Title: Screening for Cancer: Considerations for Low- and Middle-Income Countries
Abstract: No AccessNov 2015Screening for Cancer: Considerations for Low- and Middle-Income CountriesAuthors/Editors: Terrence Sullivan, Richard Sullivan, Ophira M. GinsburgTerrence SullivanSearch for more papers by this author, Richard SullivanSearch for more papers by this author, Ophira M. GinsburgSearch for more papers by this authorhttps://doi.org/10.1596/978-1-4648-0349-9_ch12AboutView ChaptersFull TextPDF (0.1 MB) ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookTwitterLinked In Abstract: Explains that a cancer screening program should consider the burden of the cancer in the population at risk, cost-effectiveness, and the success in how well the test works. Key terms defined include opportunistic screening, organized screening, population-based screening, high-risk screening, and several types of bias (lead-time bias, length bias, and overdiagnosis). Ethical and cost-effectiveness considerations determine that benefits outweigh possible harms. Three cancers discussed more fully are (1) breast cancer for which several approaches to screening are analyzed; (2) cervical cancer which may have the greatest potential for screening-detected reductions in cancer mortality; and (3) colorectal cancer which becomes more common as less developed countries adopt Western lifestyles. A diagonal approach to screening involves an umbrella of maternal or reproductive health policy to encompass both cervical and breast cancer and creates a platform onto which other preventive and wellness care can be added. Developing a screening policy for cancer examines choice of diagnostic technologies and follow-up interventions, the age groups targeted, referral and enrollment strategies, and quality assurance processes. 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Publication Year: 2015
Publication Date: 2015-11-01
Language: en
Type: book-chapter
Indexed In: ['crossref']
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Cited By Count: 20
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