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  CLINICAL MIND  > DISEASE SCREENING  
 
       
 

Disease Screening

 
 

Although there are thousands of medical tests available, unfortunately only a few of them have been proven to help detect disease, the rest help make the diagnosis.

Breast cancer

Screening mammography is recommended every 1-2 years for all women 40 years old and over.

There is not enough scientific evidence to recommend a clinical breast examination or breast-self examination without mammography for breast cancer screening.

Cervical cancer

Screening should begin within 3 years of onset of sexual activity or age 21 (whichever comes first).  Repeat every 3 years.

Colon cancer

Screening is recommended for men and women 50 years old or more.

 

Source: U.S. Preventive Services Task Force


Is this it?  Why don't we screen for more diseases?

In order for a particular test to be recommended as a tool for detecting a particular disease, we need to have scientific evidence (clinical trials) that the test is reliable (will detect majority of disease-positive cases), will not harm the patient (a positive test result which in reality is false will lead to additional tests and/or treatment which may be harmful to the patient), the success rate of screening test must be high enough that it will improve survival.  There are tests which find the disease sooner than other traditional means, but studies show that patients do not live longer even if the disease is detected earlier.  In such cases, the screening test will not be recommended because it does not lower patient mortality among other things.  See Screening Tests Explained for more information.

 
 
   

 

 

 

 

     

 

 

 

 
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