Overdiagnosis – overtreatment
نویسندگان
چکیده
منابع مشابه
Overdiagnosis and overtreatment
claim that our critique of the randomized screening trials has little merit; that there is no reason to believe that the Canadian study was of better quality than the New York Health Insurance Plan (HIP) study or the Two-County study; and that the prior consensus on mammography was correct. However, their review suffers from erroneous assumptions and biased statistical analyses, and their quota...
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Overdiagnosis and overtreatment are often thought of as relatively recent phenomena, influenced by a contemporary combination of technology, specialization, payment models, marketing, and supply-related demand. Yet a quick glance at the historical record reveals that physicians and medical manufacturers have been accused of iatrogenic excess for centuries, if not millennia. Medicine has long ha...
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A vast range of disorders--from indolent to fast-growing lesions--are labelled as cancer. Therefore, we believe that several changes should be made to the approach to cancer screening and care, such as use of new terminology for indolent and precancerous disorders. We propose the term indolent lesion of epithelial origin, or IDLE, for those lesions (currently labelled as cancers) and their prec...
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Over thepast 30 years, awareness and screening have led to an emphasis on early diagnosis of cancer. Althoughthegoalsof theseeffortswere to reduce the rate of late-stagediseaseanddecreasecancermortality, secular trendsandclinical trials suggest that thesegoalshave notbeenmet; national datademonstrate significant increases inearly-stagedisease,withoutaproportionaldecline in later-stagedisease.Wh...
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have always been with us, but the scale and institutionalisation of overdiagnosis and overtreatment have expanded exponentially in the last few decades. Modern concern has been articulated through worldwide movements such as the Preventing Overdiagnosis conferences, campaigns such as the BMJ’s ‘Too Much Medicine’, JAMA’s ‘Less is More’, Italy’s ‘Slow Medicine’ movement, and the US (now internat...
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ژورنال
عنوان ژورنال: Ceylon Medical Journal
سال: 2014
ISSN: 2386-1274,0009-0875
DOI: 10.4038/cmj.v59i3.7466