Defining, Estimating, and Communicating Overdiagnosis in Cancer Screening
Authors: Louise Davies, Diana B. Petitti, Meghan Woo, Jennifer S. Lin
Journal: Annals of Internal Medicine (2018)

Letters20 November 2018Defining, Estimating, and Communicating Overdiagnosis in Cancer ScreeningLouise Davies, MD, MS, Diana B. Petitti, MD, MPH, Meghan Woo, ScD, ScM, and Jennifer S. Lin, MD, MCRLouise Davies, MD, MSThe Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire (L.D.)Search for more papers by this author, Diana B. Petitti, MD, MPHUniversity of Arizona College of Medicine, Phoenix, Arizona (D.B.P.)Search for more papers by this author, Meghan Woo, ScD, ScMAbt Associates, Cambridge, Massachusetts (M.W.)Search for more papers by this author, and Jennifer S. Lin, MD, MCRKaiser Permanente Research Affiliates Evidence-based Practice Center, Portland, Oregon (J.S.L.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0514 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Drs. Rogers and Mintzker for noting that they were the first to propose the terms maldetection and misclassification as categories of overdiagnosis. We regret that in our writing process their place as the originators of the usage was lost.They were surprised that we categorized maldetection and misclassification as mechanisms that can lead to overdiagnosis rather than types of overdiagnosis. We stand by this decision and believe that the difference is subtle but important. Our article is about definitional issues related to overdiagnosis specific to cancer screening; therefore, we believed that choosing a narrow focus was ... Author, Article, and Disclosure InformationAffiliations: The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire (L.D.)University of Arizona College of Medicine, Phoenix, Arizona (D.B.P.)Abt Associates, Cambridge, Massachusetts (M.W.)Kaiser Permanente Research Affiliates Evidence-based Practice Center, Portland, Oregon (J.S.L.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-0694. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDefining, Estimating, and Communicating Overdiagnosis in Cancer Screening Louise Davies , Diana B. Petitti , Lynn Martin , Meghan Woo , and Jennifer S. Lin Defining, Estimating, and Communicating Overdiagnosis in Cancer Screening Wendy A. Rogers and Yishai Mintzker Metrics Cited byBosniak classification of cystic renal masses, version 2019: interpretation pitfalls and recommendations to avoid misclassificationOverdiagnosis and Lives Saved by Reflex Testing Men With Intermediate Prostate-Specific Antigen Levels 20 November 2018Volume 169, Issue 10Page: 739KeywordsCancer screeningCommunication in health careComputed axial tomographyDisclosureEmotionsHealth careHealth care policyLife expectancyLung and intrathoracic tumors ePublished: 20 November 2018 Issue Published: 20 November 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...