| Literature DB >> 33099456 |
Ashwin A Kotwal1, Louise C Walter2.
Abstract
Cancer screening decisions in older adults can be complex due to the unclear cancer-specific mortality benefits of screening and several known harms including false positives, overdiagnosis, and procedural complications from downstream diagnostic interventions. In this review, we provide a framework for individualized cancer screening decisions among older adults, involving accounting for overall health and life expectancy, individual values, and the risks and benefits of specific cancer screening tests. We then discuss strategies for effective communication of recommendations during clinical visits that are considered more effective, easy to understand, and acceptable by older adults and clinicians.Entities:
Keywords: Cancer screening; Colon cancer; Lung cancer; Mammogram; Older adults; PSA test
Mesh:
Year: 2020 PMID: 33099456 PMCID: PMC7594102 DOI: 10.1016/j.mcna.2020.08.002
Source DB: PubMed Journal: Med Clin North Am ISSN: 0025-7125 Impact factor: 5.456