Navigation Links
Are Too Many Older People Screened for Cancer?
Date:12/12/2011

By Steven Reinberg
HealthDay Reporter

MONDAY, Dec. 12 (HealthDay News) -- Many older Americans get screened for colon, breast, prostate and cervical cancer even though guidelines recommend against routinely screening the elderly, a new study finds.

As the population of the United States continues to age, balancing good health care with costs will be a continuing battle, experts say. "In an era of escalating health care utilization and expenditures in the United States, identifying areas for cost containment while concurrently improving quality of care in our health care system is increasingly paramount," said lead researcher Keith Bellizzi, an assistant professor of human development and family studies at the University of Connecticut in Storrs.

"Perhaps this area of health care warrants further attention," Bellizzi added.

Currently, nearly 37 million people in the United States are 65 and older, and that number will probably double by 2030. Historically, older adults have been excluded from cancer clinical trials, so what is known about the effectiveness of screening in seniors is limited, he said.

The U.S. Preventive Services Task Force recommends against routine screening for breast, colorectal, and prostate cancer at age 75 and beyond, and advises against cervical cancer testing after 65, according to the study.

But many older adults today live longer, healthier lives than earlier generations, so it is likely that continued screening for certain segments of the older adult population is warranted, he said.

"At the same time, there are segments of the older adult population with limited life expectancy, poor health status and concommitant health conditions that would likely not benefit from screening. The challenge is, how do we make this determination?" Bellizzi said.

To asses the prevalence of screening among the elderly, Bellizzi's team collected data on almost 50,000 men and women who took part in the U.S. National Health Interview Survey.

Among women 75 to 79 years old, 62 percent had received a mammogram to screen for breast cancer in the past two years, as had 50 percent of women 80 and older. Pap screens for cervical cancer were done on 53 percent of women 75 to 79, and 38 percent of women 80 and older, the researchers found.

Fifty-seven percent of men and women 75 to 79 were screened for colon cancer in the previous two years.

Prostate cancer screening was undertaken by 57 percent of those 75 to 79; 42 percent of men 80 and older; and 40 percent of those 50 to 74, the researchers found.

The study is published in the Dec. 12/26 issue of the Archives of Internal Medicine.

People over 75 were most likely to be screened for breast, colorectal, and prostate cancer if a doctor recommended it, Bellizzi's team found. Also, college-educated men and women were most likely to be screened, while those without a high school diploma were least likely to get screened.

There is no "one size fits all solution," Bellizzi said. "Screening decisions should be individualized based on life expectancy, health status, an informed discussion with the patient about the potential harms and benefits, and patient values and preferences."

Dr. Louise C. Walter, an assistant professor of medicine at the University of California, San Francisco, and author of an accompanying journal editorial, agreed that age should not be the sole determinant of screening.

"What you really want to do is encourage individualized decisions," Walter said, suggesting that doctors weigh general health and life expectancy before recommending cancer screening.

"There are lots of very healthy people that have long life expectancy, and cancer increases as you get older, so it makes sense to get screened," she said.

But there are also a lot of very ill people for whom screening can be harmful, she added, referring to the hazards of certain procedures and treatments that might not save lives.

Dr. Otis Brawley, chief medical officer at the American Cancer Society, conceded some elderly Americans might be candidates for screening, but said "the overwhelming majority of folks over 75 should not be getting these screening tests, because we have no science that shows these tests are going to benefit these folks by making them live longer."

"This is an example of waste," he said. "We need to think about the rational use of health care and stop talking about the rationing of health care.

"Many docs are ordering these test purely to cover themselves" from a lawsuit, he added.

More information

For more information on cancer screening, visit the American Cancer Society.

SOURCES: Keith M. Bellizzi, Ph.D., M.P.H., assistant professor, Human Development and Family Studies, University of Connecticut, Storrs; Louise C. Walter, M.D., assistant professor, medicine, University of California, San Francisco; Otis Brawley, M.D., chief medical officer, American Cancer Society; Dec. 12/26, 2011, Archives of Internal Medicine


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Watch your step: Elevator-related injuries and older adults
2. California IVF Discount/Rebate Program Eases Risk for Older Mothers
3. Diabetes drug ups risk for bone fractures in older women
4. Autism Science Foundation Offers IMFAR Grants to Autism Stakeholders
5. Americans Recognize Risk of Fire to Older Adults
6. Key Pillars of Patient Centered Medical Home Will Be Focus of March 30 Patient-Centered Primary Care Collaborative Stakeholders Meeting
7. Kidneys From Older Donors Suitable for Seniors
8. Screens, Vaccine for HPV Less Beneficial in Older Women
9. Tyco International to Host 2010 Annual General Meeting of Shareholders
10. Midlife crisis: Unmarried older women twice as likely to lack health insurance, study shows
11. New clues found linking larger animals to colder climates
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Are Too Many Older People Screened for Cancer? 
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating in cancer care, ... remain in the eye of the beholder, according to experts who offered insights and ... Journal of Managed Care. For the full issue, click here . , For ...
(Date:6/26/2016)... Cary, North Carolina (PRWEB) , ... June 26, 2016 , ... ... the release of a new product that was developed to enhance the health of ... harvested for centuries. , The two main herbs in the PawPaws Cat Kidney ...
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the American ... Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in Boston. ... including advance care planning, healthcare costs and patient and family engagement. , AIR ...
(Date:6/25/2016)... Aliso Viejo, California (PRWEB) , ... June 25, 2016 , ... ... preset to fit their specific project," said Christina Austin - CEO of Pixel Film ... all fully customizable and all within Final Cut Pro X . Simply select ...
(Date:6/25/2016)... Oklahoma City, Oklahoma (PRWEB) , ... June 25, ... ... to helping both athletes and non-athletes recover from injury. Recently, he has implemented ... for the Oklahoma City area —Johnson is one of the first doctors to ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016  Collagen Matrix, ... design, development and manufacturing of collagen and mineral ... announced today that Bill Messer has ... Marketing to further leverage the growing portfolio of ... devices. Bill joins the Collagen Matrix ...
(Date:6/24/2016)... -- The Academy of Managed Care Pharmacy (AMCP) today ... allow biopharmaceutical companies to more easily share health care ... coverage decisions, a move that addresses the growing need ... The recommendations address restrictions in the sharing of product ... a prohibition that hinders decision makers from accessing HCEI ...
(Date:6/24/2016)... 2016   Pulmatrix, Inc ., (NASDAQ: ... drugs, announced today that it was added to the ... its comprehensive set of U.S. and global equity indexes ... important milestone for Pulmatrix," said Chief Executive Officer ... our progress in developing drugs for crucial unmet medical ...
Breaking Medicine Technology: