Aug

2

Incentives

August 2, 2024 |

the CEA test has a positive predictivity of 80% for colon cancer. most studies show it doesn't have a cost effectiveness. How accurate is a CEA blood test?

Doctors don't use the CEA test to make a first-time diagnosis of cancer. This test isn't an accurate way to screen for it because many other diseases can cause the levels of this protein to rise. And some people with cancer don't have high CEA levels.

but but but… the studies don't take account of the incentives and the next steps taken / it has positive predictivity of 80%. who wouldn't take the next step after a positive (CEA above 3.5)? I am not an MD. none of my kids and good friends who are MD's recommend it.

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