Category Archives: information

Breast cancer screening – DCIS and the COMET trial

Women diagnosed with Ductal Carcinoma in Situ (DCIS) are usually offered lumpectomy or mastectomy as standard treatment, although DCIS is not usually recognised as an actual cancer, but rather cell changes which may or may not become cancerous in the … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, citizen safety, clinical trials, Compassion in healthcare, harms, healthcare modernisation, information, informed consent, mastectomy, medicine's flaws, Over-medicalisation, overdiagnosis, overtreatment, patient safety, patient/doctor communication, Screening, Screening Mammography | Tagged , , , | Leave a comment

Breast screening: overdiagnosis in Denmark

Yet more proof of overdiagnosis: a paper estimating overdiagnosis in Denmark, published in the Annals of Internal Medicine, concluded: ‘Breast cancer screening was not associated with a reduction in the incidence of advanced cancer. It is likely that 1 in … Continue reading

Posted in breast screening, Campaigns, citizen safety, Compassion in healthcare, harms, healthcare modernisation, information, informed consent, medicine's flaws, Over-medicalisation, overdiagnosis, overtreatment, personal autonomy, Public safety, Screening, Screening Mammography, Uncategorized | Tagged , | Leave a comment

Breast cancer: reduction in deaths due treatment, not screening

Reduction in breast cancer deaths due to treatment, not screening, finds study in New England Journal of Medicine: Welch HG, Prorok PC, O’Malley AJ, Kramer BS. Breast cancer tumor size, overdiagnosis, and mammography screening effectiveness. N Engl J Med2016;published online 12 October. doi:10.1056/NEJMoa1600249. and reported in bmj: … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, clinical trials, healthcare modernisation, information, informed consent, mastectomy, Over-medicalisation, overdiagnosis, overtreatment, patient safety, Public safety, Screening Mammography, Uncategorized | Tagged , , , , | Leave a comment

Breast screening – revised estimates of overdiagnosis

Cornelia Baines and colleagues have re-estimated overdiagnosis of breast cancer from mammography screening by age group in the Canadian National Breast Screening Study (CNBSS) – a randomized screening trial. They found ‘substantial overdiagnosis in the CNBSS with estimates that are … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, harms, healthcare modernisation, information, medicine's flaws, overdiagnosis, overtreatment, patient/doctor communication, Screening, Screening Mammography | Tagged , , , , , , , | Leave a comment

Screening asymptomatic citizens and expanding disease definitions

In their bmj article of 9th May 2016, ‘“Informed Choice” in a time of too much medicine – no panacea for ethical difficulties’, Minna Johannson and colleagues discuss issues of patient autonomy and over-medicalisation; they illustrate the dangers of diagnostic … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, citizen safety, Compassion in healthcare, harms, healthcare modernisation, information, informed consent, medicine's flaws, Over-medicalisation, overdiagnosis, overtreatment, patient safety, patient/doctor communication, personal autonomy, Public safety, rarer and uncommon cancers, Screening, Screening Mammography, screening prostate cancer | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Screening – most media articles skewed in favour

This study investigated whether coverage of cancer screening by national newspapers gives a balanced account of the possible benefits and harms of screening. The interesting results are produced in attractive graphic (pictorial/comic strip) form. ( With regard to breast screening: … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, cancer, citizen safety, Compassion in healthcare, harms, healthcare modernisation, information, informed consent, mastectomy, medicine's flaws, openness, overdiagnosis, overtreatment, patient safety, personal autonomy, prostate cancer, Screening, Screening Mammography, screening prostate cancer, Uncategorized | Tagged , , , , , , , , , , , , , , , , | Leave a comment

Overdiagnosis – what is needed

An important paper by Kirsten McCaffery and colleagues looks at the problem of overdiagnosis in healthcare and discusses what is needed: ‘Communication that empowers the public, patients, clinicians, and policy makers to think differently about overdiagnosis will help support a … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, clinical trials, Compassion in healthcare, harms, healthcare modernisation, information, mastectomy, medicine's flaws, Over-medicalisation, overdiagnosis, overtreatment, patient/doctor communication, personal autonomy, Screening, Screening Mammography | Tagged , , , , , , , , , , | Leave a comment