Cancer Screening in Older Adults: Individualized Decision-Making and Communication Strategies.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 33099456.
- Also identified by DOI 10.1016/j.mcna.2020.08.002 and PMC identifier 7594102.
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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.
Medical subject headings
- Early Detection of Cancer
- Health Services for the Aged