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The Public's Enthusiasm for Cancer Screening
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To the Editor: Dr Schwartz and colleagues1 reported that respondents to their survey were very enthusiastic to receive cancer screening. The authors were concerned that this sentiment "creates an environment ripe for the premature diffusion of technologies" such as total-body computed tomography (CT) scanning. We disagree, however, that such "enthusiasm" necessarily leads to increased delivery of such services.
Although the authors concluded that high levels of "ever screened" respondents plus high levels of those who plan to be screened reflect a strong personal commitment to these services, clinical preventive services remain significantly underutilized.2 Physicians have not yet been able to deliver basic interventions of this kind, such as immunizations and cancer screening, on recommended schedules to a significant percentage of the at-risk population. For instance, fewer than 12% of US women aged 50 years or older are up to date with recommended preventive measures.3
We believe that the findings of . . . [Full Text of this Article]
Douglas Shenson, MD, MPH, MS
dshenson@earthlink.net
Michael Alderman, MD
Department of Epidemiology & Population Health Sciences
Albert Einstein College of Medicine
Bronx, NY
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