Article Type
Changed
Tue, 12/13/2016 - 10:27
Display Headline
Benefits vs Risks of Cancer Screening
Michael J. Kelley, MD, discusses concepts and inherent biases associated with lung cancer screening trials and how VHA is applying trial data to clinical practice.

The VA is conducting a limited lung cancer screening pilot at 8 VA hospitals to better understand how to implement screening nationwide. Through this pilot, VA is attempting to identify the right physicians to offer screening during the course of routine care; determine the uptake of screening and what resources will be needed to meet the demand; establish appropriate screening and follow-up with accuracy, efficiency, and safety; and answer whether the overall outcomes of patients with early-stage cancer (especially those who are older with comorbid conditions) benefit from early detection.
 
Among many of the World Health Organization’s screening principles, Michael J. Kelley, MD, called attention to the organization’s concern that the natural history of the condition should be adequately understood. “I think the key word there is adequately,” said Dr. Kelley. “When you look at the development of disease from precursor lesions, do we really understand what is going to become a cancer that causes disease as opposed to that which is a cancer only to the pathologist?”

References

Author and Disclosure Information

Publications
Topics
Legacy Keywords
lung cancer screening, cancer screening benefits, cancer screening risks, cancer screening trials VA pilot, early detection, Michael J Kelley
Sections
Author and Disclosure Information

Author and Disclosure Information

Michael J. Kelley, MD, discusses concepts and inherent biases associated with lung cancer screening trials and how VHA is applying trial data to clinical practice.
Michael J. Kelley, MD, discusses concepts and inherent biases associated with lung cancer screening trials and how VHA is applying trial data to clinical practice.

The VA is conducting a limited lung cancer screening pilot at 8 VA hospitals to better understand how to implement screening nationwide. Through this pilot, VA is attempting to identify the right physicians to offer screening during the course of routine care; determine the uptake of screening and what resources will be needed to meet the demand; establish appropriate screening and follow-up with accuracy, efficiency, and safety; and answer whether the overall outcomes of patients with early-stage cancer (especially those who are older with comorbid conditions) benefit from early detection.
 
Among many of the World Health Organization’s screening principles, Michael J. Kelley, MD, called attention to the organization’s concern that the natural history of the condition should be adequately understood. “I think the key word there is adequately,” said Dr. Kelley. “When you look at the development of disease from precursor lesions, do we really understand what is going to become a cancer that causes disease as opposed to that which is a cancer only to the pathologist?”

The VA is conducting a limited lung cancer screening pilot at 8 VA hospitals to better understand how to implement screening nationwide. Through this pilot, VA is attempting to identify the right physicians to offer screening during the course of routine care; determine the uptake of screening and what resources will be needed to meet the demand; establish appropriate screening and follow-up with accuracy, efficiency, and safety; and answer whether the overall outcomes of patients with early-stage cancer (especially those who are older with comorbid conditions) benefit from early detection.
 
Among many of the World Health Organization’s screening principles, Michael J. Kelley, MD, called attention to the organization’s concern that the natural history of the condition should be adequately understood. “I think the key word there is adequately,” said Dr. Kelley. “When you look at the development of disease from precursor lesions, do we really understand what is going to become a cancer that causes disease as opposed to that which is a cancer only to the pathologist?”

References

References

Publications
Publications
Topics
Article Type
Display Headline
Benefits vs Risks of Cancer Screening
Display Headline
Benefits vs Risks of Cancer Screening
Legacy Keywords
lung cancer screening, cancer screening benefits, cancer screening risks, cancer screening trials VA pilot, early detection, Michael J Kelley
Legacy Keywords
lung cancer screening, cancer screening benefits, cancer screening risks, cancer screening trials VA pilot, early detection, Michael J Kelley
Sections
Article Source

PURLs Copyright

Inside the Article