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Comment
. 2016 Sep;13(9):531-2.
doi: 10.1038/nrclinonc.2016.101. Epub 2016 Jun 21.

Screening: A risk-based framework to decide who benefits from screening

Affiliations
Comment

Screening: A risk-based framework to decide who benefits from screening

Philip E Castle et al. Nat Rev Clin Oncol. 2016 Sep.

Abstract

We believe that current controversies surrounding screening might be better approached by shifting the question from ‘does screening work?’ to ‘for whom does screening work?’ We propose a ‘rule-out/rule-in’ principle as an intellectual basis and starting point for screening. Finally, we advocate the ‘equal management of equal risks’ principle as an unifying framework for developing simplified and consistent screening guidelines and practice.

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Conflict of interest statement

Competing interests statement

The authors declare no competing interests.

Comment on

  • Population-based screening for cancer: hope and hype.
    Shieh Y, Eklund M, Sawaya GF, Black WC, Kramer BS, Esserman LJ. Shieh Y, et al. Nat Rev Clin Oncol. 2016 Sep;13(9):550-65. doi: 10.1038/nrclinonc.2016.50. Epub 2016 Apr 13. Nat Rev Clin Oncol. 2016. PMID: 27071351 Free PMC article. Review.

References

    1. Shieh Y, et al. Population-based screening for cancer: hope and hype. Nat Rev Clin Oncol. 2016 http://dx.doi.org/10.1038/nrclinonc.2016.50. - DOI - PMC - PubMed
    1. Saslow D, et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. CA Cancer J Clin. 2012;62:147. - PMC - PubMed
    1. Ronco G, et al. Efficacy of HPV-based screening for prevention of invasive cervical cancer: follow-up of four European randomised controlled trials. Lancet. 2013;383:524–532. - PubMed
    1. Kovalchik SA, et al. Targeting of low-dose CT screening according to the risk of lung-cancer death. N Engl J Med. 2013;369:245. - PMC - PubMed
    1. Katki HA, et al. Development and validation of risk models to select ever-smokers for CT lung cancer screening. JAMA. 2016 http://dx.doi.org/10.1001/jama.2016.6255. - DOI - PMC - PubMed