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Cancer screening services for the elderly.

C S Weisman1, D D Celentano, M A Teitelbaum

  • 1Department of Health Policy and Management, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205.

Public Health Reports (Washington, D.C. : 1974)
|May 1, 1989
PubMed
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Primary care physicians often provided cancer screenings like mammograms to elderly patients but less frequently offered sigmoidoscopy. Adherence to American Cancer Society (ACS) screening schedules varied, influenced by physician specialty and age.

Area of Science:

  • Geriatric Medicine
  • Oncology
  • Preventive Healthcare

Background:

  • Cancer screening is crucial for early detection in elderly populations.
  • Understanding physician practices is key to improving screening rates.

Purpose of the Study:

  • To assess primary care physicians' cancer screening practices for patients aged 65+.
  • To compare reported practices with American Cancer Society (ACS) recommendations.

Main Methods:

  • A 1987 survey of 400 Maryland physicians across four specialties.
  • Data collection on screening tests provided and recommended intervals for asymptomatic elderly patients.

Main Results:

  • Over 90% provided digital rectal exams, breast exams, and mammography.

Related Experiment Videos

  • Lower rates reported for sigmoidoscopy (54-68%) and stool guaiac tests (70%).
  • Physicians often recommended Papanicolaou tests more frequently than ACS guidelines, but less frequent sigmoidoscopy and mammography.

    • Conclusions:

    • Physician specialty and age significantly predict adherence to ACS cancer screening guidelines for the elderly.
    • Discrepancies exist between reported practices and ACS recommendations, particularly for sigmoidoscopy.