Medical College of Wisconsin
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When to stop screening: a review of breast, gynecologic, and colorectal cancer screening in women over age 65. Care Manag J 2010;11(1):48-57



Pubmed ID




Scopus ID

2-s2.0-77949285589 (requires institutional sign-in at Scopus site)   6 Citations


Because age alone is not an indicator of health, there is no clear consensus among the various cancer screening guidelines on when to stop cancer screening. For breast, cervical, and colorectal cancer, there are recommended screening tests, while, for other gynecologic cancers, there are not. When discussing with older women patients when to stop cancer screening, we encourage practitioners to review the goals of the screening test, assess the health and functional status of the patient, and discuss her values and health goals. To facilitate this discussion, we review proposed frameworks for determining when to screen older patients for cancer. We also review the concepts of "well" and "frail" older adults. Finally, we review the current screening recommendations for breast, gynecological, and colorectal cancers, and the reasoning behind them, from the United States Preventative Screening Task Force, the American Cancer Society, the American College of Obstetricians and Gynecologists, and the American Geriatric Society.

Author List

Bernstein R, DeJoseph D, Buchanan EM


Rebecca Bernstein MD Associate Professor in the Family Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Age Factors
Breast Neoplasms
Colorectal Neoplasms
Genital Neoplasms, Female
Mass Screening
Physician-Patient Relations
Risk Factors
United States