Personalized cancer screening: helping primary care rise to the challenge.

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Ressource 1Download: 2018_Selby_Personalized_PublicHealthRev_4.pdf (498.52 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_3DAB1E1BFCAC
Type
Article: article from journal or magazin.
Publication sub-type
Editorial
Collection
Publications
Institution
Title
Personalized cancer screening: helping primary care rise to the challenge.
Journal
Public health reviews
Author(s)
Selby K., Bartlett-Esquilant G., Cornuz J.
ISSN
0301-0422 (Print)
ISSN-L
0301-0422
Publication state
Published
Issued date
2018
Peer-reviewed
Oui
Volume
39
Number
4
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
With their longitudinal patient relationships, primary care physicians and their care teams are uniquely situated to promote preventive medicine, including cancer screening. A confluence of forces is driving the demand for the personalization of cancer screening recommendations. Recommendations are increasingly based on individual patient preferences, medical history, genetic and environmental risk factors, and level of interaction with the healthcare system. Current examples include choices between colonoscopy, fecal testing, and emerging tests for colorectal cancer (CRC) screening; the use of genetic information and availability of home self-testing in cervical cancer screening; the integration of multiple risk factors and patient preferences to decide the intensity and length of breast cancer screening; and the issues of smoking cessation and competing priorities when deciding whether or not to pursue lung cancer screening. These changes will inevitably increase the burden on primary care of providing high-quality cancer screening to their patients. To address, primary care physicians need access to continuously updated evidence reviews including prioritization of strongly supported recommendations, training in shared decision-making and tools for preference diagnosis, and an electronic health record (EHR) and reimbursement model that allow for population health management and team-based care. Only by reinforcing cancer screening in primary care can we ensure that personalized cancer screening is accessible and evidence-based.
Keywords
Cancer screening, Personalized medicine, Population health, Primary care
Pubmed
Web of science
Open Access
Yes
Create date
03/03/2018 15:04
Last modification date
19/06/2020 6:21
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