Assessment of Clinician Decision-making on Cancer Screening Cessation in Older Adults With Limited Life Expectancy

JAMA Network Open
Nancy L SchoenbornCraig E Pollack

Abstract

Despite clinical practice guidelines recommending against routine cancer screening in older adults with limited life expectancy, older adults are still frequently screened for breast, colorectal, and prostate cancers. To examine primary care clinicians' decision-making on stopping breast, colorectal, or prostate cancer screening in older adults with limited life expectancy. In qualitative interviews coupled with medical record-stimulated recall, clinicians from 17 academic and community clinics affiliated with a large health system were asked how they came to specific cancer screening decisions in 2 or 3 of their older patients with less than 10-year of estimated life expectancy, including patients with and without recent screening. Patients were surveyed by telephone. Data collection occurred between October 2018 and May 2019. Clinician interviews were audio-recorded and transcribed verbatim. Transcripts were analyzed with qualitative content analysis to identify major themes. Patient surveys assessed perception of cancer screening decisions, importance of clinician recommendation, and willingness to stop screening. Twenty-five primary care clinicians (mean [SD] age, 47.1 [9.7] years; 14 female [56%]) discussed 53 patients dur...Continue Reading

References

Jun 21, 2001·JAMA : the Journal of the American Medical Association·L C Walter, K E Covinsky
Sep 11, 2002·Medical Care Research and Review : MCRR·Mark A HallRajesh Balkrishnan
Jan 8, 2004·JAMA : the Journal of the American Medical Association·Lisa M SchwartzH Gilbert Welch
Oct 6, 2005·Qualitative Health Research·Hsiu-Fang Hsieh, Sarah E Shannon
Sep 19, 2009·Journal of General Internal Medicine·Charles J KahiThomas F Imperiale
Oct 15, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Richard M HoffmanBrian J Zikmund-Fisher
Jun 18, 2011·Cancer·Corinne R LeachJulia H Rowland
Jan 12, 2012·JAMA : the Journal of the American Medical Association·Lindsey C YourmanAlexander K Smith
Apr 21, 2012·Cancer·Craig E PollackH Ballentine Carter
Jun 2, 2012·Journal of General Internal Medicine·David A HaggstromGigi Yuan
Mar 30, 2013·Journal of General Internal Medicine·Carmen L LewisCarol Golin
Apr 10, 2013·Annals of Internal Medicine·Amir QaseemUNKNOWN Clinical Guidelines Committee of the American College of Physicians
May 11, 2013·The Journal of Urology·H Ballentine CarterAnthony L Zietman
Jul 16, 2013·American Journal of Epidemiology·Alai TanJames S Goodwin
Feb 14, 2014·BMC Health Services Research·Alexandria A SmithK Robin Yabroff
Jul 16, 2014·Annals of Internal Medicine·Iris Lansdorp-VogelaarJeanne S Mandelblatt
Aug 19, 2014·JAMA Internal Medicine·Trevor J RoyceRonald C Chen
Aug 26, 2014·Medical Decision Making : an International Journal of the Society for Medical Decision Making·J S Blumenthal-Barby, Heather Krieger
Apr 15, 2015·Journal of General Internal Medicine·Anne Sutkowi-HemstreetStacey L Sheridan
May 20, 2015·Annals of Internal Medicine·Russell P HarrisUNKNOWN High Value Care Task Force of the American College of Physicians
Oct 27, 2015·JAMA : the Journal of the American Medical Association·Kevin C OeffingerUNKNOWN American Cancer Society
Jan 13, 2016·Annals of Internal Medicine·Albert L Siu, UNKNOWN U.S. Preventive Services Task Force
Apr 12, 2016·JAMA Internal Medicine·Nancy L SchoenbornCynthia Boyd
Jun 16, 2016·JAMA : the Journal of the American Medical Association·Jennifer S LinEvelyn P Whitlock
May 31, 2017·The American Journal of Gastroenterology·Douglas K RexDouglas J Robertson
Jun 13, 2017·JAMA Internal Medicine·Nancy L SchoenbornCynthia Boyd
Aug 24, 2017·BMC Health Services Research·Carol SinnottColin P Bradley
Jan 18, 2018·The New England Journal of Medicine·Mitesh S PatelDavid A Asch
May 26, 2018·JAMA : the Journal of the American Medical Association·Joshua J FentonJoy Melnikow
May 31, 2018·CA: a Cancer Journal for Clinicians·Andrew M D WolfRobert A Smith
Aug 22, 2018·JAMA Internal Medicine·Milena A GianfrancescoGabriela Schmajuk

❮ Previous
Next ❯

Citations

Nov 10, 2020·Medical Care·Sarah A NowakCraig E Pollack
May 6, 2021·Preventive Medicine Reports·Reuben ParkNancy L Schoenborn
Jun 15, 2021·Current Oncology Reports·Caitlyn KuwataVanessa Rodríguez

❮ Previous
Next ❯

Software Mentioned

ti
Atlas

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved