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“Doing More for Patients Often Does No Good,” Aaron E. Carroll, The New York Times. Given the remarkable advances that have been made in the last 50 or so years in pharmaceuticals, medical devices and surgical procedures, it’s not a surprise that people want more, and more invasive, care than they have had in the . . . → Read More: Doing More for Patients Often Does No Good
“Don’t Homogenize Health Care,” Sandeep Jauhar The New York Times. In American medicine today, “variation” has become a dirty word. Variation in the treatment of a medical condition is associated with wastefulness, lack of evidence and even capricious care. To minimize variation, insurers and medical specialty societies have banded together . . . → Read More: Don’t Homogenize Health Care
“Some cancer experts see overdiagnosis and question early detection” By Melinda Beck, The Wall Street Journal. “We’re not finding enough of the really lethal cancers, and we’re finding too many of the slow-moving ones that probably don’t need to be found,” says Laura Esserman, a breast-cancer surgeon at the University of California, San Francisco. Early . . . → Read More: Some cancer experts see overdiagnosis and question early detection
“ASCO Issues HER2-Negative Breast Cancer Guide?” By Charles Bankhead, MedPage Today. Editorial Note: After reviewing medical literature from 1993 through May 2013, the American Society of Clinical Oncology (ASCO) developed a new set of clinical guidelines for patients with advanced HER2-negative breast cancer. The review included findings from 59 randomized clinical trials and 20 systematic . . . → Read More: ASCO Issues HER2-Negative Breast Cancer Guide
“Dear patient: Your 5-minute appointment is awaiting you.” By Susan Hecker, KevinMD Blog. Dear patient: I am writing to inform you of some recent changes to my practice. These changes have been implemented to improve the quality of your care. This satirical letter to a patient is a poignant illustration of some of a major . . . → Read More: Dear patient: Your 5-minute appointment is awaiting you.
“No Need for Routine Pelvic Exams.” By Charles Bankhead, MedPage Today. Average-risk, asymptomatic women do not benefit from pelvic exams as part of routine care and face potential harms from false-positive results, according to a new clinical guideline. A review of more than 60 years’ worth of medical literature did not produce compelling evidence that . . . → Read More: No Need for Routine Pelvic Exams
“‘Nothing Is Broken’: For An Injured Doctor, Quality-Focused Care Misses The Mark.’” By Charlotte Yeh, Health Affairs. When a physician winds up in the emergency department, providers put quality metrics and testing before her actual needs. It was just after 6 o’clock in the evening on Wednesday, December 7, 2011—Pearl Harbor Day—when I left my . . . → Read More: Quality-Focused Care Misses The Mark
“New NHS statins guidance ‘risks harming patients.’” By Edward Malnick, The Telegraph. Telling millions of healthy people to take statins risks harming ‘many patients over many years’, doctors warn Jeremy Hunt, the Health Secretary, and watchdogs. Proposals to advise 12 million people to take statins could have “worrying” consequences because the plans were borne out . . . → Read More: New NHS statins guidance ‘risks harming patients’
“Former Technician Rachael Rapraeger Falsified Mammogram Reports.” NBC News. Radiological technologist at Perry Hospital a small community about 100 miles south of Atlanta pleaded guilty earlier this month to 10 misdemeanor charges of reckless conduct and one felony charge of computer forgery related to falsifying mammogram reports. She was sentenced to serve up to six . . . → Read More: Former Radiology Technician Falsified Mammogram Reports
“We Are Giving Ourselves Cancer.” By Rita Redberg and Rebecca Smith-Bindman, The New York Times. DESPITE great strides in prevention and treatment, cancer rates remain stubbornly high and may soon surpass heart disease as the leading cause of death in the United States. Increasingly, we and many other experts believe that an . . . → Read More: We Are Giving Ourselves Cancer |
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