Screening Flashcards
Screening programs have to these features:5
CTTOC
Condition
- It should be an important health problem
- it should have a recognisable latent or early symptomatic stage
Test
- simple, safe, precise and validated
- acceptable to the target population
Treatment
-there should be an effective treatment for the patient identified, with evidence that early treatment leads to a better outcome
Outcome
Consumers
Colorectal cancer- normal population
- frequency
- starting
- what is done
Every 2 years from 50 years of age- Faecal occult blood test
until 74
Aspirin for at least 2.5 years commencing at 50
Is colonoscopy recommended as a screening test for people at average risk
NOPE
What is moderate risk of CRC
One first degree relative with CRC diagnosed aged <55 years
Colorectal cancer- moderate risk
- frequency
- starting
- what is done
iFOBT every 2 years from 40-49 years of age
Colonoscopy every 5 years from 50-74 years of age
Aspirin for at least 2.5 years commencing at 50
Breast cancer screening
Every 2 years, starting at 50-74, free mammogram
Women aged 40-49 and those aged over 74 can also be screened for free of change- but can lead to overdiagnosis
When should annual screening be done for breast cancer at age 40-49 be done
If they have a 1st-degree relative <50 years of age diagnosed with breast cancer
Cancer Australia recommends considering annual mammogram from 40 years of age if the woman has 1st-degree relative <50 years of age diagnosed with breast cancer
Who is a high risk of melanoma-2
Previous history of melanoma
>5 atypical(dysplastic) naevi
High risk of melanoma what is the frequency
Every 6-12 months
An ideal screening test should be
Simple to apply Cheap Easy to perform Easy and unambiguous to interpret Identifying those with the diseases and excluding those without the disease
High risk for breast cancer with family history of breast cancer(extensive)
MRI
