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. 2019 Aug;65(8):543–548.

Table 2.

Estimates of life expectancy and mortality reduction from cancer screening at ages 75, 80, and 85 y: A) Breast, B) cervical, and C) colorectal cancer.

A)
TASK FORCE RECOMMENDATIONS8 AGE, Y ESTIMATES TO FACILITATE SHARED DECISION MAKING*

PERCENTILE LIFE EXPECTANCY, Y RESIDUAL LIFETIME RISK OF DYING OF BREAST CANCER, DEATHS PER 1000 MORTALITY REDUCTION FOR BREAST CANCER BY SCREENING, DEATHS PER 1000
Breast cancer (for 1000 women) 75 25th 6.8 9 < 1
50th 11.9 18 3
Median life expectancy in Canada 13.2 y
No recommendation for women aged ≥ 75 y 75th 17 28 5

80 25th 4.6 7 NA
50th 8.6 15 2
Median life expectancy in Canada 10.1 y
75th 13 24 4

85 25th 2.9 6 NA
50th 5.9 12 < 1
Median life expectancy in Canada 7.4 y
75th 9.6 19 2
B)
TASK FORCE RECOMMENDATIONS8 AGE, Y ESTIMATES TO FACILITATE SHARED DECISION MAKING*

PERCENTILE LIFE EXPECTANCY, Y RESIDUAL LIFETIME RISK OF DYING OF CERVICAL CANCER, DEATHS PER 10 000 MORTALITY REDUCTION FOR CERVICAL CANCER SCREENING, DEATHS PER 10 000
Cervical cancer (for 10 000 women) 75 25th 6.8 7 1
50th 11.9 12 4
Median life expectancy in Canada 13.2 y
For women aged ≥ 70 y who have been adequately screened we recommend that routine screening cease (weak recommendation; low-quality evidence) 75th 17 19 8

80 25th 4.6 5 NA
50th 8.6 10 3
Median life expectancy in Canada 10.1 y
75th 13 15 6

85 25th 2.9 4 NA
50th 5.9 7 < 1
Median life expectancy in Canada 7.4 y
75th 9.6 12 3
C)
TASK FORCE RECOMMENDATIONS8 AGE, Y ESTIMATES TO FACILITATE SHARED DECISION MAKING*

PERCENTILE LIFE EXPECTANCY, Y RESIDUAL LIFETIME RISK OF DYING OF COLORECTAL CANCER, DEATHS PER 1000 MORTALITY REDUCTION FOR COLORECTAL CANCER SCREENING WITH GUAIAC FOBT, DEATHS PER 1000
Colorectal cancer (for 1000 women or men) 75 (women) 25th 6.8 9 < 1
50th 11.9 19 2
Median life expectancy in Canada 13.2 y
We recommend not screening adults aged ≥ 75 y (weak recommendation; low-quality evidence) 75th 17 33 5

75 (men) 25th 4.9 8 NA
50th 9.3 19 2
Median life expectancy in Canada 10.2 y
75th 14.2 35 5

80 (women) 25th 4.6 8 NA
50th 8.6 18 2
Median life expectancy in Canada 10.1 y
75th 13 30 4

80 (men) 25th 3.3 8 NA
50th 6.7 18 1
Median life expectancy in Canada 7.7 y
75th 10.8 32 3

85 (women) 25th 2.9 8 NA
50th 5.9 16 < 1
Median life expectancy in Canada 7.4 y
75th 9.6 25 2

85 (men) 25th 2.2 8 NA
50th 4.7 16 NA
Median life expectancy in Canada 5.4 y
75th 7.9 27 2

FOBT—fecal occult blood test, NA—not applicable.

*

Adapted from Statistics Canada9 and Walter and Covinsky.7

No mortality reduction is expected.