POPH20001 Lecture Notes - Lecture 13: Blood Sugar, Breast Cancer Screening, Menopause
30 Jul 2018
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Document Summary
Chronic diseases: mostly incurable, long durations(often life-long, accumulates among older people. At what level of risk is it worth implementing population based. Target screening specifically to population at the high risks testing? predisposed groups more cost effective. More able to identify the women more likely to develop breast cancer. Potential pitfalls of prevention: prevention paradox" (geoffrey rose 1992): great benefit to community, little benefit to individual - eg, seat belts, bicycle helmets. Surgery and complications for no net benefit may be detriment. Challenges to the healthcare system limited resources : quality and safety increasing demand - ageing pop, chronic diseases, technology, higher expectations. How you should implement a test: analytic validity. At the diagnostic level does this test work does test pick up people who do/don"t have the condition, does it not pickup people with the condition. What the penetrance is: clinical validity. Does it correlate with any clinical outcome: clinical utility.
