In recent years, there has been a lot of interest in improving surgical outcomes. One strain of research tends to examine the “volume-outcome” relationship, which in essence asked the question if the volume of cases that a surgeon or hospital does has a relationship outcome. In other words, are mortality rates lower, survival rates better, […]
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Screening for disease, especially cancer, is a real bitch. I was reminded of this by the publication of a study in BMJ the very day of the Science-Based Medicine Conference a week and a half ago. Unfortunately, between The Amaz!ng Meeting and other activities, I was too busy to give this study the attention it […]
As I discussed in detail when I analyzed them, the new USPSTF recommendations for screening mammography for breast cancer have sparked a debate that has degenerated from a scientific and public policy debate into pure emotional rhetoric. When last I visited this topic, yesterday, I had intended it to be my last post for a […]
(NOTE ADDED 12/7/2010: Kim Tinkham has died of what was almost certainly metastatic breast cancer.) If there’s been one theme running through this blog every since the very beginning, it’s the unreliability of testimonials as “evidence” for the success of a cancer treatment. Indeed, if you go back to one of the very first “Orac-length” […]