Wednesday, December 14, 2011

Surprise, surprise: cancer screening overdone in elderly

More than half of surveyed seniors reported that their physicians continue to recommend cancer screening, despite ambiguity about its value for men and women over age 75, according to data analysis of a nationwide sample.

Among adults between the ages of 75 and 79, 57% were screened for colorectal cancer, 62% for breast, 53% for cervical, and 56% for prostate cancers. In the group that was 80 years or older, rates varied from a low of 38% for cervical cancer screening to a high of 50% for breast cancers, as reported in Archives of Internal Medicine.

Researchers analyzed data from the U.S. National Health Interview Survey, an annual in-person survey of 49,575 adults,

At age extremes, the likelihood of a person living long enough benefit from cancer prevention and detection becomes quite small, while likelihood of harm becomes larger. The data raises the issue of whether quality measures should address the overuse of cancer screening. Currently quality measures in cancer screening focus on increasing screening in persons younger than 75 years, but what about the problems of overscreening?

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