Category Archives: personal autonomy

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

Breast screening: one woman’s successful fight against compulsory screening programme

“Uruguay’s government is being challenged to end its compulsory breast screening programme, after a court ruled that one woman with concerns about possible harms caused by mammography should be exempt.” Uruguay’s compulsory policy was introduced in 2006 under President Tabaré … Continue reading

Posted in breast screening, citizen safety, harms, healthcare modernisation, informed consent, Over-medicalisation, overdiagnosis, personal autonomy, Screening Mammography, speaking out, Uncategorized | 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