title: A value framework for cancer screening: advice for high-value care from the American College of Physicians.
abstract: Experts, professional societies, and consumer groups often recommend different strategies for cancer screening. These strategies vary in the intensity of their search for asymptomatic lesions and in their value. This article outlines a framework for thinking about the value of varying intensities of cancer screening. The authors conclude that increasing intensity beyond an optimal level leads to low-value screening and speculate about pressures that encourage overly intensive, low-value screening.
authors.forename: Russell P
authors.initials: RP
authors.lastname: Harris
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Wilt
authors.forename: Amir
authors.initials: A
authors.lastname: Qaseem
mesh_terms: D058070:Asymptomatic Diseases; D003362:Cost-Benefit Analysis; D055088:Early Detection of Cancer / Q000009:adverse effects / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D008403:Mass Screening / Q000009:adverse effects / Q000191:economics / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D018570:Risk Assessment