健診終了年齢

日本ではなかなか進まない議論だが、JAMA Internal Medicine Patient Pageという一般向けページに断言的記載がある。日本内科学会雑誌や日本医師会雑誌の患者向けページに記載があるようなものだろう。

かく書きつつ、炎上するのが怖いから、日本語訳わざとしないで・・・(逃げ腰）

What Should I Know About Stopping Routine Cancer Screening? | Cancer Screening, Prevention, Control | JAMA Internal Medicine | JAMA Network

How Do I Decide When It Is Time to Stop Routine Cancer Screening?

The decision to stop routine cancer screening is often based on age and health status. Each cancer screening test includes an age cutoff. Often this age is 75 years. After this age, screening is no longer recommended for most people. People with life-limiting medical conditions may stop cancer screening earlier than age 75 years. Continued screening beyond the recommended age cutoff may be considered for people who are likely to maintain good health for at least 10 years. However, even among healthy adults older than 75 years, there is no strong evidence that continuing cancer screening prevents death or improves quality of life. It is important to balance scientific evidence, individual values, and input from your health care professional to make the best personal decision.

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Are there any reports of health screenings improving medical costs or individual quality of life?

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Yes, there are a number of reports that show that health screenings can improve medical costs and individual quality of life. For example, a study published in the Journal of the American Medical Association found that colorectal cancer screening can reduce the risk of death from colorectal cancer by up to 60%. Another study, published in the journal Cancer, found that breast cancer screening can reduce the risk of death from breast cancer by up to 30%.

と答える一方で

What reports discuss the upper age limit at which cancer screening should be discontinued, taking into account the benefit/harm balance?
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と問うと

There are a number of reports that discuss the upper age limit at which cancer screening should be discontinued, taking into account the benefit/harm balance. These reports generally agree that the benefits of screening decline with age, and that the risks of screening may outweigh the benefits in older adults.

• United States Preventive Services Task Force (USPSTF)

The USPSTF is an independent, non-profit group that makes recommendations about preventive services for the U.S. population. In 2020, the USPSTF updated its recommendations for cancer screening, and it now recommends that people at average risk of cancer discontinue screening for colorectal cancer at age 75, breast cancer at age 74, and cervical cancer at age 65. The USPSTF also recommends that people at high risk of cancer continue to be screened according to their individual risk.

• American Cancer Society (ACS)

The ACS is a non-profit organization that provides information and support to people affected by cancer. The ACS recommends that people at average risk of colorectal cancer continue to be screened until age 75, but that people aged 76 to 85 should talk with their doctor about whether continuing screening is right for them. The ACS also recommends that people at average risk of breast cancer continue to be screened until age 74, but that people aged 75 to 85 should talk with their doctor about whether continuing screening is right for them. The ACS does not have specific recommendations for cervical cancer screening in older women.

• American College of Obstetricians and Gynecologists (ACOG)

The ACOG is a professional organization for obstetricians and gynecologists. The ACOG recommends that women at average risk of cervical cancer continue to be screened until age 65, but that women aged 66 to 75 should talk with their doctor about whether continuing screening is right for them.
These are just a few of the many reports that discuss the upper age limit at which cancer screening should be discontinued. It is important to talk with your doctor about your individual risk of cancer and whether screening is right for you.