Screening For Cancer

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More Specific Terms

Introduction

  • Screening not recommended:
  • False positives common:
  • risk for having 1 false positive after 4 tests was 37% among men & 26% among women [3] ( sigmoidoscopy among screening tests in this study)
  • risk for undergoing a false-positive-prompted invasive procedure after 4 tests was 17% among men & 12% among women
  • Screening recommendations met in 62-88% of population; yet > 1/3 of cancers (for which screening is recommended) present at late stages [4]
  • Overscreening of the elderly? [5]

More General Terms

Additional Terms

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 11, 15, American College of Physicians, Philadelphia 1998, 2009
  2. Wolff T et al Screening for skin cancer: An update of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 2009 Feb 3; 150:194. <PubMed> PMID: [1] <Internet> [2]
    - U.S. Preventive Services Task Force. Screening for skin cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2009 Feb 3; 150:188. <PubMed> PMID: [3] <Internet> [4]
    - Petitti DB et al Update on the methods of the U.S. Preventive Services Task Force: Insufficient evidence. Ann Intern Med 2009 Feb 3; 150:199. PMID: [5]
  3. Croswell JM et al, Cumulative Incidence of False-Positive Results in Repeated, Multimodal Cancer Screening Ann Fam Med. 2009 May-Jun;7(3):212-22. <PubMed> PMID: [6] <Internet> [7]
  4. Henley SJ et al Surveillance of Screening-Detected Cancers (Colon and Rectum, Breast, and Cervix) --- United States, 2004--2006 Surveillance Summaries Morbidity and Mortality Weekly Report (MMWR) November 26, 2010 / 59(SS09);1-25 <PubMed> PMID: &dopt=Abstract <Internet> [8]
  5. Bellizzi KM et al. Prevalence of cancer screening in older, racially diverse adults: Still screening after all these years. Arch Intern Med 2011 Dec 12/26; 171:2031. PMID: [9]
  6. National Guideline Clearinghouse Screening for skin cancer: U.S. Preventive Services Task Force recommendation statement. U.S. Preventive Services Task Force ngc-guideline: [10]
    - Carrier screening for genetic disorders in individuals of Ashkenazi Jewish descent. Society of Obstetricians and Gynaecologists of Canada ngc-guideline: [11]
    - Cancer screening. University of Michigan Health System ngc-guideline: [12]

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