Acceptability of Guidelines to Stop Colon Cancer Screening by Estimated Life Expectancy
Menée à partir d'une enquête auprès de 1 273 personnes âgées de plus de 75 ans, cette étude examine l'acceptabilité des recommandations concernant l'arrêt du dépistage du cancer du côlon en fonction de l'espérance de vie estimée
Recent professional guidelines have sought to deimplement use of care that generally does not improve patient outcomes and involves unnecessary harms or risks (ie, low-value care). One example is guidelines that recommend patients older than 75 years stop getting screened for colon cancer.1 The benefit-cost tradeoff for such recommendations varies across patients. For example, older adults with more health problems and limited life expectancy receive less benefit from cancer screening than healthier patients of the same age. We examined whether older adults with limited vs longer estimated life expectancy accepted such deimplementation guidelines.
JAMA Network Open , article en libre accès, 2023