Preventive care, done properly
Most health check-ups find nothing. We built ours the other way round.
We start from what the evidence says actually changes an outcome for someone over sixty in India, and we decline the rest however well it sells. Every claim on this page links to the study behind it.
What we watch. Who acts.
Tracked on every plan. What changes is how often a human shows up in person to confirm it: a doctor check at joining on Basic, a nurse at home and a monthly doctor review on the clinical plans.
Heart and circulation
22 in every 100 Indians over 60 have high blood pressure and don't know it.
Blood pressure and pulse, and the direction they're drifting over weeks, not just today's reading.
Acted on by Care coordinator, then her doctor
Longitudinal Ageing Study in India, Wave 1 (PDF) ↗Sugar and metabolism
Weight falling without trying carries a sharply higher risk of death in older adults. 178,644 people.
Blood sugar through the day, weight, and how both are moving month to month.
Acted on by Care coordinator, then her doctor
De Stefani and colleagues, Scientific Reports, 2018 ↗Kidneys, quietly
Protein in the urine predicts death from any cause, independently of how well the kidneys filter.
A simple urine test that looks for protein leaking from the kidneys, years before anyone would feel anything.
Acted on by Her doctor
Chronic Kidney Disease Prognosis Consortium, The Lancet, 2010 ↗Medicines
Ten or more medicines: about three times the rate of hospital admission after a fall.
Whether what was prescribed is actually being taken, and what's been missed.
Acted on by Care coordinator, then a pharmacist review
Zaninotto and colleagues, BMC Public Health, 2020 ↗Everyday function
Balance and strength work cut the rate of falls by a quarter, and by a third when combined. 108 trials, 23,407 people.
Sleep, appetite, energy, mobility. The things that change before a number does.
Acted on by Care coordinator, then a nurse who teaches the exercises
Sherrington and colleagues, Cochrane Reviews, 2019 ↗Warning signs
In 30,529 people, simply asking predicted illness almost as well as a full wearable sensor suite.
A short daily check-in, by voice and by a real person, in your parent's own language. The questions are written by our doctors and are the fastest way we learn something has changed.
Acted on by Care coordinator, then her doctor, then you
Quer and colleagues, Nature Medicine, 2021 ↗If something moves the wrong way, a person calls. Your parent first, then you. Not a push notification.
The exact panel we run, the questions we ask each day, and the points at which we escalate are set by our medical team and shared with you on your onboarding call.
What we don't do
Anyone can list tests. Here are the popular ones we have decided are not worth your parents' time, and the research that decided it. Each study is named, and linked to the paper itself wherever a permanent record exists.
The annual full-body or executive check-up
Seventeen randomised trials. Across 233,298 people, no difference in deaths from any cause.
The most-sold product in Indian preventive health. It finds abnormalities, generates follow-up tests and anxiety, and does not change how long people live.
Screening a healthy heart for atrial fibrillation
Two of the three found far more atrial fibrillation but no reduction in stroke. The third found a small benefit that only just reached significance, and only about half of those invited took part.
Finding an irregular rhythm sounds valuable. Three large trials tested whether looking for it in people without symptoms actually prevents strokes. We read the results as too weak to justify screening every parent, and we would rather show you why than pretend the question is settled.
APOE and other dementia-risk gene tests
Professional genetics bodies advise against testing people who have no symptoms.
A result that frightens a family and changes nothing about their care. In India there is no treatment that follows from it.
Polygenic risk scores
These scores are several times more accurate in people of European ancestry than in everyone else, and weakest for exactly the outcomes we care about.
Built mostly on European genomes. At seventy they add very little on top of things we can simply measure, like blood pressure, kidney function and how fast someone walks.
Moving blood-pressure tablets to bedtime
In 21,104 people, evening dosing made no difference to heart attacks, strokes or deaths. Two later trials, one of them in frail adults with a median age of 88, found the same.
Widely repeated advice, including by doctors. We follow the trials rather than the trend.
We don't collect anything unless a named person looks at it, there is a point at which we act, a deadline for acting, and something we are allowed to do about it. If a measurement fails any one of those, we don't take it.
This is what your parents' plan is built on.
What we would actually do for your mother or father depends on them. A care coordinator goes through it with you, and tells you what it costs.
See the plans →