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Critique (Kat):

The article provides great examples of two popular screening tests


that are used very frequently: the PSA test and the pre natal genetic
disorder-screening test. The examples support the myth busters view
on the topic, which is to consider the accuracy of the test and
emotional implications it may have on the patient, before it is used for
screening the public. However, some drawbacks of the data
presented is as follows:
The article does not mention any associated costs or overall
financial benefit to the healthcare system created by avoiding
mandatory testing of the population. For example, the initial
PSA test is not covered by OHIP (BC also does not cover the
cost). The patient is to pat the $30 charge, and then if the
screening test comes back positive, the cost is waived and
future tests are of no cost to them. This structure may also raise
questions regarding screening compliance in Ontario and
British Columbia. According to a study conducted in BC, the
incremental cost-effectiveness of regular screening ranged from
$36,300/Life Year Gained, for screening every four years from
ages 55 to 69 years, to $588,300/Life Year Gained, for
screening every two years from ages 40 to 74 years.
Majority of the articles referenced are focused on PSA tests and
do not mention any others. There are several instances when
early detection is very beneficial and the disease is curable
when detected at an early stage.
Sources of reference are not current. Most articles are dated
ten years or older and during this time reliability of the
technology used to test for prostate cancer and other diseases
has increased, therefore decreasing the high number of false
positive results.
Parkinsons/Alzheimer
Diabetes

http://www.thestar.com/news/canada/2012/05/21/prostate_cancer_scr
eening_test_costs_ontario_patients_30.html
http://prostatecancer.ca/In-The-News/Foundation-NewsReleases/Prostate-Cancer-Canada-advocates-for-Ontario-topa#.U8bckJRdXpU
30$
http://onlinelibrary.wiley.com.libaccess.lib.mcmaster.ca/doi/10.1002/ijc
.28732/abstract;jsessionid=A10321E9DFCB89BE148E4A61E13E5B
28.f01t04

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