Evidence map›Paper›PMID 28731949›Full record

ReviewCancer journal (Sudbury, Mass.)

Cancer Screening in the Elderly: A Review of Breast, Colorectal, Lung, and Prostate Cancer Screening.

Ashwin A Kotwal, Mara A Schonberg

Abstract readReview
In one paragraph

Review in Cancer journal (Sudbury, Mass.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Contribution of Genetic Polymorphisms in Human Health.International journal of environmental research and public health · 2023
    Review
  9. Article
  10. Article
  11. Review
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  14. Article
  15. The Feasibility of Prehabilitation as Part of the Breast Cancer Treatment Pathway.PM & R : the journal of injury, function, and rehabilitation · 2021
    Observational
  16. Article
  17. Article
  18. Review
  19. Article
  20. [Synergistic effect of polysaccharide fromNan fang yi ke da xue xue bao = Journal of Southern Medical University · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Ashwin A KotwalFrom the *Department of Medicine, Brigham and Women's Hospital; and †Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Mara A Schonberg
Beth Israel Deaconess Medical Center · US

Funding

Randomized Trial of a Mammography Decision Aid for Women Aged 75 and OlderR01CA181357 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SCHONBERG, MARA A · 2014 to 2018
$2.9M
Breast Cancer Risk Factors Among Women Aged 75 and OlderR01AG041869 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SCHONBERG, MARA A · 2013 to 2015
$1.4M
NCI NIH HHS R01 CA181357NIA NIH HHS R01 AG041869
6 · The paper itself

Abstract

There are relatively limited data on outcomes of screening older adults for cancer; therefore, the decision to screen older adults requires balancing the potential harms of screening and follow-up diagnostic tests with the possibility of benefit. Harms of screening can be amplified in older and frail adults and include discomfort from undergoing the test itself, anxiety, potential complications from diagnostic procedures resulting from a false-positive test, false reassurance from a false-negative test, and overdiagnosis of tumors that are of no threat and may result in overtreatment. In this paper, we review the evidence and guidelines on breast, colorectal, lung and prostate cancer as applied to older adults. We also provide a general framework for approaching cancer screening in older adults by incorporating evidence-based guidelines, patient preferences, and patient life expectancy estimates into shared screening decisions.

Indexed as

AgedAged, 80 and overAge FactorsClinical Decision-MakingEarly Detection of CancerEvidence-Based PracticeFemaleHumansMaleMass ScreeningNeoplasmsPractice Guidelines as Topic

Identifiers

PMID28731949
PMCPMC5608027
OpenAlexW2738231709

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.