title: Cancer Screening in Older Adults.
abstract: When screening for cancer in older adults, it is important to consider the risks of screening, how long it takes to benefit from screening, and the patient's comorbidities and life expectancy. Delivering high-value care requires the consideration of evidence-based screening guidelines and careful selection of patients. This article considers the impact of cancer. It explores perspectives on the costs of common cancer screening tests, illustrates how using life expectancy can help clinicians determine who will benefit most from screening, and provides tools to help clinicians discuss with their older patients when it may be appropriate to stop screening for cancer.
authors.affiliation: Division of General Internal Medicine, Penn State Milton S. Hershey Medical Center, 500 University Drive, Mail Code H034, Hershey, PA 17033, USA.
authors.forename: Ashley H
authors.initials: AH
authors.lastname: Snyder
authors.affiliation: Division of Hematology/Oncology, Wilmot Cancer Institute, University of Rochester, 601 Elmwood Avenue, Box 704, Rochester, NY 14642, USA.
authors.forename: Allison
authors.initials: A
authors.lastname: Magnuson
authors.affiliation: Department of Medicine, Penn State Milton S. Hershey Medical Center, 500 University Drive, Mail Code H106, Hershey, PA 17033, USA. Electronic address: awestcott@hmc.psu.edu.
authors.forename: Amy M
authors.initials: AM
authors.lastname: Westcott
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003362:Cost-Benefit Analysis; D055088:Early Detection of Cancer / Q000191:economics; D005260:Female; D006801:Humans; D008017:Life Expectancy; D008175:Lung Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D008327:Mammography; D017410:Practice Guidelines as Topic; D011471:Prostatic Neoplasms / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
keywords: Cancer screening guidelines; Cost; Elderly; High-value care; Life expectancy; Older adult