Category Archives: guidelines

Breast cancer screening – why do physicians continue to ignore national guidelines?’

When research shows breast cancer screening participants are more likely to experience more harms than benefits, why do physicians continue to ignore national guidelines and recommend screening mammography? “There have been many explanations over the years for why physicians perform … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, citizen safety, Compassion in healthcare, guidelines, healthcare modernisation, informed consent, Over-medicalisation, overdiagnosis, overtreatment, Screening, Screening Mammography, Uncategorized | Tagged | Leave a comment

Breast screening, health checks and psychological tactics for GPs to encourage attendance, despite ineffectiveness and harms!

https://www.healthwatch-uk.org/images/Newsletters/Number_104.pdf If you enjoy the series ‘Yes, Minister’ you will probably love Issue 104, 2016-17 of the HealthWatch charity’s Newsletter, especially pages 6-8. Breast screening, health checks, nsaids, …what doesn’t work? In his acceptance speech, HealthWatch Award Winner Peter Gotzsche … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, cancer, clinical trials, Compassion in healthcare, guidelines, harms, healthcare modernisation, medicine's flaws, Over-medicalisation, overdiagnosis, overtreatment, patient safety, patient/doctor communication, Primary care, Public safety, Screening, Screening Mammography, speaking out, Uncategorized | Tagged , , , , | Leave a comment

Breast cancer – intrabeam use recommended by NICE

After a 3 year delay, NICE has recommended controlled intrabeam radiotherapy use for breast cancer. Apparently, “There are many advantages for the patient, including immediate delivery of the radiotherapy at the time of surgery and under the same anaesthesia.” Arnie … Continue reading

Posted in Breast Cancer, guidelines, informed consent, patient safety, personal autonomy, Uncategorized | Tagged , | Leave a comment

How libraries can help to humanise healthcare

‘The Health/Art/Libraries (HAL) project was founded in 2015 by Somerset based GP, Dr Malcolm Rigler and Liverpool artists John Campbell and Moira Kenny: THE SOUND AGENTS. The aim of the project is to design and deliver a series of Arts … Continue reading

Posted in Campaigns, Compassion in healthcare, guidelines, medicine's flaws, open access, Uncategorized | Tagged | 3 Comments

Breast cancer, tumour size, screening effectiveness – NEJM

October is with us again. Unfortunately, it has been painted pink. This month cancer charities and others gear up to urge women to attend breast screening as the best means of avoiding death from this disease. Sadly, these well-meaning messages … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, cancer, citizen safety, guidelines, healthcare modernisation, informed consent, mastectomy, openness, Over-medicalisation, overdiagnosis, overtreatment, patient safety, patient/doctor communication, Public safety, Screening, Screening Mammography, Uncategorized | Tagged , , , , | Leave a comment

Screening Mammography – Evidence-based vs politically-mandated care

An article in JAMA, 18th January 2016 raises concerns regarding the issue of science being disregarded in response to political pressures: ‘…Regarding its updated guidelines, the Task Force wrote, “the USPSTF cannot reinterpret the science and exaggerate the net benefit … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, citizen safety, clinical trials, Compassion in healthcare, guidelines, harms, healthcare modernisation, information, medicine's flaws, Over-medicalisation, overtreatment, patient/doctor communication, personal autonomy, Public safety, Uncategorized | Tagged , , , , , , , , , , , , , , , | Leave a comment

Breast Screening information: currently ‘dodgy persuasion’

Gerd Gigerenzer explains why patients, the public and doctors, too, do not understand what constitutes evidence for ‘saving lives’ and offers clear tools for informed choice. There is a fact box for mammography screening, with options below – ‘open in … Continue reading

Posted in bad science, Breast Cancer, breast screening, Campaigns, cancer, Compassion in healthcare, guidelines, harms, healthcare modernisation, information, mastectomy, open access, openness, overdiagnosis, overtreatment, patient safety, Screening, Screening Mammography, screening prostate cancer | Tagged , , , , , , , , , , , , , , , , | 4 Comments