Search Results for "screening tests"
U.S. News compares accuracy of colon cancer screening tests, but what about costs?
Fecal stool tests can be a reasonable screening test for some people, as long as folks are made aware of the constraints that accompany these tests.
Fecal Occult Stool Tests for Colorectal Cancer Screening
Even casual readers expect more than broad claims about screening tests. Where’s the data?
A new blood test “substantially reduces” the need for biopsy, but by how much really? Benefit data are given only in relative terms in this news release.
Study: New blood test is more accurate in predicting prostate cancer risk than PSA
CBS promotes “essential/critical” screening tests but never mentions over-diagnosis
The following is a guest blog post by Alan Cassels, a pharmaceutical policy researcher at the University of Victoria and the author of Seeking Sickness: Medical Screening and the Misguided Hunt for Disease (Greystone, 2012). The opinions are his; you are welcome to your own. —————————- While the Beatles might have famously sang that “All you […]1 10/22/2013
When doctors don’t discuss harms of screening tests with patients
Another 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 […]8/26/2013
TV station should stop promoting questionable screening tests at MN State Fair
This is the third year I’ve written about questionable screening test promotions presented by Minneapolis TV station KARE-11 at the Minnesota State Fair. In 2011: What kind of informed decision-making place took place before Fair goers were lured in for prostate cancer screening? In 2012: What kind of informed decision-making place took place before Fair […]6 10/11/2012
PrivateHealthScreening: What to Think About When You’re Thinking About Screening Tests
In the Guardian newspaper, UK physician and writer Margaret McCartney wrote, “Private health screening tests are oversold and under-explained: Health screening can cause more harm than it prevents, so companies have a duty to provide full information to customers.” In the article, she introduced a new website called PrivateHealthScreening.org. She writes that: “…out of frustration […]8/28/2012
Ethics of commercial screening tests: choice should be informed by evidence, not advertising claims
An opinion piece in the Annals of Internal Medicine, “Ethics of Commercial Screening Tests,” makes a strong, clear statement about the problems with many screening test campaigns offered by commercial companies in partnerships with churches, pharmacies, shopping malls or trusted medical organizations. Excerpts: “Particular concerns about “the use of ultrasonography (for example, ultrasonography of the […]4 7/20/2012
Screening tests a focus of this year’s Rocky Mountain Workshop on Evidence-Based Health Care
I’m off to the Rockies next week to speak at and participate in The Rocky Mountain Workshop on How to Practice Evidence-Based Health Care at the invitation of Dr. Andy Oxman of the Norwegian Knowledge Centre for the Health Services in Oslo. This is the 14th annual workshop but this will be my first. I’ve […]8/17/2011
How to & how not to report on imaging/screening tests
In the same week when Kaiser Health News publishes a story about “Hospitals Promoting Bargain CT Scans For Smokers” – raising questions about “whether the strategy is a marketing ploy that could bring more harm than good” – CNN publishes a severely flawed story, “Will you have a heart attack? These tests might tell,” in […]7/6/2011
Another round of state laws mandating screening tests “that may have little effect on outcomes”
USA Today reports on 14 states considering some move toward mandating a newborn test looking for signs of congenital heart disease. Excerpt: “The tests aren’t always accurate, however, and some doctors say they will prompt follow-up tests that could prove expensive — perhaps as much as $1,500. “No question about it raising health care costs, […]6/11/2011
Heart screening tests that should be screened more closely by consumers
“Some Heart Disease Screens May Be Unnecessary” – topic of a health consumer column in the New York Times. Excerpts: Avoid: Several studies have suggested that expensive tests for biomarkers that are sometimes indicative of heart disease — such as C-reactive protein, a sign of systemic inflammation — are not cost-effective in generally healthy patients. […]4 2/18/2011
Prevention magazine confuses screening tests with diagnostic tests & why that's a problem
Some publications love lists. Prevention magazine is one such publication. The March issue is out and the first big story is “4 Screening Tests Women Fear.” The problem is: only 2 of the 4 tests discussed are screening tests. Yes, mammograms and colonoscopies are screening tests – used in an apparently healthy population looking for […]2/3/2011
Many people get unnecessary heart screening tests: Consumer Reports
Consumer Reports rates heart disease screening tests in a new online offering. The introductory message is: “When it comes to screening tests for heart disease, more is not always better. Some people get tests they don’t need while failing to get those they do. To help you choose the tests that are best for you, […]11/1/2010
Teaching moment about scrutinizing new screening tests: rein in the hype
A journalist wrote to me last week urging us to review stories about a study making claims about a new colon cancer DNA screening test. The journalist called the news “PR-driven hooey.” We looked closely at four stories on the study. We found them all lacking for a variety of reasons. Links to the full […]10/14/2010
All screening tests cause harm – but we tend to ignore that
American Cancer Society chief medical officer Dr. Otis Brawley has gone on the web with two recent videos on screening issues. His latest is on the continuing discussion about mammography recommendations for women in their 40s. The video appeared on the CNN website. Dr. Brawley is an effective communicator. His mammography message in this clip […]