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Oxford University Press - Online Resource Centres

Washer: Clinical Communication Skills

Chapter 14

UK Cancer screening programmes
This site has information on UK screening programmes for breast, bowel and cervical cancer, as well as a link to an informed choice management tool on prostate cancer.
www.cancerscreening.nhs.uk/index.html

Risk Charts for Cancer Risk
See: Woloshin S, Schwartz LM, Welch HG Risk Charts: Putting Cancer in Context (2002) Journal of the National Cancer Institute 94 (11) p799 – 804 Available online at http://jncicancerspectrum.oupjournals.org/cgi/content/full/jnci;94/11/799 This paper contains simple charts with age, sex and smoking-specific data about the chance of dying from various common causes in the next ten years.

Detailed epidemiological data on time-frame and lifetime risks
From UK NHS National Library for Health
www.library.nhs.uk/
This site is aimed at Health Professionals, although includes different levels of information for patients, including a comprehensive library of patient information leaflets at:
http://cks.library.nhs.uk/patient_information

Dr Chris Cates Evidence-Based Medicine Site
This is a website which can help interpret results from systematic reviews and clinical trials. It includes free downloadable software which can convert Odds Ratios into Numbers Needed to Treat, and produces graphical displays demonstrating the impact of treatment if it were given to 100 people with the relevant condition.
www.nntonline.net

The Cochrane Library of Patient Decision Aids
As described in the book, this site based at the Ottowa Health Research Institute contains a comprehensive library range of patient decision aids, and uses international standards to rate their quality.
www.ohri.ca/decisionaid

Your Disease Risk
Hosted at the Washington University Medical School, this website has personalized risk information (for patients) on developing cancer, stroke, diabetes, osteoporosis and heart disease and personalized tips for helping to prevent them.
www.yourdiseaserisk.wustl.edu/

Cancer Risk Assessment Tool
Based at the Memorial Sloan Kettering Cancer Centre this website is aimed at health professionals and patients and gives tailored risk estimates for a variety of different cancers.
www.mskcc.org/mskcc/html/5794.cfm

Breast Cancer Risk Assessment Tool
The US National Cancer Institute website, aimed at health professionals.
www.cancer.gov/bcrisktool/