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Published on: January 11, 2020
[Cancer screening practices in elderly with dementia].
Guillaume Chapelet1, Gilles Berrut1, Emmanuelle Bourbouloux2
1Pôle hospitalo-universitaire de gérontologie clinique, Centre hospitalo-universitaire de Nantes, Nantes, France.
Cancer screening in elderly patients, particularly those with dementia, is underutilized by general practitioners (GPs). Lack of clear guidelines and concerns about treatment impact screening practices.
Area of Science:
- Geriatric Medicine
- Oncology
- Public Health
Background:
- Demographic shifts and current medical practices necessitate evaluating cancer screening for the elderly.
- Alzheimer's disease association with reduced cancer risk may be confounded by lower screening rates in affected patients.
Purpose of the Study:
- To survey general practitioners' (GPs) opinions and practices regarding cancer screening in the elderly.
- To identify factors influencing GPs' decisions on cancer screening for elderly individuals, including those with dementia.
Main Methods:
- A survey was distributed to 304 general practitioners between May and March 2014.
- Eighty-two GPs responded, yielding a response rate of 29.4%.
Main Results:
- 60% of responding GPs practiced cancer screening in the elderly.
- 64% believed screening did not lead to treatment, and 62% were unfavorable to screening patients with dementia.
- 77% perceived a lack of recommendations for elderly cancer screening.
Conclusions:
- Cancer screening is less frequently performed in elderly patients with dementia.
- Enhanced communication between GPs and specialists, alongside strengthened Cancer and Geriatrics networks, could improve elderly cancer screening rates.
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