Screening and Diagnostic Test Validity · USMLE Step 1

A screening program detects many small, slow-growing tumors that would not have caused harm. Which bias does this represent?

  1. Length-time bias
  2. Lead-time bias
  3. Recall bias
  4. Verification bias
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Correct answer: Length-time bias

Length-time bias occurs when screening detects mostly slower-growing, less aggressive diseases. This falsely inflates perceived survival benefit.

Difficulty: Medium Question 19 of 20

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