Relationship between length-time bias and speed of tumor growth

Rapidly growing tumors come to medical attention before screening is performed, whereas more slowly growing tumors allow time for detection.

D: diagnosis after symptoms; S: detection after screening.

Reproduced with permission from: Prevention. In: Clinical Epidemiology: The Essentials, 6th ed, Fletcher G (Ed), Lippincott Williams and Wilkins 2020.

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Relationship between length-time bias and speed of tumor growth