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[Overdiagnosis in cancer screening]
J Cervera Deval1, M Sentís Crivillé2, J J Zulueta3
1Servicio de Radiología, Fundación Instituto Valenciano de Oncología (IVO), Valencia, España.
Abstract:
In screening programs, overdiagnosis is defined as the detection of a disease that would have gone undetected without screening when that disease would not have resulted in morbimortality and was treated unnecessarily. Overdiagnosis is a bias inherent in screening and an undesired effect of secondary prevention and improved sensitivity of diagnostic techniques. It is difficult to discriminate a priori between clinically relevant diagnoses and those in which treatment is unnecessary. To minimize the effects of overdiagnosis, screening should be done in patients at risk.
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