title: Cancer screening in older adults in an era of genomics and longevity.
abstract: OBJECTIVE
  To provide an overview of cancer genomics and cancer screening in older adults with a focus on breast, prostate, and colon cancers.
  
  
  METHODS
  Journal articles, research articles, and web sites.
  
  
  CONCLUSIONS
  Cancer screening in older populations is often in the context of one or more co-morbid conditions, cancer survivorship, genomic information, and competing health priorities. The field of cancer screening has outgrown the tools available to enable health care providers and older adults to make informed cancer screening decisions. Research is needed to develop clinical screening tools that integrate age, cancer risk, life expectancy, and comorbidity.
  
  
  CONCLUSIONS
  Health care providers are faced with opportunities and challenges in the prevention and early detection of cancer in older Americans.
authors.affiliation: Oregon Health & Science University School of Nursing, Portland, OR 97239-2941, USA. grecok@ohsu.edu
authors.forename: Karen
authors.initials: K
authors.lastname: Greco
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis; D015984:Causality; D015179:Colorectal Neoplasms / Q000175:diagnosis; D015897:Comorbidity; D005260:Female; D023281:Genomics / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D007255:Information Services; D020407:Internet; D008017:Life Expectancy; D008136:Longevity; D008297:Male; D008403:Mass Screening / Q000451:nursing / Q000458:organization & administration*; D009369:Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D009386:Neoplastic Syndromes, Hereditary / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D024802:Nurse's Role; D009859:Oncology Nursing; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D011471:Prostatic Neoplasms / Q000175:diagnosis; D018570:Risk Assessment; D017741:Survivors