Screening for Disease in Elderly Persons

  • John R. Feussner
  • Eugene Z. Oddone

Abstract

Early detection of disease, or screening, is an attractive diagnostic strategy for physicians. Screening for disease facilitates detection of disease early in its clinical course, before many pathologic changes have occurred and while the disease may be more amenable to treatment. As attractive as early detection may seem, however, certain principles should be considered to assure the appropriateness of any decision to seek early diagnoses (Table 8.1).1 Such considerations include the importance or seriousness of the target disease; the presence of an early presymptomatic period; the accuracy and acceptability of available diagnostic tests; the risk associated with invasive diagnostic testing; the efficacy, cost, and availability of treatment; and the risk of treatment, such as adverse drug effects or adverse outcomes of surgery. The absence of clear information about any one of these considerations may diminish the potential value of any screening strategy no matter how attractive it may seem.

Keywords

Cervical Cancer Elderly Person Fecal Occult Blood Test Nursing Home Resident Cervical Cancer Screening 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • John R. Feussner
  • Eugene Z. Oddone

There are no affiliations available

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