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Cancer Clinical trials Science

How should we treat stage 0 breast cancer?

I’ve written more times than I can remember about the phenomenon of overdiagnosis and the phenomenon that is linked at the hip with it, overtreatment. Overdiagnosis is a problem that arises when large populations of asymptomatic, apparently healthy people are screened for a disease or a condition, the idea being that catching the disease at […]

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Complementary and alternative medicine Homeopathy Medicine Naturopathy Pseudoscience Quackery Skepticism/critical thinking

The flying carpet retort to “integrative medicine”

I didn’t think I’d be discussing Dr. David Katz again so soon after the last time. In fact, when blog bud Mark Crislip (who clearly hates me and wants me to pop an aneurysm or have a heart attack, given how often he sends me links to articles as infuriating as this) sent me a […]

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Cancer Complementary and alternative medicine Medicine Quackery Skepticism/critical thinking

Sayer Ji: Willfully misunderstanding overdiagnosis and misdiagnosis since…forever

If there’s one lesson that I like to emphasize while laying down my near-daily dose of Insolence, both Respectful and not-so-Respectful, it’s that practicing medicine and surgery is complicated. Part of the reason that it’s complicated is that for many diseases our understanding is incomplete, meaning that physicians have to apply existing science to their […]

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Cancer Medicine Quackery Science Skepticism/critical thinking

Making it up as you go along: So-called “functional medicine” is pure quackery

I often describe “integrative medicine” as integrating quackery with medicine because that’s what this inadvertently appropriately named branch of medicine in essence does. The reason, as I’ve described time and time again, is to put that quackery on equal footing (or at least apparently equal footing) with science- and evidence-based medicine, a goal that is […]

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Clinical trials Complementary and alternative medicine Medicine Popular culture Science Skepticism/critical thinking

Better late than never: Orac comments on the hijacking of evidence-based medicine

It’s no secret that I’m a fan of John Ioannidis. (If you don’t believe me, just type Ioannidis’ name into the blog search box and see how many posts you find.) Over the last couple of decades, Ioannidis has arguably done more to reveal the shortcomings of the medical research enterprise that undergirds our treatments, […]