Screening Flashcards
Aim of screening
Interrupt natural history of development of a cancer and prevent it from progessing
Understand the advantage of screening
Improve prognosis
Less radical treatment required
Resource savings from palliative
Reassurance for patients
Disadvantage of screening
Possible over treatment
Resources cost
Occasional hazard
Increase anxiety for patients
What are the criteria for screening (7)
Simplicity
Acceptability
Accurate
Cheap
Precision
Sensitivity
Specifity
Discuss breast cancer screening and what’s the problems
2 views of each breast are taken
1 In 10 are carried for reassessment
More tests are carried out like core biopsy
95% of them are cleared
They cost a lot
Increased anxiety
Mammograms are uncomfortable
Involves x rays
Discuss cervical screening and the problems
Women ages 26-64 can get a cervical smear.
The problems are it’s costly
Occasionally gives inaccurate answers
Variable update in diff cultures and areas