Results for: mammography overdiagnosis
The mammography wars heat up again (2012 edition)
One issue that keeps coming up time and time again for me is the issue of screening for cancer. Because I’m primarily a breast cancer surgeon in my clinical life, that means mammography, although many of the same issues come up time and time again in discussions of using prostate-specific antigen (PSA) screening for prostate cancer. Over time, my position regarding how...
Overdiagnosis
Dr. H. Gilbert Welch has written a new book Over-diagnosed: Making People Sick in the Pursuit of Health, with co-authors Lisa Schwartz and Steven Woloshin. It identifies a serious problem, debunks medical misconceptions and contains words of wisdom. We are healthier, but we are increasingly being told we are sick. We are labeled with diagnoses that may not mean anything to our health....
The mammography wars heat up again
PRELUDE: THE PROBLEM WITH SCREENING If there’s one aspect of science-based medicine (SBM) that makes it hard, particularly for practitioners, it’s SBM’s continual requirement that we adjust what we do based on new information from science and clinical trials. It’s not easy for patients, either. To lay people, SBM’s greatest strength, its continual improvement and evolution as new evidence becomes available, can...
Do over one in five breast cancers detected by mammography alone really spontaneously regress?
It figures. Last Wednesday, right before the four-day Thanksgiving holiday weekend, as I was far more interested in preparing to have family over the next day than in what was going on in the medical news or the blogs, the results of a most fascinating study hit the news. In Medscape, the title of the news report was Mammography Study Suggests Some...
The return of marketing hype for “whole body scans”…now with AI!
Two decades ago, I cut my skeptical teeth countering advertising for whole body scans by companies making extravagant promises for their products. This particular medical fad faded for a while, but now it's back with a vengeance...with AI! Looking at these products, what I see is basically the quackery that is functional medicine on steroids and powered by AI.
2023 Cancer Statistics Report
Cancer deaths continue to decline at a steady rate.
Everything old is new again
Since the pandemic hit, I've frequently said things like, "Everything old is new again", referring to the antivaccine movement in the age of COVID-19. As 2022 dawned, I thought I'd expand a bit on what I mean. Is there a term for déjà vu, but what I'm seeing now is amplified a thousand-fold? Proponents of science-based medicine have been warning us for...
Why It’s Worthwhile to Debunk Shivambu
Richard Feynman famously said, "The first principle is that you must not fool yourself—and you are the easiest person to fool". This is the most important lesson skepticism has to offer.
We are not “losing the war on cancer” (belated 2021 edition)
The narrative we hear time and time again is that we are "losing the war on cancer". The latest cancer statistics show that this narrative is not true.
Dichotomous thinking and uncertainty in medicine and science
Medicine is by its very nature uncertain. Unfortunately, humans don't deal well with uncertainty, and our tendency towards dichotomous thinking leads us to think that if we're not absolutely certain about something we don't know anything.