TY  - JOUR
T1  - DIscussing cancer screening with elderly patients
AU  - Cunningham J
Y1  - 2001/09/12
N1  - 10.1001/jama.286.10.1173
JO  - JAMA
SP  - 1175
EP  - 1176
VL  - 286
IS  - 10
N2  - 
Although it is generally thought that screening interventions should
be judged by their effect on mortality, patients may have other reasons for
seeking such tests. For example, imagine a patient who will die in 5 years,
with or without screening for breast cancer. But, if in one scenario she will
die in her sleep and if in the other die of painful metastatic breast cancer,
she may well see an advantage to having the breast cancer diagnosed and treated,
even if there is no survival benefit. Realistic estimates of the harms of
the disease itself also need to be discussed with patients when providing
information for the screening decision.

SN  - 0098-7484
M3  - doi: 10.1001/jama.286.10.1173
UR  - http://dx.doi.org/10.1001/jama.286.10.1173
ER  -