User:WPea20/sandbox

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Practice Editing Here (Nov 23rd in-class Wiki session work)

 * This is a place to practice clicking the "edit" button and practice adding references (via the citation button).
 * Hereditary nonpolyposis colorectal cancer

Assignment # 3
Proposed Change:

The following body of text should be added to the end of the “Screening” subsection of the “Prevention” section of the article. The Wikipedia articles for stomach, small bowel, bladder, brain and spinal cord cancers will also be linked to their corresponding underlined phrase.

“There are also strategies for detecting other cancers early or reducing the chances of developing them that people with Lynch syndrome can discuss with their doctor, however their effectiveness is not clear. These options include:


 * Upper endoscopies to detect stomach and small bowel cancer every 3-5 years, starting at age 30 at the earliest
 * Annual urinalysis to detect bladder cancer, starting at age 30 at the earliest
 * Annual physical and neurological exams to detect cancer in the central nervous system (brain or spinal cord), starting at age 25 at the earliest”

Rationale for Proposed Change:

As stated earlier in the Wikipedia article, a diagnosis of Lynch syndrome comes along with an increased risk of other cancers, including endometrial, ovarian, stomach, small bower, brain and urinary bladder cancer. However, in the “Screening” subsection of the “Prevention” section, the only cancers that are talked about are colon, ovarian and endometrial cancer. I felt that there should be information on preventative strategies for managing the risk of other cancers since a reader may wonder about what is done in response to the increased risk of cancers other than colon, ovarian and endometrial cancers.

The effectiveness of the options listed in the proposed change is noted in the CDC source to be uncertain, meaning that the association between them and reduced mortality needs to be investigated further. It is important for readers to known about this uncertainty which is why the proposed change clearly states that the effectiveness of the options is not clear. The change also specifies that these options can be discussed with their doctor if an individual with Lynch syndrome is interested in pursuing them.

Critique of Source:

After assessing the CDC source for red flags of practice guidelines, the only possible red flags are that the source does not explicitly state if an expert in methodology in the evidence evaluation, non-physician experts, stakeholders and possibly patient representatives were involved in the creation of these guidelines and if an external review was completed. However, given that the CDC is credible organization that is solely funded by the U.S. government and that this is typical formatting for CDC guidelines, this source was deemed credible enough to be cited.

What to post on the Wikipedia article talk page?

 * This will also be covered on Nov 23rd in class. Your group should use the below template to share an outline of your proposed improvements (including your new wording and citations). Article talk pages are not places to share your assignment answers. The Wikipedia community will be more interested in viewing your exact article improvement suggestions including where you plan to improve the article (which section), what wording you suggest, and the exact citation (Note: all citations must meet WP:MEDRS)
 * You will not be able to paste citations directly from your sandbox to talk pages (unless you are interested in editing/learning Wiki-code in the "source editing" mode). We suggest re-adding your citations on the talk page manually (using the cite button and populating the citation by pasting in the DOI, website, or PMID). You will have to repeat this process yet again when you edit the actual article live.
 * Talk Page Template: CARL Medical Editing Initiative/Fall 2020/Talk Page Template