People's willingness to accept overdetection in cancer screening: population survey

BMJ : British Medical Journal
Ann Van den BruelPaul Hewitson

Abstract

To describe the level of overdetection people would find acceptable in screening for breast, prostate, and bowel cancer and whether acceptability is influenced by the magnitude of the benefit from screening and the cancer specific harms from overdetection. Online survey. Women were presented with scenarios on breast and bowel cancer, men with scenarios on prostate and bowel cancer. For each particular cancer, we presented epidemiological information and described the treatment and its consequences. Secondly, we presented two different scenarios of benefit: one indicating a 10% reduction in cancer specific mortality and the second indicating a 50% reduction. Online survey of the population in the United Kingdom. Respondents were part of an existing panel of people who volunteer for online research and were invited by email or online marketing. We recruited 1000 respondents, representative for age and sex for the UK population. Number of cases of overdetection people were willing to accept, ranging from 0-1000 (complete screened population) for each cancer modality and each scenario of benefit. There was large variability between respondents in the level of overdetection they would find acceptable, with medians ranging from 113 t...Continue Reading

Citations

Feb 26, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Ana Rute CostaNuno Lunet
Apr 21, 2017·European Journal of Cancer Care·B D Nicholson
Feb 28, 2019·Psycho-oncology·Alexander G MathioudakisPablo Alonso-Coello
Feb 8, 2018·Nature Reviews. Gastroenterology & Hepatology·Greg RubinNiek de Wit
Nov 1, 2018·BMC Public Health·Linda N DoumaDanielle R M Timmermans
Oct 28, 2019·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Raquel BragaNuno Lunet
Dec 25, 2019·International Journal of Cancer. Journal International Du Cancer·Gaby SroczynskiUwe Siebert
Aug 31, 2017·Health and Quality of Life Outcomes·Anna SelvaPablo Alonso-Coello
Nov 15, 2019·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Anne StiggelboutJolyn Hersch

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