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Old 12-17-2022, 11:46 AM
 
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I saw this today - the question comes up... if only 14% of cancers are found by screening... then maybe we should stop doing them.

https://www.kcra.com/article/only-14...-says/42248973
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Old 12-17-2022, 11:49 AM
 
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So you are totally discounting the 14% that are found?


If you found $14 on the street, would you stop and pick it up or decide it was not worth it and keep walking?
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Old 12-17-2022, 12:12 PM
 
Location: San Diego, California
1,148 posts, read 864,214 times
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As stated in the article most cancers have no screening tests and are only diagnosed via presenting symptoms. Your suggestion that we stop screening for those we do have screening methods for makes no sense and logic is faulty.

We need screening tools for all cancers and we need better screening tools for those we already have. In addition the question that needs to be addressed overall is outcome. Does it make any difference to be able to detect a cancer early on when our treatment options are limited to begin with? It's an unproven assumption that early detection leads to better outcomes. Better treatments by defintion leads to better outcomes.
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Old 12-17-2022, 02:45 PM
 
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Quote:
Originally Posted by ditchoc View Post
So you are totally discounting the 14% that are found?


If you found $14 on the street, would you stop and pick it up or decide it was not worth it and keep walking?
There are a lot of risks with those screenings... has anyone done the benefit vrs. risk analysis?
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Old 12-17-2022, 03:02 PM
 
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Many cancers screening is not harmful or low risk


Stomach cancer == gastro (also helps diagnose gastritus and reflux)
Throat = visit ear nose throat doc and do screening with tube
Melanoma visit dermatologist for screening of skin for lesions

lung and general area + low dose CAT scan
Abdominal area organs bladder, kidneys, liver gallbladder, aorta pancreas = low dose CAT scan


Brain cancer probably a scan of the brain. Leukemia maybe is hard to test for?



colon = a colonoscopy which maybe is not fun but not that dangerous. Anyway I do these visits and tests regularly (except the scans every two years)



For the heart do a stress test with ultrasound every year or so if you have heart problems in the family. Less often if not.


This covers the majority of the most deadly cancers. Just my 2 cents worth.
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Old 12-17-2022, 03:06 PM
 
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I can with 100% confidence say that if people weren't working so many hours all of the time ... that number caught would double or triple.

The other reason is that x-rays and CT emit radiation, so you want to use them judiciously. Or you're risking cancer to screen for cancer.
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Old 12-17-2022, 03:36 PM
 
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Yes you are right about CT radiation. Low dose scans can be done usually.

And also about people busy. Its a drag in the USA to get appointments for many of these or the doctors. I have had medicare for two years and its hit or miss trying to get in. Luckily where I live Costa Rica its easy to get into to see good docs and tests are easy and reasonably priced.


The lockdowns and scare tactics that kept people out of screening and appointments during covid killed a lot of people with delayed diagnosis. Hopefully screening will get caught up now.
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Old 12-17-2022, 03:45 PM
 
Location: on the wind
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Quote:
Originally Posted by Arya Stark View Post
There are a lot of risks with those screenings... has anyone done the benefit vrs. risk analysis?
A LOT of risks? Care to elaborate? "Cancer" is a broad term with many important distinctions. As for benefit/risk analyses being done for various routine screenings, do the research. Low dose radiation exposure from mammograms or lung cancer screening, fine needle and local biopsies, etc. Then there are screens that have almost no risk at all including blood tests for cervical cancer, physical exams, ultrasounds, etc. The analyses are out there, but the discussion will end up right back where it started. You probably don't trust the entities doing the analyses or the sources compiling the statistics. Can't help with that.

Last edited by Parnassia; 12-17-2022 at 04:19 PM..
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Old 12-17-2022, 03:56 PM
 
Location: on the wind
23,310 posts, read 18,865,187 times
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Quote:
Originally Posted by Medical Lab Guy View Post
As stated in the article most cancers have no screening tests and are only diagnosed via presenting symptoms. Your suggestion that we stop screening for those we do have screening methods for makes no sense and logic is faulty.
Not to mention that for specific cancers the percentage successfully detected by screening is often much higher than 14%. Some of those higher percentages for common cancers were included right in the referenced article. If this magic 14% was the result of some sort of statistical averaging across the entire "cancer" realm (and includes data about cancers for which no screening exists) it probably isn't very meaningful. There are entire books written about how to manipulate statistics for effect. Would humanity benefit from more and better screening options? No question.

Last edited by Parnassia; 12-17-2022 at 04:29 PM..
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Old 12-17-2022, 04:57 PM
 
37,315 posts, read 59,888,047 times
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Quote:
Originally Posted by Arya Stark View Post
I saw this today - the question comes up... if only 14% of cancers are found by screening... then maybe we should stop doing them.

https://www.kcra.com/article/only-14...-says/42248973
My son died from Cholangiocarcinoma—
He was diagnosed Stage 4 in November just before Thanksgiving and died April 5 the next year—a little over 4 months from diagnosis
There is NO screening protocol for Cholangiocarcinoma
Most of the cases are found too late for early intervention and there is very little that can be done
There are other cancers that fall into that same category—no screening test

My best friend has her only niece who was diagnosed after Thanksgiving this year with stage 4 cancer of the throat—a rare type—there is no screening for this cancer
She always took care of her health—was a neonatal nurse—ran 4-5 miles a day—
Thought she has burned her esophagus eating really hot food—but not reason it was sore

Have friend of our daughter who started having pain in her side—went to dr
Found out it was stage 4 kidney cancer—they are trying an immune therapy to reduce the tumors first and then hope to try surgery—

I think the single greatest contribution from modern medicine would be a blood test that would screen for cancer—all cancer/any cancer—but there is not
AND insurance companies will not cover a full body MRI as a screening tool for cancers
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