Cancer screening in older adults in an era of genomics and longevity.
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.
Greco
Karen
K
Oregon Health & Science University School of Nursing, Portland, OR 97239-2941, USA. grecok@ohsu.edu
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