Category Archives: patient safety

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

The evolving cancer drugs fund

‘The evolution of the cancer drug appraisal process: hosted by BMJ, this promotional campaign article by Roche includes ‘How will it work?’, ‘Implications for breast cancer’, and ‘consequences for HER2+ breast cancer – coming soon’. ‘…A new model was introduced … Continue reading

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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

Breast Screening – Core Needle Biopsy of Breast Cancer Tumours Increases Distant Metastases in a Mouse Model.

Excerpt from authors’ conclusion: Our experimental findings demonstrate for the first time that in the setting of malignant breast cancer, performance of a CNB is associated with a significantly increased incidence of pulmonary metastases. We also show that an additional … Continue reading

Posted in Breast Cancer, breast screening, citizen safety, harms, healthcare modernisation, informed consent, medicine's flaws, overdiagnosis, overtreatment, patient safety, patient/doctor communication, personal autonomy, Screening, Screening Mammography, Uncategorized | Tagged , , | Leave a comment

Breast screening – Wounding from biopsy and breast cancer progression

Surgical wounding associated with the extirpation of experimental primary cancers can trigger angiogenesis in previously dormant micrometastatic tumour deposits, which can result in the acceleration ofrelapse and death….’ ‘The uniform incapacity of randomised controlled studies of screening mammography to show … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, harms, healthcare modernisation, informed consent, medicine's flaws, Over-medicalisation, overdiagnosis, overtreatment, patient safety, Public safety, 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