Category Archives: personal autonomy

Breast screening, cancer treatments and cardiovascular disease

This article highlights serious risks to cardiovascular health caused by breast cancer treatments (which need to be considered as part of overdiagnosis and overtreatment due to breast screening mammography). ‘…current breast cancer treatments can have a negative impact on cardiovascular … Continue reading

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

Cancer and living

“What to say when you meet the angel of death at a party – after years of living with stage IV cancer, I have some suggestions” – great article by Kate Bowler, The New York Times, 26 January 2018. https://www.nytimes.com/2018/01/26/opinion/sunday/cancer-what-to-say.html?action=click&pgtype=Homepage&clickSource=story-heading&module=opinion-c-col-right-region&region=opinion-c-col-right-region&WT.nav=opinion-c-col-right-regionContinue reading

Posted in anal cancer, Campaigns, cancer, clinical trials, Compassion in healthcare, healthcare modernisation, information, informed consent, patient/doctor communication, personal autonomy, rarer and uncommon cancers, speaking out | Tagged , , , , | Leave a comment

‘Breast Cancer Screening -Better without mammograms?’

“Conclusions: The Dutch mammography screening programme seems to have little impact on the burden of advanced breast cancers, which suggests a marginal effect on breast cancer mortality. About half of screen detected breast cancers would represent over-diagnosis.” Here is yet … Continue reading

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

The ‘cancer drugs scandal’: decision-making and the need to involve patients at every level

When will there be the level of user involvement in healthcare necessary to ensure patients get the information they need to make the decisions they want? ‘Nothing about us without us’: patients need the opportunity to be included in multidisciplinary … Continue reading

Posted in Campaigns, cancer, cancer drugs, citizen safety, clinical trials, Compassion in healthcare, diagnoses, dignity in dying, dying, healthcare modernisation, information, informed consent, medicine's flaws, multidisciplinary team meetings (MTDs), openness, Over-medicalisation, overdiagnosis, overtreatment, palliative care, patient safety, patient/doctor communication, patient/public involvement, personal autonomy, Public safety, rarer and uncommon cancers, speaking out | 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: 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