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Cancer Medicine

Cancer overdiagnosis and overtreatment revisited

I think the message may finally getting through. That message is that it’s not always the best strategy to treat cancer aggressively. Don’t get me wrong. If I have acute leukemia, I know I’ll need the big guns, every bit of chemotherapy appropriate to the disease that modern oncology can throw at it up to […]

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Cancer Clinical trials Medicine

Rethinking cancer screening?

Here we go again. I see that the kerfuffle over screening for cancer has erupted again to the point where it’s found its way out of the rarified air of specialty journals to general medical journals and hence into the mainstream press. This is something that seems to pop up every so often, much to […]

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Cancer Clinical trials Medicine

Really rethinking breast cancer screening

“Early detection saves lives.” Remember how I started a post a year and a half ago saying just this? I did it because that is the default assumption and has been so for quite a while. It’s an eminently reasonable-sounding concept that just makes sense. As I pointed out a year and a half ago, […]

Categories
Cancer Medicine

“Obama’s fixin’ death panels for your mama,” the misogyny gambit, and other idiotic responses to the updated USPSTF mammography recommendations

I knew when I first heard about them that the new United States Preventative Services Task Force (USPSTF) recommendations on breast cancer screening would be controversial. I tried to discuss these guidelines and the issues involved in a calm and rational way, relatively devoid of Insolence, Respectful or not-so-Respectful, yesterday, pointing out that screening guidelines […]

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Cancer Clinical trials Medicine Politics

“Obama’s fixin’ death panels for your mama”: The USPSTF recommendations for mammography used as a political weapon

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 […]