Cancer Screening in Older Adults Individualized Decision-Making and Communication Strategies

被引：8
|
作者：
Kotwal, Ashwin A. [1 ,2 ]
Walter, Louise C. [1 ,2 ]
机构：
[1] Univ Calif San Francisco, Dept Med, Div Geriatr, San Francisco, CA 94143 USA
[2] San Francisco VA Med Ctr, Geriatr Palliat & Extended Care Serv Line, San Francisco, CA USA
来源：
MEDICAL CLINICS OF NORTH AMERICA | 2020年 / 104卷 / 06期
关键词：
Older adults; Cancer screening; Mammogram; PSA test; Colon cancer; Lung cancer; PROSTATE-SPECIFIC ANTIGEN; OCCULT BLOOD-TEST; LUNG-CANCER; COLORECTAL-CANCER; LIFE EXPECTANCY; MORTALITY; BREAST; MAMMOGRAPHY; HARMS; RISK;
D O I：
10.1016/j.mcna.2020.08.002
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
引用
收藏
页码：989 / +
页数：19
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