Cancer Screening in Older Adults

被引:6
作者
Snyder, Ashley H. [1 ]
Magnuson, Allison [2 ]
Westcott, Amy M. [3 ]
机构
[1] Penn State Milton S Hershey Med Ctr, Div Gen Internal Med, 500 Univ Dr,Mail Code H034, Hershey, PA 17033 USA
[2] Univ Rochester, Wilmot Canc Inst, Div Hematol Oncol, 601 Elmwood Ave,Box 704, Rochester, NY 14642 USA
[3] Penn State Milton S Hershey Med Ctr, Dept Med, 500 Univ Dr,Mail Code H106, Hershey, PA 17033 USA
关键词
Cancer screening guidelines; Cost; Elderly; High-value care; Life expectancy; Older adult; MORTALITY;
D O I
10.1016/j.mcna.2016.04.016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
When screening for cancer in older adults, it is important to consider the risks of screening, how long it takes to benefit from screening, and the patient's comorbidities and life expectancy. Delivering high-value care requires the consideration of evidence-based screening guidelines and careful selection of patients. This article considers the impact of cancer. It explores perspectives on the costs of common cancer screening tests, illustrates how using life expectancy can help clinicians determine who will benefit most from screening, and provides tools to help clinicians discuss with their older patients when it may be appropriate to stop screening for cancer.
引用
收藏
页码:1101 / +
页数:11
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