Overdiagnosis, overtreatment – resistance to change

Bridge Over Diagnosis – a parody of Bridge Over Troubled Water – James McCormack

– ‘a parody of the Simon and Garfunkel classic Bridge Over Troubled Water. Overdiagnosis is an important health care issue and hopefully this video highlights a number of the issues around this important problem.’ Published Youtube 10 March 2015.

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‘If you look closely and often enough, almost everyone will have a little nodule that can’t be completely explained, a lab result that is a bit off, a heart tracing that doesn’t look quite right.
Excessive testing is a problem for a number of reasons. For one thing, some diagnostic studies are harmful in themselves—we’re doing so many CT scans and other forms of imaging that rely on radiation that they are believed to be increasing the population’s cancer rates. These direct risks are often greater than we account for.’
‘Overkill – An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? Atul Gawande, Annuls of Healthcare, The New Yorker, 11 May 2015. http://www.newyorker.com/magazine/2015/05/11/overkill-atul-gawande

http://nyr.kr/1KtVXCa

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‘Entrenched practices and other biases’: unpacking the historical, economic, professional, and social resistance to de-implementation.’ Theresa Montini, Ian D Graham. Implementation Science.
http://www.implementationscience.com/content/10/1/24 (uses the case example of the de-implementation of radical mastectomy – lessons here that could be applied to screening?).

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About bmitzi

Medical writer, author, artist. Cancer campaigner. Aiming always to improve health services and bring compassion into health care.
This entry was posted in breast screening, healthcare modernisation, Over-medicalisation, Public safety, Screening and tagged , , , , , , . Bookmark the permalink.

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