Agreed: I used the word "screening" and I shouldn't have.
Thanks for pointing this out.
Jonathan
On 20 Jul 2011, at 10:50, Anne Dawnay wrote:
> I really don't think we should be referring to this as 'screening' - it
> isn't. GPs are assessing symptoms all the time and requesting tests that
> may be of value in the differential diagnosis - I suppose one could say
> they are 'screening' for disease all the time but I don't think that is
> a helpful term to use. It is not at all like the colon cancer screening
> programme.
>
> The labs in the North Central London sector are pooling data on GP CA125
> total requesting numbers and those with results of 35 or more. We're
> looking at the pattern from March 1st - looks like we may have had a
> peak in the few weeks post guideline (expect lots of women read the
> papers and trotted off to their GP) that has now settled - should become
> clearer by the end of the month. This is being fed back to gynae onc
> ultrasound services that should be seeing the same pattern slightly
> later. I believe they are planning some educational sessions in
> September.
>
> At UCLH the LIMS automatically appends the following to any primary care
> CA125 result - aims to be brief but informative:
>
> www.nice.org.uk/CG122 If symptoms suggest ovarian
> cancer and CA125 is 35 kIU/L or more, refer for
> ultrasound (NICE 2011). Disease not excluded if
> <35 kIU/L, assess clinically.
>
>
> best wishes
> Anne
> Dr Anne Dawnay PhD FRCPath
> Consultant Biochemist, UCLH
> 08451555000 ext 2954
>
>
> Date: Tue, 19 Jul 2011 10:09:59 +0100
> From: Jonathan Kay <[log in to unmask]>
> Subject: CA125 and screening for ovarian cancer
>
> Thanks, Mike.
>
> But the case for the new approach to screening for ovarian cancer is
> well documented in the NICE supporting evidence. For these difficult
> calls isn't it now necessary to do this on a basis of decision analysis
> and economic analysis?
>
> I think that it's going to work well in practice. The bit I'm worried
> about is local variation in process and information management. To the
> best of my knowledge it won't have a programme management structure
> similar to that which is working well for screening for colorectal
> cancer.
>
> Is anyone running local educational sessions on how to do this well?
>
> Jonathan
>
>
>
>
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