Results for: overtreatment
Another pebble in the quackademic integrative avalanche
We've documented the infiltration of quackery into academic medicine through the "integration" of mystical and prescientific treatment modalities into medicine. Here, we look at a pebble in the quackademic avalanche. Is it too late for the pebbles to vote?
PSA Screening for Prostate Cancer
PSA testing is controversial. A new study finds that PSA screening for prostate cancer offers no survival benefits.
Naturopaths are fake doctors cosplaying real doctors (even the ones running dubious stem cell clinics)
Naturopaths are fake doctors who, increasingly, are cosplaying real doctors. Not surprisingly, because naturopaths go where quacking takes them, they've started to open their very own dubious stem cell clinics, thus combining the worst of both worlds, their "natural" quackery with dubious unproven but "high tech" treatments being peddled by the worst of real doctors.
Naturopathy vs. patients: Patients lose
Over the weekend, there was a news story describing two cancer patients treated by naturopaths in New Zealand. Both died, one almost certainly unnecessarily, the other after enduring more suffering than she likely had to. These tragic cases and others reminded me of why it is so appalling that so many physicians are "integrating" naturopathy into "integrative medicine." In reality, they are...
Overtreating the thyroid
For decades there's been debate about whether thyroid medication is necessary for a mild form of thyroid dysfunction. A new trial helps answer that question.
Contrary to what we are frequently told, we are not “losing the war on cancer”
A common narrative about cancer is that we are making no progress in our fight against it. Fortunately, the actual data do not agree. Yes, too many people still die of cancer and progress is slow, but it's not correct to claim that we are losing the war on cancer.
Mammography and overdiagnosis, revisited
Another new study supports the hypothesis that overdiagnosis is a major problem in mammography screening programs. Predictably, it is attacked based on a misunderstanding of what overdiagnosis is.
When science- and evidence-based guidelines conflict with patient wishes: What’s a doc to do?
We use the term "science-based medicine" (SBM) because medicine isn't a science. The best medicine, however, is based in science. Patient values are also important, but what is a science-based doctor to do when SBM conflicts with what a patient or family wants?
The Cancer Moonshot: Hype versus reality
The Cancer Moonshot has been promoted as a strategy to break the logjam that seems to be holding up new, much more effective treatments for cancer. The key word is "seems," because in reality the Cancer Moonshot is more hype than promise.
Whither the randomized controlled clinical trial?
With the rise of precision medicine and genomics, the conventional randomized clinical trial appears more and more outdated. Fortunately, clinical trials are evolving, but will it be enough to incorporate the numerous advances in "-omic" medicine in a rigorous scientific manner to benefit patients?