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Screening someone unlikely to live ten years causes harm without benefit. A life-expectancy estimate in the medical record could stop invitations and prompt a conversation.
Screening someone unlikely to live ten years causes harm without benefit, while healthy older adults are excluded by birthday, so this idea embeds an ePrognosis-type life-expectancy tool in the medical record to gate screening invitations and prompt a conversation. Individualised cessation is guideline-endorsed but not implemented, and deprescribing frameworks show it can be done. The aim is less screening in people with under ten years of life expectancy and more in healthy older adults, with patient acceptance measured. The test is a cluster RCT in primary care with over-screening and under-screening as endpoints. At early-clinical maturity it addresses the bottlenecks Overdiagnosis and false alarms and Older and multimorbid patients are excluded and undertreated.
Shares Overdiagnosis in cancer, Geriatric assessment, Older and multimorbid patients are excluded and undertreated, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Older and multimorbid patients are excluded and undertreated, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.
Shares Overdiagnosis in cancer, Overdiagnosis and false alarms.