Lindsey Yourman

speaker

182 appearances 1 recordings 1 series first heard Nov 2020 last heard Nov 2020

Lindsey Yourman’s voice in public audio — every appearance, attributed to the second.

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Older adults.

And and one of those things is thinking about well, how long will this is this person likely to live?

But then the next question is.

When will this intervention or test that I'm thinking for this person when will the benefits occur?

And and it's really hard to know whether something that you're gonna do to somebody is gonna do more harm than good.

Unless you know that they're likely to live long enough to benefit.

How long it takes for people to benefit from tests and interventions really matters.

Well, one that comes up a lot for me, especially with the focus on quality metrics these days, is screening for cancer.

So screening for colon cancer, screening for breast cancer.

And if I have a patient that already has a stage four cancer.

Of another type.

Mm.

may not make sense to be screening for another cancer that's not causing them problems.

So for example, they show that to get a mortality benefit from screening for colon cancer, it takes at least five to seven years.

Well my patient has a stage four

cervical cancer that

They may limit their life expectancy to two to three years by referring them for colon cancer screening.

I'm

I'm putting them perhaps at more risk than potential to benefit.

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