Search Results for "overtreatment"
Evidence/balance lacking in Philly story on “Don’t Fear The Finger” campaign
…,’ Question Emphasis on Early Detection: Debate Among Doctors Looks at Whether Zealous Screening Leads to Overtreatment .” And that story quotes a respected urologist with a far different perspective than the one of the urologists in the Philadelphia Inquirer piece: “We have thrown the net very, very widely and eliminated some of the sharks,” says Ian Thompson, a urologist at University of Texas Health Science Center and c…1 1/6/2014
NBC vastly exaggerates the potential benefits of lung cancer screening
…g or clinical follow-up, which were predominantly done for benign disease. … Overdiagnosis and consequent overtreatment is a concern in lung cancer screening. The 1% to 2.7% prevalence of unrecognized lung cancer suggests a preclinical pool of lung cancer in high-risk populations. The clinical significance of these tumors is uncertain, but patients with lung cancer typically receive treatment, resulting in harm to those with nonlethal cance…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. …1/15/2013
First person health care stories not always narcissism – and can be a public service
…tment stories can be gold. Laurence Stains did a great piece called ‘I Want My Prostate Back‘ about overtreatment of prostate cancer.” In Boston, WBUR’s Martha Bebinger has reported several pieces recently about her search for a quality colonoscopy. Her latest, “Ask About The Quality Of Your Colonoscopy: It Matters,” discusses how hard it is to find quality and cost data on colonoscopies. There can be a publ…10/30/2012
Were AP and AFP reporting on the same Lancet mammography paper?
…t, ‘It’s good for you, so you do it.’ ” Knowing what she knows now about the problem of overtreatment, Wilcox says she still would have chosen to get screened. “But I would have wanted to know enough to make an informed choice for myself.” But the French news agency Agence France-Presse (AFP) reported, “Breast cancer screening saves lives, says study.” It’s lead line: “The benefits of pr…1
Roundup of Media Messages on the New Mammogram Guidelines
…wonder if the story too casually dismisses the harms of overdiagnosis, and accepts (with no documentation) that overtreatment of carcinoma in situ will soon become avoidable. “In the not-so-far future, molecular tools may help physicians give those women a more accurate prognosis, Wender says, so those at lower risk can opt for less aggressive treatments — or simply watchful waiting.” USA Today – Women in their 40s should consider mammogram…10/7/2011
Thoughtful analysis of the USPSTF and prostate cancer screening
…;finding cancers that would never cause clinical problems during a man’s lifetime–and the resulting overtreatment, which can lead to urinary, bowel, and sexual dysfunction. Unfortunately, we cannot confidently identify the “overdiagnosed” cancers found with screening, so most men will undergo surgery or radiation therapy. A new strategy of active surveillance might mitigate the harms of overdiagnosis. With this option, men…7/21/2010
Excellent story by New York Times on DCIS
…rpt: “Diagnosing D.C.I.S. “is a 30-year history of confusion, differences of opinion and under- and overtreatment.” Everyone should read this story in its entirety. It covers what was missing too often in the discussion about mammography screening last November. There are tradeoffs of harms and benefits. There is a need for fully informed shared decision-making in the face of this diagnosis. This story makes that clear. Much of…4 1/12/2011
"Simple blood test" – cancer breakthrough or nightmare?
…atment for men’s urinary incontinence following prostate cancer surgery. And this leads him to reflect on overtreatment as well. Excerpt: “In the era of prostate-specific antigen (PSA) screening, the overdiagnosis rate of clinically indolent prostate cancer (defined as a screen-detected cancer that would not present clinically during the patient’s lifetime) is estimated to vary between 23% and 42%. A patient with this type of lo…2/10/2011
Pioneer Press publishes my call for balance in cancer screening messages
…nificantly decreased. Screening has had some effect, but it comes at significant cost, including overdiagnosis, overtreatment, and complications of therapy.” Dr. Danielle Ofri, an NYU professor of medicine, wrote a column, “The Engine of Cancer Screening Rolls On.” Excerpt: “There are all sorts of commercial entities that stand to gain with an aggressive indiscriminate screening message. Mammography is a big business. Imag…6/22/2010
Journalists around the world were all over the map on male menopause story
…ish between occasional normal low testosterone levels and pathogenic testosterone deficiency – to prevent overtreatment: “The application of these new criteria can guard against the excessive diagnosis of hypogonadism and curb the injudicious use of testosterone therapy in older men.” US journalists were just as variable in their coverage. A sampling: WebMD headlined, “Researchers Identify Male Menopause Symptoms.” U…6/15/2010
Finding some gems among the rubble of daily health news
It’s worth noting and reading the following. The Associated Press continued its overtreatment series with “Overtreating Earliest Cancers – But Which Ones?“ The New York Times reports, “Targeted Therapies for Cancer Bring Hope and Failure.” The Time magazine wellness blog (and a few other news organizations) picked up on an issue I wrote about yesterday – from this week’s Archives of Internal…3/12/2009
Today Show tries to atone for past sins on screening info
…I will give the NBC Today Show some credit for trying to address the issue of too much cancer screening and the overtreatment that results. Matt Lauer acknowledged that the segment would counter much of what the program had told viewers over the past 10 years or so. What he didn’t say is that the questions about cancer screening are NOT new and that the Today Show had actually misinformed viewers in many of their earlier messages. But despi…8 6/14/2010
The over-radiated American – red, white & blue – and glowing
Another in the excellent Associated Press “overtreatment” series. Excerpt: “Americans get the most medical radiation in the world, even more than folks in other rich countries. The U.S. accounts for half of the most advanced procedures that use radiation, and the average American’s dose has grown sixfold over the last couple of decades. Too much radiation raises the risk of cancer. That risk is growing because people in e…1/10/2012
Another sponsored health news issue: retired columnist gets column back now paid by health care industry
…addressed in the column? And how they will be addressed? Will, for example, untold stories of overdiagnosis and overtreatment be told in this health care provider-sponsored column? While the health care provider boasts on its website, “We were the first in the state to bring you CyberKnife and the first in the Lowcountry to offer the da Vinci robot,” will the column explore some of the growing questions about some of the non-evidence-…