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Research Letter
August 2018

Preferred Clinician Communication About Stopping Cancer Screening Among Older US Adults: Results From a National Survey

Author Affiliations
  • 1Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 2Department of Health Policy and Management, The Johns Hopkins University School of Public Health, Baltimore, Maryland
  • 3Currently with ICON Plc, Gaithersburg, Maryland
  • 4Currently with Department of Biomedical Informatics, The Ohio State University, Columbus
  • 5Department of Oncology, The Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Oncol. 2018;4(8):1126-1128. doi:10.1001/jamaoncol.2018.2100

Clinical practice guidelines recommend against routine cancer screening in older adults in whom the potential harms of screening outweigh the benefits, which are often defined by specific age or life expectancy thresholds.1,2 However, many older adults who meet these thresholds for stopping routine screening continue to undergo screening for breast, prostate, and colorectal cancers.3 One contributor to this discrepancy may be that clinicians are uncomfortable discussing cancer screening cessation. This project aimed to identify older adults’ preferred communication strategies for clinicians to use when discussing stopping cancer screening.