Screening

Patterns of computed tomography utilisation in injury management: latent classes approach using linked administrative data in Western Australia – Ninh T. Ha et al.

2024-02-13T14:09:24+11:00Imaging, Insurance, Overuse, Publications, Radiology reports, Risk, Screening|

Whilst computed tomography (CT) imaging has been a vital component of injury management, its increasing use has raised concern regarding ionising radiation exposure. This study aims to identify latent classes (underlying patterns) of CT use over a 3-year period following the incidence of injury and [...]

Characteristics and post-metastasis survival of recurrent metastatic breast cancer over time – An Australian population-based record linkage study, 2001–2016 – Sarah J. Lord et al.

2024-02-13T13:11:34+11:00Breast cancer, Cancer, Publications, Screening, Treatment|

Breast cancer (BC) mortality has declined over the past 30 years, reflecting improved screening, diagnosis and treatment. Over this period, the proportion of people with de novo metastatic BC (dnMBC) has remained relatively stable at approximately 6% of new BC, with cancer registries reporting incremental [...]

First do no harm in responding to incidental imaging findings – Ian A Scott, John Slavotinek &Paul P Glasziou

2023-12-04T14:34:57+11:00Cancer, Imaging, Low-value care, Overdiagnosis, Overtreatment, Publications, Screening|

You order a computed tomography pulmonary angiogram (CTPA) for a patient with suspected pulmonary thromboembolism. The radiology report states that no pulmonary thromboembolism is seen but notes an unrelated lung nodule. What should you do with this incidental finding, or “incidentaloma”?

Health benefits and harms of mammography screening in older women (75+ years)-a systematic review – Erin Mathieu et al.

2023-12-04T13:33:17+11:00Ageing, Breast cancer, Cancer, Overdiagnosis, Publications, Screening, Women's health|

There is little evidence on the balance between potential benefits and harms of mammography screening in women 75 years and older. The aim of this systematic review was to synthesise the evidence on the outcomes of mammography screening in women aged 75 years and older. [...]

Use of CT, ED presentation and hospitalisations 12 months before and after a diagnosis of cancer in Western Australia: a population-based retrospective cohort study – Ninh Thi Ha et al.

2023-12-01T14:21:39+11:00Cancer, Imaging, Overdiagnosis, Overtesting, Publications, Risk, Screening, Treatment|

The present study examines the patterns of hospital and emergency department services in conjunction with both pre and post diagnostic periods of CT use, which has not been evaluated to date in adult patients with cancer. The cohort makes use of whole of population data [...]

Lung cancer screening program factors that influence psychosocial outcomes: A systematic review – Kathleen McFadden et al.

2023-12-01T13:39:20+11:00Cancer, Decision aids, Mental Health, Publications, Risk, Screening, Shared decision making|

Lung cancer screening (LCS) programs are being designed and implemented globally. Early data suggests that the psychosocial impacts of LCS are influenced by program factors, but evidence synthesis is needed. This systematic review aimed to elucidate the impact of service-level factors on psychosocial outcomes to [...]

Benefits and harms of prostate specific antigen testing according to Australian guidelines – Michael Caruana et al.

2023-12-01T13:20:42+11:00Cancer, Overdiagnosis, Overtesting, Prostate cancer, Publications, Screening, Tests|

Guidelines for prostate specific antigen (PSA) testing in Australia recommend that men at average risk of prostate cancer who have been informed of the benefits and harms, and who decide to undergo regular testing, should be offered testing every 2 years from 50 to 69 years. This [...]

Does mammographic density predict survival in women with invasive breast cancer? The need to account for potential confounding from cancer stage and overdiagnosis – Katie J Bell & Meagan Brennan

2023-12-01T12:05:02+11:00Breast cancer, Breast density, Cancer, Publications, Risk, Screening, Treatment|

High breast density on mammography is a well-established risk factor for a breast cancer diagnosis. There is interest in whether breast density might also predict how aggressive a breast cancer is, including the likelihood of causing death. If mammographic features at the time of cancer [...]

Factors Influencing Primary Care Practitioners’ Cancer Screening Recommendations for Older Adults: a Systematic Review – Jenna Smith et al.

2023-12-01T09:53:33+11:00Breast cancer, Cancer, Cervical Cancer, Primary Care, Prostate cancer, Publications, Screening|

Primary care practitioners (PCPs) play a key role in cancer screening decisions for older adults (≥ 65 years), but recommendations vary by cancer type and jurisdiction. The purpose of this study is to examine the factors influencing PCPs’ recommendations for breast, cervical, prostate, and colorectal cancer [...]

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