefore, in addition to regular self-examination, specialised dermatological examinations are a priority, including screening for moles in addition to skin, nail and scalp inflammations and rashes.
Tumours of the oral cavity, larynx and neck
Smoking and regular alcohol consumption put you at increased risk of developing these diseases.
Ear, nose, throat and throat (ENT) examinations include a nose, ear, mouth and throat
Fractures due to osteoporosis typically affect the wrists, ankles, femoral neck and spine. These injuries can lead to reduced mobility and independence, depression, chronic pain and require special attention to prevent. In the context of fracture prevention, it is important not only to examine the bones and musculoskeletal system, but also to screen for conditions that lead to unsteady walking and falls – weak bones, impaired vision, hearing and limb sensation, balance problems, dizziness and internal organ disorders. Our screenings aim to prevent these together with the following tests:
Bone densitometry (DEXA) to detect osteoporosis and its predictive condition, osteopenia.
The musculoskeletal assessment looks for signs of degenerative (wear and tear) and inflammation of the spine and limb joints, as well as abnormalities that may lead to gait instability.
Weakened, poor vision can lead to a fall. During the eye examination, visual acuity and, if necessary, colour vision are tested, together with the orbits, fundus and intraocular pressure. Cataracts, glaucoma, neuroretinal disorders and other eye diseases may also be detected.
In addition to laryngology and oropharyngology, otorhinolaryngology is used to examine the balancing organ and hearing in the inner ear. During screening, hearing is checked with a tuning fork and audiometry may be necessary in case of abnormalities. If vertigo of inner ear origin is suspected, further tests (CT, MRI, functional tests) may be considered.
The neurological examination includes screening for Parkinson’s disease, dementia, damage to the sensory nerves of the lower limbs, gait and balance disorders, dizziness. Headaches and sleep disorders are also screened for. Depending on the complaints, further tests (ambulatory sleep study, further blood tests, CT/MRI) may be considered.
We have designed our package with efficiency in mind: it was important to us that a wide range of
tests in the shortest possible time.
– The tests are performed in a predefined sequence, taking into account which are fasting tests and which results are needed for further specialist tests (e.g. abdominal-pelvic ultrasound).
– Screening tests usually take 4-5 hours, you will be called for each test in turn, so please be aware that delays may not only delay your tests but also the whole screening programme.
– Our screening internist will process all your results and prepare a Health Report, which will provide a written summary of your current health and any further action that needs to be taken.
Arrive 10-15 minutes earlier than the booked arrival time to complete administrative activities.
– Please bring your ID card, address card, social security card, previous records.
– We can also perform the screening test with contact lenses fitted, but if you would like to have glasses prescribed, please stop using the lenses at least 24 hours before the test.
– You should arrive on an empty stomach and drink plenty of fluids (tap water or non-carbonated mineral water).
– You can take your regular medication in the morning. We recommend that you prescribe several medicines as our specialists need to assess your health.
– We will provide you with the sample dispenser for urine and stool tests on the day of the screening.
– Breakfast is provided after fasting tests, and mineral water, coffee and tea are always available (please let us know in advance if you have any special dietary requirements diabetes, lactose intolerance, gluten intolerance, vegetarian diet).
– Screening package fees are payable on first appearance, with options for cash, credit card and health card payment.
– Parking is available in the MOM park or Novotel hotel car park.
– In any case, please report any delay by calling 06-1-323-7000. If you arrive late, we will not be able to carry out the missed examinations due to the pre-arranged appointment, but you will have the possibility to reschedule the examination by paying the examination fee.
– Do not leave the building until you have completed your examination, as you may be called for the next examination at any time.
– You may postpone any examination free of charge up to 48 hours before the start of the screening test. If you do not postpone or postpone within 48 hours, the examination will be considered as completed.
– If you wish to cancel or change your appointment, please do so in writing as soon as possible at szures@wmc.hu.
We are proud to have supported the health of 1120 patients and helped them stay healthy over the past two years.
Our services sold as part of a package, the price of the manager screening is set at a discount compared to the list price, therefore the price applies to the manager screening package as a whole.
We cannot make changes to the package, nor can you add or subtract from it. Additional examinations are available at list price.
If the client does not take advantage of any of the services included in the manager screening package, no refund will be given for the above reasons.
Sources:
1. National Public Health Centre – Population screening
2. OECD (Organisation for Economic Co-operation and Development) and the European Observatory on Health Systems and Policies – Health Situation 2021
3. European society of cardiology: CVD prevention on clinical practice
4. Eurostat: Causes of death in EU-27 Member States in 2017
5. Dr. Lajos Döbrőssy-Dr. Ede Kékes-Dr. Bence Döbrőssy-Dr. Erzsébet Németh: Screening tests for professionals (ÁNTSZ publication)
6. Low dose Ct screening benefits never-smokers,too W. J. Palmer
7. Reduced Lung-Cancer Mortality with Volume CT Screening in a Randomized Trial -Koning et al.
8 American Cancer Society: Cervical Cancer Screening Guidelines