ArticleJournal of general internal medicine2019
Are We Choosing Wisely? Older Adults' Cancer Screening Intentions and Recalled Discussions with Physicians About Stopping.
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient-Reported Factors Associated With Older Adults' Cancer Screening Decision-making: A Systematic Review.JAMA network open · 2021Pooled it
- The effect of conflicting versus consistent messaging on older women's support for breast cancer screening cessation.Patient education and counseling · 2025Trial
- Trial
- Older adults' interest and concerns about life expectancy information for cancer screening decisions: Results from the National Poll on Healthy Aging.Preventive medicine reports · 2025Article
- Measurement of Prostate Specific Antigen Testing Among Primary Care Patients in the United States, 2010-2019.Journal of general internal medicine · 2025Article
- Why do older adults stop cancer screening? Findings from the Medicare Current Beneficiary Survey.Journal of the American Geriatrics Society · 2025Article
- A qualitative study of primary care clinician's approach to ending cervical cancer screening in older women in the United States.Preventive medicine reports · 2023Article
- Patterns of Diagnostic Evaluation and Determinants of Treatment in Older Patients With Non-transfusion Dependent Myelodysplastic Syndromes.The oncologist · 2023Article
- Perceived Barriers Among Clinicians and Older Adults Aged 65 and Older Regarding Use of Life Expectancy to Inform Cancer Screening: A Narrative Review and Comparison.Medical care research and review : MCRR · 2023Review
- Willingness to Stop Screening Mammograms Among Older Women in the United States: Results From a National Survey.Journal of general internal medicine · 2023Article
- Why do people take part in atrial fibrillation screening? Qualitative interview study in English primary care.BMJ open · 2022Article
- Learning from the "tail end" of de-implementation: the case of chemical castration for localized prostate cancer.Implementation science communications · 2021Article
- Factors Associated With Low-Value Cancer Screenings in the Veterans Health Administration.JAMA network open · 2021Article
- Formal and informal social participation and elder mistreatment in a national sample of older adults.Journal of the American Geriatrics Society · 2021Article
- Personalising lung cancer screening: An overview of risk-stratification opportunities and challenges.International journal of cancer · 2021Review
- Primary care provider perspectives on screening mammography in older women: A qualitative study.Preventive medicine reports · 2021Article
- Cancer Screening in Older Adults: Individualized Decision-Making and Communication Strategies.The Medical clinics of North America · 2020Review
- Cancer Screening Among Older Adults: a Geriatrician's Perspective on Breast, Cervical, Colon, Prostate, and Lung Cancer Screening.Current oncology reports · 2020Review
- Examining Older Adults' Attitudes and Perceptions of Cancer Screening and Overscreening: A Qualitative Study.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundNational guidelines recommend against cancer screening for older individuals with less than a 10-year life expectancy, but it is unknown if this population desires ongoing screening.
objectiveTo determine (1) if older individuals with < 10-year life expectancy have future intentions for cancer screening, (2) if they recall a doctor previously suggesting that screening is no longer needed, and (3) individual characteristics associated with intentions to seek screening.
designNational Social life Health and Aging Project (2015-2016), a nationally representative, cross-sectional survey.
participantsCommunity-dwelling adults 55-97 years old (n = 3816). MAIN MEASURES: Self-reported: (1) mammography and PSA testing within the last 2 years, (2) future intentions to be screened, and (3) discussion with a doctor that screening is no longer needed. Ten-year life expectancy was estimated using the Lee prognostic index. Multivariate logistic regression analysis examined intentions to pursue future screening, adjusting for sociodemographic and health covariates. KEY
resultsAmong women 75-84 with < 10-year life expectancy, 59% intend on future mammography and 81% recall no conversation with a doctor that mammography may no longer be necessary. Among men 75-84 with < 10-year life expectancy, 54% intend on future PSA screening and 77% recall no discussions that PSA screening may be unnecessary. In adjusted analyses, those reporting recent cancer screening or no recollection that screening may not be necessary were more likely to want future mammography or PSA screening (p < 0.001).
conclusionOver 75% of older individuals with limited life expectancy intend to continue cancer screening, and less than 25% recall discussing with physicians the need for these tests. In addition to public health and education efforts, these results suggest that older adults' recollection of being told by physicians that screening is not necessary may be a modifiable risk factor for reducing overscreening in older adults with limited life expectancy.
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Registered trials
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.