Search Results for "overtreatment"
My article kicks off 5th Annual Health Literacy Month Blog Series
For the third consecutive year, I’ve contributed to the Health Literacy Month 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, […]9/16/2014
Evidence/balance lacking in Philly story on “Don’t Fear The Finger” campaign
The Philadelphia Inquirer published a story, “Prostate cancer activists launch ‘the finger’ campaign to stem decline in testing.” It begins: Kristine Warner wanted an eye-catching way to encourage men to talk to their doctors about the complicated, controversial subject of prostate cancer screening. Don’t Fear The Finger campaign was born. Go ahead and snicker. It […]
Does “Manopause” really warrant one of TIME’s 52 covers this year?
TIME magazine’s cover boy this week is a shirtless middle-aged man under the headline,”Manopause?! – Aging, insecurity and the $2 billion testosterone industry.” Overall, it was an interesting story, well told. It discussed the hype, the amount of money some people are making off of Low T “therapies,” the uncertainties, the potential hazards, and the […]4 7/11/2014
One physician’s story: An Egregious Example of Ordering Unnecessary Tests
Harriet Hall writes on the Science-Based Medicine website about a 21-year old man seeing a board-certified family physician for a routine physical. Excerpt: This young man is healthy, has no complaints, has no past history of any significant health problems and no family history of any disease. The patient just asked for a routine physical […]2 7/1/2014
Watch World Cup, get free skin CA screening – more hospital marketing
It’s a new twist on “having skin in the game.” During today’s USA World Cup match, Mount Sinai Hospital in New York City tweeted: Ok to cheer for the red, white and blue. But with these “free skin cancer screenings,” I wonder if people were told that: The US Preventive Services Task Force concludes “that […]1 1/6/2014
NBC vastly exaggerates the potential benefits of lung cancer screening
The US Preventive Services Task Force recently released a new recommendation on screening for lung cancer. The USPSTF recommends annual screening for lung cancer with low-dose computed tomography in adults ages 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should […]
NBC races the clock in a race to the bottom with anchormen & prostate cancer screening promotion
It was not the peacock’s finest hour. Or even their finest 34 seconds. Last week, NBC Today show anchors Matt Lauer and Al Roker had digital rectal exams (out of view, behind closed doors) on live TV. Lauer and the network announced that “The live event is part of No-Shave November, TODAY’s initiative to raise […]11/4/2013
The Economics & Politics of Drugs for Mild Hypertension
Dr. David Cundiff was co-author of the Cochrane systematic review, “Pharmacotherapy for Mild Hypertension.” The following is an unsolicited guest blog post by Dr. Cundiff. —————————- The Cochrane Collaboration’s Hypertension Group published a systematic review of drug treatment for mild hypertension in August 2012 showing no evidence that drugs benefit patients while about 11% have […]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 […]4 10/9/2013
Beware the polyp police
Alan Cassels of British Columbia writes, “The polyp police are coming.” He explores the introduction of a new Provincial Colon Screening Program in British Columbia. And he raises many questions in a very thoughtful analysis: “Does a polyp automatically mean a death sentence? Not at all—only about 2.5 polyps in a thousand will progress to […]1 9/9/2013
When the word “cancer” corrupts thought and action. Labeling hurts. The words matter.
In recent weeks, there have been new calls for new names for some cancer diagnoses – cancer labels – that change peoples’ lives forever. This week in the BMJ, Dr. Barry Kramer, director of the National Cancer Institute’s division of cancer prevention, and two colleagues wrote an editorial, “The word ‘cancer’: how language can corrupt […]1 9/9/2013
Breast cancer and stroke screening stories that deserve careful attention
Two screening test stories – both of which discuss the work of the US Preventive Services Task Force – that deserve much more analysis than I can afford to give right now. This is a casualty of our current funding plight. As it is, in the first four hours that I’ve been at the computer […]
Gene test may help guide prostate cancer treatment
Solid medical conference reporting, with many expert interviews and good context provided. Goes far beyond the conference presentation itself.
Gene test may help guide prostate cancer treatment
Two noteworthy breast cancer stories: “The Feel-Good War” and guidelines didn’t change practice
The New York Times Sunday magazine piece, “Our Feel-Good War on Breast Cancer,” is by Peggy Orenstein who begins: “I used to believe that a mammogram saved my life. I even wrote that in the pages of this magazine. It was 1996, and I had just turned 35 when my doctor sent me for an […]
Are Pricey Computer-Aided Mammograms Worth It?
This story addressed most of our criteria. The ones it missed could have been easily addressed.