The strategy for screening high risk occupational groups for bladder cancer was discussed by a panel of experts. A simple model was presented to participants which characterized situations in which screening tests would be needed and selected. The conference dealt primarily with secondary prevention, the early detection of disease before the onset of clinical signs and symptoms; however, it was noted that screening also has a role in primary prevention, intervention that precludes the initiation of the disease process. Tertiary prevention was said to involve clinical care of diseased persons. It was stated that screening must be viewed as part of a continuum of prevention methods for occupational disease and that successful screening programs relied on the screening method or test itself and accompanying effective therapeutic regimes. Some of the participants questioned whether bladder cancer was the optimum disease for a screening program; others expressed concern regarding designation of the high risk population. Associated research needs were tabulated.
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