Dr. K talks with Louise Walter, MD, an expert on cancer screening and life-expectancy in older adults. They discuss why cancer screening can cause more harm than good, how to figure out an older person's life-expectancy, and why the PSA test is no longer routinely recommended for prostate cancer screening.

.searchie-container { position: relative; padding-bottom: 56.25%; height: 0; overflow: hidden; max-width: 100%; } .searchie-container iframe, .searchie-container object, .searchie-container embed { position: absolute; top: 0; left: 0; width: 100%; height: 100%; }

In This Episode:

Dr. K talks with Louise Walter, MD, an expert on cancer screening in older adults and the Chief of the Division of Geriatrics at the University of California San Francisco. They discuss:

Why it’s important to consider life-expectancy, before pursuing cancer screening

How doctors and others can better estimate life-expectancy

Why cancer screening can be harmful to some older adults

Why it’s important for older people to ask “How soon will this help me?”

Why screening for prostate cancer with the “PSA” test is often problematic

Dr. Walter’s top tips on making sure you get cancer screening services that are right for you

Related Resources:

Life expectancies of women and men by quartiles of health, from Dr. Walter’s 2001 article on cancer screening in older adults:

A selected list of Dr. Walter’s publications:

Cancer Screening in Elderly Patients: A Framework for Individualized Decision-Making

Screening Mammography in Older Women: A Review

80 is the new 60: Implications of Irrational Exuberance Regarding Longevity on Prostate Cancer Treatment Decisions

ePrognosis.org

Life-expectancy calculators

Breast and/or colon cancer screening tool

With 12 Questions, Quiz Gauges 4-Year Death Risk in Older Adults

NYTimes.com: Interactive tools to assess the likelihood of death

Prostate cancer screening decision aids (videos & PDF guide from the American Cancer Society)

US Preventive Services Task Force: Prostate Cancer Screening

Never Miss an Episode! Sign up here to be notified of our latest podcast episodes by email. Click here now.