• Med. Clin. North Am. · Nov 2020

    Review

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

    • Ashwin A Kotwal and Louise C Walter.
    • Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA; Geriatrics, Palliative, and Extended Care Service Line, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA. Electronic address: ashwin.kotwal@ucsf.edu.
    • Med. Clin. North Am. 2020 Nov 1; 104 (6): 989-1006.

    AbstractCancer 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.Copyright © 2020 Elsevier Inc. All rights reserved.

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