Screening

Question 1

What is the aim for screening

Answer 1

To interrupt the natural history of cancer development and prevent it from advancing

Question 2

Advantages of screening

Answer 2

Improved prognosis
Less radical treatment needed
Resources savings
Reassurance for patients if negative

Question 3

Disadvantages of screening programmes

Answer 3

Possible over treatment
Cost of resources
Occasion hazards
Increases anxiety for patients

Question 4

Name the 7 criteria’s for screening

Answer 4

Simplicity
Acceptability
Accurate
Cheap
Precision
Sensitivity
Specificity

Question 5

How does breast cancer screening work

Answer 5

Women’s first appointment 2 views of each breast is taken
They are called for reassessment and core biopsy is carried out.
95% are given all clear but 1 in 10 is found to have cancer

Question 6

What are the problems with breast screening

Answer 6

Increases anxiety
Variable uptake of invitations in diff areas and cultures
Cost
Uncomfortable
False positives can happen
X rays are required

Question 7

Problems with cervical screening programme

Answer 7

Variable uptakes in diff areas and ethnicity
Cost
Poor quality and inaccurate

Question 8

How is bowel cancer screening carried out?

Answer 8

Test kit is sent, it is called FIT and a stood sample is taken