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Consolidated principles for screening based on a systematic review and consensus process.

Mark J Dobrow1, Victoria Hagens2, Roger Chafe2

  • 1Institute of Health Policy, Management and Evaluation (Dobrow, Sullivan, Rabeneck), Dalla Lana School of Public Health, University of Toronto; Cancer Care Ontario (Hagens, Rabeneck), Toronto, Ont.; Memorial University of Newfoundland (Chafe), St. John's, NL; Department of Medicine (Rabeneck), University of Toronto, Toronto, Ont. mark.dobrow@utoronto.ca.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|April 11, 2018
PubMed
Summary
This summary is machine-generated.

The enduring Wilson and Jungner screening principles need modernization. A review and consensus process updated guidance for contemporary population-based screening decisions, emphasizing program and system factors.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Policy

Background:

  • Wilson and Jungner's 1968 principles are foundational for population-based screening decisions.
  • Contemporary screening practices have evolved beyond the original 10 principles.
  • There is a need to reassess and update screening principles for current relevance.

Purpose of the Study:

  • To review principles for population-based screening published since 1968.
  • To conduct a Delphi consensus process to update and modernize screening principles.
  • To assess the evolution and current applicability of screening decision criteria.

Main Methods:

  • Systematic review of articles on population-based screening principles (1968-present).
  • Citation analysis and iterative synthesis of identified principles.
  • Modified Delphi consensus process to evaluate and refine consolidated principles.

Main Results:

  • Identified 41 sets and 367 unique screening principles.
  • Consolidated principles into 12 categories, with a greater emphasis on program/system aspects.
  • Consensus process refined principles for relevance and interpretability; no gaps identified.

Conclusions:

  • Wilson and Jungner's principles remain influential but are incomplete for modern screening.
  • The updated 12 consolidated principles offer a modernized framework for screening decisions.
  • This work provides comprehensive guidance for contemporary population-based screening.