A Value Framework for Cancer Screening: Advice for High-Value Care From the American College of Physicians
Ces deux articles présentent une méthode visant à définir, pour les 5 types de cancer les plus fréquents, des stratégies de dépistage optimales en termes de rapport bénéfices/risques pour les patients et de coûts pour la société
Experts, professional societies, and consumer groups often recommend different strategies for cancer screening. These strategies vary in the intensity of their search for asymptomatic lesions and in their value. This article outlines a framework for thinking about the value of varying intensities of cancer screening. The authors conclude that increasing intensity beyond an optimal level leads to low-value screening and speculate about pressures that encourage overly intensive, low-value screening.
Annals of Internal Medicine , article en libre accès, 2014