Search Results for "overtreatment"
Is it time to digitally re-examine the PSA test?
…8217;s commentary, other articles pointed out to other recent fallout from, and followup on, the concerns about overtreatment of prostate cancer. MedPage Today reported on a study in the Journal of the American Medical Association that found that “Three out of four older men with low-risk prostate cancer opted for active surveillance during a 4-year period ending in 2013, according a large prostate cancer database.” Active surveillanc…1 10/1/2014
My article kicks off 5th Annual Health Literacy Month Blog Series
…nth Blog Series. Today, my article, “Media Messages about Screenings and their Role in Overdiagnosis and Overtreatment,” kicks off the 5th annual month-long blog series. Below is a copy of what I wrote: ——————————— Disclaimer: the following is not an anti-screening message. It is, however, a call for improved accuracy, balance and completeness in messages about screen…1 10/22/2013
When doctors don’t discuss harms of screening tests with patients
…other important paper in the JAMA Internal Medicine “Less is More” series. “Overdiagnosis and Overtreatment: Evaluation of What Physicians Tell Their Patients About Screening Harms,” is by one of my risk communication gurus, Gerd Gigerenzer and colleague Odette Wegwarth. They surveyed 317 US men and women aged 50-69 years, a population with the highest exposure to screening programs. Their summary: Most participants in our…11/10/2013
NBC races the clock in a race to the bottom with anchormen & prostate cancer screening promotion
…riod of time. There is convincing evidence that PSA-based screening for prostate cancer results in considerable overtreatment and its associated harms.The USPSTF considered the magnitude of these treatment-associated harms to be at least moderate. Samadi said: “We’re going to save a lot of men” by promoting the Lauer and Roker digital rectal examinations (DRE). Really? Dr. Richard Hoffman, one of our medical editors, wrote in…7/25/2010
Why do Minnesota patients get more low back MRIs?
…coming from locals who don’t like what the data suggest. Because what they suggest is overuse leading to overtreatment. So here’s one attempt a provider makes to deflect the data: “The Medicare billing/claims data, which this report is generated from, would not capture conversations between a patient and provider that may have addressed alternative therapies for lower back pain,” said Robert Prevost, a spokesman for North…1/22/2013
UK citizen’s jury advises on communication about the benefits and harms of breast screening
…ticised for failing to mention potential harms of breast screening, in particular the risk of overdiagnosis and overtreatment (http://www.bmj.com/content/338/bmj.b86). In response to this criticism, Sir Michael Richards, National Cancer Director for the NHS, asked eminent epidemiologist Sir Michael Marmot to chair an independent committee to review the evidence on benefits and harms of breast screening and make recommendations on what women shoul…1/6/2012
Stop inappropriate, expensive & perhaps even unethical radical therapies for a condition that by itself does not kill
…re are ASCUS cells – or “atypical squamous cells of unknown significance.” Gleason 6 cells in the prostate cancer field have been called “adenosis.” They’ve been called IDLE – indolent lesions of epithelial origin. Whatever these cells are called, one practical goal for now is to educate men about the harms of overdiagnosis and overtreatment and offer active surveillance as a treatment option….1/16/2012
Salt Lake Tribune shows how to scrutinize new technology claims by local hospital
…the other hand, are responsible for about 20 percent, which Hadler says hes proud of. But he rails against the overtreatment of patients by an industry that he says has lost its moral compass. … The question on every patients mind should be, will this treatment work? I dont care if they have the latest proton thing out of science fiction or if my insurance company will cover it or how well they market it. I care how much it will help…4 9/7/2010
Goldmines for drug and device makers in expanding heart markets: two important stories you shouldn't miss
…One of our HealthNewsReview.org medical editors, Dr. Michael Pignone of the University of North Carolina is also quoted in the story: “Heart disease is a huge health problem, and we spend a ton of money treating it. Some of it may not be as well spent as it could be.” Overtreatment. Expanding markets for medical products. Evidence. Shared decision-making issues. Some journalists are directing their attention in the right directions….1 9/9/2013
Breast cancer and stroke screening stories that deserve careful attention
…ials underestimate the effects of mammography, but dont say why. Nor do they say anything about overdiagnosis, overtreatment, lead time bias, and length biased sampling. Finding a tumour early is necessary but not sufficient for screening to save lives. It might just mean that screen detected cancers have longer to go in their natural history with treatment than otherwise and hence survival from diagnosis could be longer without any benefit. Mc…8/3/2014
Does “Manopause” really warrant one of TIME’s 52 covers this year?
…harm” warrant attention? Couldn’t a more direct discussion of disease-mongering and overtesting and overtreatment fit into here somewhere? The story danced all around the edges but never jumped into the deep end. I’m not sure how much TIME “advanced the story.” Not for anyone who’s been tracking news about the Low T controversy. Just some of the things we’ve posted in recent years – and this is a…11/4/2013
The Economics & Politics of Drugs for Mild Hypertension
…d hypertension. Dr. Iona Heaths excellent commentary, Waste & Harm in the Treatment of Mild Hypertension: overtreatment, industry influence published in May 2013 in the less influential and more contrarian JAMA Internal Medicine still did not ignite a widespread debate. In covering the story in this Health News Watchdog blog, Gary Schwitzer commented, I could not find one mainstream news organization that reported on Heaths article. Why…4 10/9/2013
Beware the polyp police
…will have polyps and very few of us will die from them, screening is also liable to result in overdiagnosis and overtreatment. If and when polyps are found, people may live under a dark cloud, with a pre-cancerous label for the rest of their lives. They will certainly be more frequently reminded of their colon health because they will receive many future invitations for follow-up colonoscopies. There is some evidence that depression and suicide…2/2/2012
Why we review newspapers’ blogs the same way we review the print edition
…iscussion of harms, benefits, costs, etc., becomes a national health policy issue. The seeds of overtesting and overtreatment and denial of evidence and rhetoric about rationing can become planted and fertilized every day by the way stories about health care interventions are handled. We’re not going to stop doing what we’re doing – the way we’re doing it – until or unless someone suggests a better way. There’…1 9/9/2013
When the word “cancer” corrupts thought and action. Labeling hurts. The words matter.
…concluded that the increase was not a jump in the true occurrence of thyroid cancer, but rather, finding earlier abnormalities that might turn out to be benign. Overdiagnosis. Overtreatment. Impact on treatment decisions. Yes, the wording matters. ——————– Tweet Follow us on Twitter: https://twitter.com/garyschwitzer https://twitter.com/healthnewsrevu and on Facebook. …