Arquivos de Oncologia Cirúrgica

New Algorithms for Cancer Screening CitiScreen project

Abstract

B M Petrikovsky

There is a huge void in cancer screening and prevention worldwide. Many improvements have been achieved in the five-year survival and cure rate of cancers of the colon, ovary, prostate, childhood leukemias, among others. Most cancer are slow growing, which gives us the opportunity for early detection. In cancer statistics, the earlier the stage the better the outcome. Thus, a five-year survival of stage one ovarian cancer is over 95% while for stage four, it is less than 5%. Unfortunately, the area of cancer screening and early detection is the most deficient in most healthcare systems. Most of the screening and prevention programs are in the hands of general practitioners and family physicians who lack propertraining and are busy treating other conditions (common cold, diarrhea, pregnancy, arthritis cardiovascular diseases, among others). The US and other countries’ health systems don't have a screening system for most treatable cancers. CitiScreen is here to fill that void. We developed a screening algorithm for most common treatable cancers using the disease’s prevalence, patient’s age and family history, geneticrisk factor, among other parameters.