Journal article
Cancer Screening in Older Patients
American family physician, v 93(8), pp 659-667
15 Apr 2016
PMID: 27175838
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Although cancer is the second leading cause of death among persons 65 years and older, there is a paucity of clinical trial data about the effectiveness and harms of cancer screening in this population. Given the heterogeneous nature of the older population, cancer screening in these patients should not be based on age alone. Studies suggest that a life expectancy of at least 10 years is necessary to derive a survival benefit from screening for breast and colorectal cancers; therefore, screening for these cancers is not recommended in those with a life expectancy of less than 10 years. Prostate cancer screening, if performed at all, should not be performed after 69 years of age. Cervical cancer screening may be stopped after 65 years of age if the patient has an adequate history of negative screening results. An individualized approach to cancer screening decisions involves estimating life expectancy, determining the potential benefits and harms of screenings, and weighing those benefits and harms in relation to the patient's values and preferences. Copyright (C) 2016 American Academy of Family Physicians.)
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Details
- Title
- Cancer Screening in Older Patients
- Creators
- Brooke Salzman - Thomas Jefferson Univ, Dept Family & Community Med, Philadelphia, PA 19107 USAKathryn Beldowski - Crozer Chester Med Ctr, Div Geriatr Med, Upland, PA USAAmanda de La Paz - Drexel University
- Publication Details
- American family physician, v 93(8), pp 659-667
- Publisher
- Amer Acad Family Physicians
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Family (Community and Preventive) Medicine
- Web of Science ID
- WOS:000374211200003
- Scopus ID
- 2-s2.0-84963716184
- Other Identifier
- 991019169545604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Primary Health Care