Personalized cancer screening: helping primary care rise to the challenge

Public Health Reviews
Kevin SelbyJacques Cornuz

Abstract

With their longitudinal patient relationships, primary care physicians and their care teams are uniquely situated to promote preventive medicine, including cancer screening. A confluence of forces is driving the demand for the personalization of cancer screening recommendations. Recommendations are increasingly based on individual patient preferences, medical history, genetic and environmental risk factors, and level of interaction with the healthcare system. Current examples include choices between colonoscopy, fecal testing, and emerging tests for colorectal cancer (CRC) screening; the use of genetic information and availability of home self-testing in cervical cancer screening; the integration of multiple risk factors and patient preferences to decide the intensity and length of breast cancer screening; and the issues of smoking cessation and competing priorities when deciding whether or not to pursue lung cancer screening. These changes will inevitably increase the burden on primary care of providing high-quality cancer screening to their patients. To address, primary care physicians need access to continuously updated evidence reviews including prioritization of strongly supported recommendations, training in shared decisi...Continue Reading

References

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Citations

Mar 25, 2019·Psychology & Health·Elizabeth A SarmaRebecca A Ferrer
Nov 2, 2020·Life Sciences, Society and Policy·M Walid QoronflehSaid Ismail
Nov 17, 2020·Topics in Spinal Cord Injury Rehabilitation·James MilliganJeremy Howcroft
Feb 15, 2021·Patient Education and Counseling·María José Hernández-LealMisericòrdia Carles-Lavila
Jul 3, 2021·Journal of Personalized Medicine·Jolyane Blouin-BougieJacques Simard
Jul 15, 2021·Revista brasileira de enfermagem·Danila Cristina Paquier SalaOswaldo Yoshimi Tanaka
Aug 28, 2021·International Journal of Environmental Research and Public Health·Monika KarasiewiczBarbara Więckowska
Dec 18, 2021·Translational Behavioral Medicine·Roger J ZoorobRobert Levine

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