Med Decis Making - Serious health events and discontinuation of routine cancer screening.

Tópicos

{ age(1611) year(1155) adult(843) }
{ cancer(2502) breast(956) screen(824) }
{ risk(3053) factor(974) diseas(938) }
{ estim(2440) model(1874) function(577) }
{ time(1939) patient(1703) rate(768) }
{ clinic(1479) use(1117) guidelin(835) }
{ health(3367) inform(1360) care(1135) }
{ chang(1828) time(1643) increas(1301) }
{ data(2317) use(1299) case(1017) }
{ patient(1821) servic(1111) care(1106) }
{ health(1844) social(1437) communiti(874) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ algorithm(1844) comput(1787) effici(935) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ search(2224) databas(1162) retriev(909) }
{ data(3963) clinic(1234) research(1004) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ studi(1119) effect(1106) posit(819) }
{ ehr(2073) health(1662) electron(1139) }
{ cost(1906) reduc(1198) effect(832) }
{ data(3008) multipl(1320) sourc(1022) }
{ analysi(2126) use(1163) compon(1037) }
{ high(1669) rate(1365) level(1280) }
{ drug(1928) target(777) effect(648) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

LABELLED: Recently revised US Preventive Services Task Force screening guidelines for colorectal, breast, and prostate cancer contain separate recommendations for persons younger than 75 years and those 75 years or older. Developing an understanding of whether and how patients discontinue screening is important for evaluating the potential benefits and drawbacks of age-delimited screening recommendations as a tool for reducing overdiagnosis rates. Using Surveillance, Epidemiology, and EndRESULTS: -Medicare data from 1998 to 2007, the authors identified a sample of 32,189 female and 27,669 male fee-for-service Medicare beneficiaries who received 2 consecutive breast or prostate screens, 1 year apart. They then estimated the impact of serious health events, such as heart attacks and strokes, on continuation of screening. Rescreening rates among beneficiaries who did not experience a serious health event were 78% for women and 82% for men. Rescreening rates among beneficiaries who experienced a serious health event were 55% for women and 57% for men. The rate ratios associated with a time-varying indicator for the 2-year period following a serious health event were 0.79 (95% confidence interval: 0.76 to 0.81); P < 0.001) for women and 0.87 (95% confidence interval: 0.85 to 0.89; P < 0.001) for men. Approximately one-third of patients and physicians discontinue or temporarily suspend screening for breast and prostate cancer following serious health events. Findings suggest that not all patients persist with screening until they die.

Resumo Limpo

label recent revis us prevent servic task forc screen guidelin colorect breast prostat cancer contain separ recommend person younger year year older develop understand whether patient discontinu screen import evalu potenti benefit drawback agedelimit screen recommend tool reduc overdiagnosi rate use surveil epidemiolog endresult medicar data author identifi sampl femal male feeforservic medicar beneficiari receiv consecut breast prostat screen year apart estim impact serious health event heart attack stroke continu screen rescreen rate among beneficiari experi serious health event women men rescreen rate among beneficiari experienc serious health event women men rate ratio associ timevari indic year period follow serious health event confid interv p women confid interv p men approxim onethird patient physician discontinu temporarili suspend screen breast prostat cancer follow serious health event find suggest patient persist screen die

Resumos Similares

Int J Health Geogr - A case-referent study: light at night and breast cancer risk in Georgia. ( 0,819322814996244 )
Int J Health Geogr - Spatial association of racial/ethnic disparities between late-stage diagnosis and mortality for female breast cancer: where to intervene? ( 0,790147177997034 )
Spat Spatiotemporal Epidemiol - Efficient mapping and geographic disparities in breast cancer mortality at the county-level by race and age in the U.S. ( 0,787537785304573 )
IEEE J Biomed Health Inform - A MDP model for breast and ovarian cancer intervention strategies for BRCA1/2 mutation carriers. ( 0,759074211677629 )
Comput Methods Programs Biomed - Critical laboratory result reporting system in cancer patients. ( 0,739346921685177 )
J Am Med Inform Assoc - An interactive Bayesian model for prediction of lymph node ratio and survival in pancreatic cancer patients. ( 0,733839754726661 )
Int J Health Geogr - Correlations between meteorological parameters and prostate cancer. ( 0,723746429313889 )
Wiley Interdiscip Rev Syst Biol Med - Gut stem cells in tissue renewal and disease: methods, markers, and myths. ( 0,717602326069606 )
Int J Health Geogr - Correlation of the ratio of metastatic to non-metastatic cancer cases with the degree of socioeconomic deprivation among Texas counties. ( 0,712867216593113 )
Int J Health Geogr - Gravity models to classify commuting vs. resident workers. An application to the analysis of residential risk in a contaminated area. ( 0,692688438837408 )
Med Decis Making - Estimating the unknown parameters of the natural history of metachronous colorectal cancer using discrete-event simulation. ( 0,682231780995933 )
Comput Math Methods Med - Risk factors for mortality among 2009 A/H1N1 influenza hospitalizations in Maricopa County, Arizona, April 2009 to March 2010. ( 0,677970483623144 )
Int J Health Geogr - Association of duration of residence in the southeastern United States with chronic kidney disease may differ by race: the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study. ( 0,65856153366381 )
J Am Med Inform Assoc - Validating drug repurposing signals using electronic health records: a case study of metformin associated with reduced cancer mortality. ( 0,658405008021173 )
Med Decis Making - Use of a catalytic model to estimate hepatitis A incidence in a low-endemicity country: implications for modeling immunization policies. ( 0,655395431725637 )
Med Decis Making - Decision Regret following Treatment for Localized Breast Cancer: Is Regret Stable Over Time? ( 0,653843024349619 )
Int J Health Geogr - Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities. ( 0,651800557465931 )
Spat Spatiotemporal Epidemiol - Space-time confounding adjusted determinants of child HIV/TB mortality for large zero-inflated data in rural South Africa. ( 0,651445368362663 )
J Med Syst - Breast alert: an on-line tool for predicting the lifetime risk of women breast cancer. ( 0,651417604799833 )
BMC Med Inform Decis Mak - Community-level determinants of obesity: harnessing the power of electronic health records for retrospective data analysis. ( 0,648422485232662 )
Int J Health Geogr - Mercury in fish and adverse reproductive outcomes: results from South Carolina. ( 0,645058565419051 )
Int J Health Geogr - Geographic variations in access and utilization of cancer screening services: examining disparities among American Indian and Alaska Native Elders. ( 0,642784524647 )
Med Decis Making - The utility of childhood and adolescent obesity assessment in relation to adult health. ( 0,638704978327596 )
Comput. Biol. Med. - Neural network analysis of employment history as a risk factor for prostate cancer. ( 0,638513805019152 )
Med Decis Making - A systematic comparison of microsimulation models of colorectal cancer: the role of assumptions about adenoma progression. ( 0,636943374809435 )
Comput Math Methods Med - Computer implementation of a new therapeutic model for GBM tumor. ( 0,628773670020765 )
Med Decis Making - Optimization of PSA screening policies: a comparison of the patient and societal perspectives. ( 0,620914162719254 )
BMC Med Inform Decis Mak - Can multiple SNP testing in BRCA2 and BRCA1 female carriers be used to improve risk prediction models in conjunction with clinical assessment? ( 0,620580474283318 )
Comput Math Methods Med - Screening for cervical cancer using automated analysis of PAP-smears. ( 0,616988250932262 )
Int J Health Geogr - Lung cancer risk and pollution in an industrial region of Northern Spain: a hospital-based case-control study. ( 0,616913708934924 )
Med Decis Making - Comparison of surveillance strategies for low-risk bladder cancer patients. ( 0,614296971318173 )
Int J Med Robot - Robotic-assisted laparoscopic radical cystectomy in the octogenarian. ( 0,612056901286729 )
J. Med. Internet Res. - Who participates in Web-assisted tobacco interventions? The QUIT-PRIMO and National Dental Practice-Based Research Network Hi-Quit studies. ( 0,611929633466805 )
BMC Med Inform Decis Mak - A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial. ( 0,611898794896006 )
Lifetime Data Anal - Misclassification of current status data. ( 0,609517782316012 )
Comput Math Methods Med - An estrogen model: the relationship between body mass index, menopausal status, estrogen replacement therapy, and breast cancer risk. ( 0,607430716104628 )
J Am Med Inform Assoc - Depression screening via a smartphone app: cross-country user characteristics and feasibility. ( 0,607012477510595 )
Med Decis Making - The Understanding of Terminal Cancer and Its Relationship with Attitudes toward End-of-Life Care Issues. ( 0,605990570590114 )
Int J Health Geogr - Estrogen receptor positive breast cancers and their association with environmental factors. ( 0,603438671273295 )
J. Med. Internet Res. - Internet based computer tailored feedback on sunscreen use. ( 0,601874677808001 )
BMC Med Inform Decis Mak - Influence of patient characteristics on perceived risks and willingness to take a proposed anti-rheumatic drug. ( 0,598610582359546 )
J. Med. Internet Res. - Computer skills and internet use in adults aged 50-74 years: influence of hearing difficulties. ( 0,593058054323601 )
Med Decis Making - A demonstration of ''less can be more'' in risk graphics. ( 0,592099756307711 )
Int J Health Geogr - A multilevel non-hierarchical study of birth weight and socioeconomic status. ( 0,590873475843073 )
J Am Med Inform Assoc - Longitudinal analysis of pain in patients with metastatic prostate cancer using natural language processing of medical record text. ( 0,588510675652237 )
J Am Med Inform Assoc - Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access. ( 0,588126729350524 )
Comput Methods Programs Biomed - Automated estimation of disease recurrence in head and neck cancer using routine healthcare data. ( 0,586163051673914 )
Med Decis Making - Health-Related Quality of Life in HIV-Infected and At-Risk Women: The Impact of Illicit Drug Use and Hepatitis C on a Community Preference Weighted Measure. ( 0,585387224945104 )
Int J Health Geogr - Spatial variability of climate effects on ischemic heart disease hospitalization rates for the period 1989-2006 in Quebec, Canada. ( 0,579897084624812 )
Int J Health Geogr - Neighborhood level risk factors for type 1 diabetes in youth: the SEARCH case-control study. ( 0,578682042793437 )
Med Decis Making - Subjective numeracy and preference to stay with the status quo. ( 0,578451996504329 )
Med Decis Making - Patients' preferences and priorities regarding colorectal cancer screening. ( 0,575302618856031 )
BMC Med Inform Decis Mak - Medication effectiveness may not be the major reason for accepting cardiovascular preventive medication: a population-based survey. ( 0,575069082862934 )
Med Decis Making - Rating the preferences for potential harms of treatments for cardiovascular disease: a survey of community-dwelling adults. ( 0,574844812325803 )
Res Synth Methods - Combining the evidence using stable weights. ( 0,57189431435897 )
J. Med. Internet Res. - Young men's views toward the barriers and facilitators of Internet-based Chlamydia trachomatis screening: qualitative study. ( 0,570623141633722 )
Comput. Biol. Med. - A preliminary study on the differences in male and female muscle force distribution patterns during squatting and lunging maneuvers. ( 0,570135447676149 )
Med Decis Making - Blocks, ovals, or people? Icon type affects risk perceptions and recall of pictographs. ( 0,567967393820678 )
J. Med. Internet Res. - Recruitment via the Internet and social networking sites: the 1989-1995 cohort of the Australian Longitudinal Study on Women's Health. ( 0,566578989973143 )
BMC Med Inform Decis Mak - The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication: a multicenter controlled trial. ( 0,566120348769509 )
Int J Med Robot - Robotic surgery for staging of serous papillary and clear cell carcinoma of the endometrium. ( 0,565526613965883 )
Int J Health Geogr - Spatial epidemiology of dry eye disease: findings from South Korea. ( 0,564379306680014 )
BMC Med Inform Decis Mak - Accuracy validation of adjuvant! online in Taiwanese breast cancer patients--a 10-year analysis. ( 0,56394798900559 )
Comput Math Methods Med - Assessing the effects of estrogen on the dynamics of breast cancer. ( 0,563608965611238 )
Med Decis Making - Influence of graphic format on comprehension of risk information among American Indians. ( 0,56234344467634 )
J. Med. Internet Res. - Changes over time in the utilization of disease-related Internet information in newly diagnosed breast cancer patients 2007 to 2013. ( 0,562239834140277 )
Comput Methods Programs Biomed - Ultrasound based application for intraglandular mapping of breast cancer. ( 0,561837164171451 )
J Med Syst - Thermography based breast cancer detection using texture features and Support Vector Machine. ( 0,559937623529888 )
J Telemed Telecare - Spanish-speaking patients' engagement in interactive voice response (IVR) support calls for chronic disease self-management: data from three countries. ( 0,558143128931501 )
Med Biol Eng Comput - Quantitative differences in intervertebral disc-matrix composition with age-related degeneration. ( 0,5559773571745 )
J. Med. Internet Res. - The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/Internet use. ( 0,555816300184687 )
Comput Math Methods Med - Use of CHAID decision trees to formulate pathways for the early detection of metabolic syndrome in young adults. ( 0,554576773841767 )
Spat Spatiotemporal Epidemiol - Imputational modeling of spatial context and social environmental predictors of walking in an underserved community: the PATH trial. ( 0,550992884628413 )
Spat Spatiotemporal Epidemiol - Maternal anemia associated with walkable distance to healthy food sources in Bronx, New York. ( 0,550979720438711 )
J. Med. Internet Res. - Association of eHealth literacy with colorectal cancer knowledge and screening practice among internet users in Japan. ( 0,550820183085752 )
J Am Med Inform Assoc - Clinician characteristics and use of novel electronic health record functionality in primary care. ( 0,550196118418121 )
Healthc (Amst) - A potential new data source for assessing the impacts of health reform: Evaluating the Gallup-Healthways Well-Being Index. ( 0,549590499010385 )
BMC Med Inform Decis Mak - Factors influencing the surgery intentions and choices of women with early breast cancer: the predictive utility of an extended theory of planned behaviour. ( 0,549477003259086 )
Comput Math Methods Med - Mucus distribution model in a lung with cystic fibrosis. ( 0,54876125012072 )
J Clin Monit Comput - Influence of age and gender on autonomic regulation of heart. ( 0,548115224608374 )
Telemed J E Health - Men calling healthline. ( 0,547457191565543 )
J Telemed Telecare - Teleconsulting for minor head injury: the Piedmont experience. ( 0,545531383584317 )
J. Med. Internet Res. - Online health-searching behavior among HIV-seropositive and HIV-seronegative men who have sex with men in the Baltimore and Washington, DC area. ( 0,543168756356837 )
Telemed J E Health - A U.K. case study of who uses NHS direct: investigating the impact of age, gender, and deprivation on the utilization of NHS direct. ( 0,543018227659654 )
J. Med. Internet Res. - Web-based self-assessment health tools: who are the users and what is the impact of missing input information? ( 0,542612470611743 )
Med Decis Making - The Impact of Uncertainty in Barrett's Esophagus Progression Rates on Hypothetical Screening and Treatment Decisions. ( 0,542282141643068 )
Int J Comput Assist Radiol Surg - Value of CT, FDG PET-CT and serum tumor markers in staging recurrent colorectal cancer. ( 0,541676875449351 )
Lifetime Data Anal - Group sequential tests for long-term survival comparisons. ( 0,540907979017214 )
Int J Health Geogr - Spatial autocorrelation in uptake of antenatal care and relationship to individual, household and village-level factors: results from a community-based survey of pregnant women in six districts in western Kenya. ( 0,5408812603431 )
Spat Spatiotemporal Epidemiol - The association between the density of retail tobacco outlets, individual smoking status, neighbourhood socioeconomic status and school locations in New South Wales, Australia. ( 0,540170993806197 )
Int J Med Robot - Nerve sparing technique in robotic-assisted radical hysterectomy: results. ( 0,539632405015716 )
Med Decis Making - Prevalence of antibodies associated with herd immunity: a new indicator to evaluate the establishment of herd immunity and to decide immunization strategies. ( 0,539285491430352 )
J. Med. Internet Res. - Relationship between health service use and health information technology use among older adults: analysis of the US National Health Interview Survey. ( 0,538447340946593 )
J Telemed Telecare - Improving the access of young urban children to speech, language and hearing screening via telehealth. ( 0,538414637833282 )
J Med Syst - A telematic tool to predict the risk of colorectal cancer in white men and women: ColoRectal Cancer Alert (CRCA). ( 0,538361492844995 )
Comput Methods Programs Biomed - Spectral and complexity analysis of scalp EEG characteristics for mild cognitive impairment and early Alzheimer's disease. ( 0,537764629630201 )
Comput. Biol. Med. - Detection improvement for neonatal click evoked otoacoustic emissions by time-frequency filtering. ( 0,536880617014217 )
AMIA Annu Symp Proc - Facilitating Clinical Research through the Health Information Exchange: Lipid Control as an Example. ( 0,536783378959396 )
Med Decis Making - Deceiving numbers: survival rates and their impact on doctors' risk communication. ( 0,536692809653637 )
Telemed J E Health - Is telemedicine an answer to reducing 30-day readmission rates post-acute myocardial infarction? ( 0,536591608857872 )