Category Archives: Public safety

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 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 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 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

Shared decision-making and understanding research

The doctor’s role in communicating benefits and harms of treatments and how best to use research evidence to judge these, and so enable shared decision-making, is discussed by Fiona Godlee in ‘Start Stopping Smartly, BMJ’s Editor’s Choice, 9 June 2016. … Continue reading

Posted in books, harms, medicine's flaws, overdiagnosis, overtreatment, patient/doctor communication, Public safety | 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