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Research Letter |

Prevalence of Nonrecommended Screening for Prostate Cancer and Breast Cancer in the United States A Nationwide Survey Analysis

Firas Abdollah, MD1; Maxine Sun, MPH2,3; Jesse D. Sammon, DO1; Toni K. Choueiri, MD4; Mani Menon, MD1; Joel S. Weissman, PhD3; Quoc-Dien Trinh, MD2,3
[+] Author Affiliations
1Center for Outcomes Research, Analytics and Evaluation, Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan
2Division of Urologic Surgery, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts
3Center for Surgery and Public Health, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts
4Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts
JAMA Oncol. 2016;2(4):543-545. doi:10.1001/jamaoncol.2015.5871.
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This survey study assesses the prevalence of nonrecommended screening for prostate cancer and breast cancer in the United States.

Existing guidelines acknowledge the risks of overdiagnosis and overtreatment associated with early detection of prostate cancer and breast cancer and recommend against screening for these tumors in individuals with limited life expectancy.1,2 The cost to the US health care system related to overdiagnosis may be as high as $1.2 billion annually.3 That finding, combined with the aging population and an expected surge of older individuals with prostate cancer and breast cancer in upcoming years,4 indicates that a contemporary nationwide and state-by-state assessment of the prevalence of nonrecommended screening for prostate cancer and breast cancer is essential and timely.

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Figure.
Unadjusted Percentages of Nonrecommended Screening in Individuals 65 Years or Older

A, Unadjusted percentages of any nonrecommended screening. B, Unadjusted percentages of nonrecommended prostate cancer screening. C, Unadjusted percentages of nonrecommended breast cancer screening in individuals 65 years or older.5

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