Document Detail

The price of autonomy: should we offer individuals a choice of colorectal cancer screening strategies?
MedLine Citation:
PMID:  23276372     Owner:  NLM     Status:  MEDLINE    
A difference between colorectal cancer screening and screening for most other types of cancer is that various screening methods are available. A choice between screening methods is common in the USA. Most European programmes currently offer a single screening method, since it is recommended that only screening strategies with sufficient evidence for a reduction in colorectal cancer mortality are introduced. Faecal occult blood testing is widely accepted in Europe, and evidence on the effectiveness of flexible sigmoidoscopy is increasing. The availability of multiple effective screening options warrants deliberation on whether individuals should be given a choice between strategies. In this Personal View, we present arguments in favour and against offering a choice of screening strategies, together with the evidence substantiating these views. We also focus on screening invitees' autonomy, which is a crucial parameter in the debate.
Leonie van Dam; Ernst J Kuipers; Ewout W Steyerberg; Monique E van Leerdam; Inez D de Beaufort
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Lancet. Oncology     Volume:  14     ISSN:  1474-5488     ISO Abbreviation:  Lancet Oncol.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-01     Completed Date:  2013-04-03     Revised Date:  2014-08-18    
Medline Journal Info:
Nlm Unique ID:  100957246     Medline TA:  Lancet Oncol     Country:  England    
Other Details:
Languages:  eng     Pagination:  e38-46     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 Elsevier Ltd. All rights reserved.
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MeSH Terms
Choice Behavior
Colorectal Neoplasms / diagnosis*,  pathology,  therapy
Early Detection of Cancer*
Occult Blood
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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