Categories
Medicine Surgery

Surgery: Past performance is no guarantee of future results

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, […]

Categories
Cancer Medicine Surgery

Early detection of cancer, part 1: More complex than you think

In the course of a few days last week, two prominent political personalities from different parties, White House Press Secretary Tony Snow and Elizabeth Edwards, wife of Democratic Presidential candidate John Edwards, announced that their cancers (breast cancer in the case of Edwards and colon cancer in the case of Snow), after having apparently been […]

Categories
Cancer Medicine Politics

Overdiagnosis of breast cancer due to mammography

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 […]

Categories
Cancer Clinical trials Complementary and alternative medicine Quackery

Crank spin versus science on mammography

Sometimes when a study comes out that I’m very interested in blogging about, I don’t get around to it right away. In the blogging biz, this sort of delay is often considered a bad thing, because blogging tends to be very immediate, about being the firstest with the mostest, and the moment to strike and […]