Overdiagnosis in Colorectal Cancer Screening : Time to Acknowledge a Blind Spot
Cet article propose une définition du surdiagnostic dans le dépistage du cancer colorectal
Overdiagnosis is recognized as a major harm of mammography screening for breast cancer and prostate cancer screening with prostate-specific antigen (PSA). Colorectal cancer (CRC) screening is being more broadly implemented in many countries, and screening rates are increasing steadily. Surprisingly, there is a striking and almost complete lack of knowledge about overdiagnosis in CRC screening. Overdiagnosis is not part of patient information material, hardly mentioned in guidelines, and not addressed in scientific or public debate. The present Commentary proposes a semantic, conceptual, and clinical framework for overdiagnosis in CRC screening.
Gastroenterology , article en libre accès, 2017