Tag #Overdiagnosis

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dailymail.co.uk

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Aug 12, 04:13

Outdated Guidelines Lead to Unnecessary Prostate Cancer Treatments

Outdated National Institute for Health and Care Excellence (NICE) guidelines on prostate cancer active surveillance cause inconsistent treatment across the UK, potentially leading to 5,000 men annually undergoing unnecessary procedures and a 'postcode lottery' of care.

Outdated Guidelines Lead to Unnecessary Prostate Cancer Treatments

Outdated National Institute for Health and Care Excellence (NICE) guidelines on prostate cancer active surveillance cause inconsistent treatment across the UK, potentially leading to 5,000 men annually undergoing unnecessary procedures and a 'postcode lottery' of care.

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What is the immediate impact of outdated NICE guidelines on prostate cancer treatment in the UK?

Up to 5,000 men annually might avoid unnecessary prostate cancer treatment if the National Institute for Health and Care Excellence (NICE) updated its guidelines to reflect current evidence. This is based on Prostate Cancer UK's assertion that outdated guidance leads to inconsistent practices across hospitals, resulting in a 'postcode lottery' of care and potential overtreatment.

theguardian.com

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Jul 21, 10:12

Rising Autism Diagnoses: Correction of Past Underdiagnosis, Not Overdiagnosis

A 787% increase in autism diagnoses between 1998 and 2018 reflects a necessary correction of past underdiagnosis due to narrow criteria, improved public awareness, and more inclusive diagnostic approaches, benefiting previously overlooked marginalized groups like women and girls.

Rising Autism Diagnoses: Correction of Past Underdiagnosis, Not Overdiagnosis

A 787% increase in autism diagnoses between 1998 and 2018 reflects a necessary correction of past underdiagnosis due to narrow criteria, improved public awareness, and more inclusive diagnostic approaches, benefiting previously overlooked marginalized groups like women and girls.

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No Poverty

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What factors contribute to the substantial increase in autism diagnoses, and what are the societal implications of this trend?

The number of autism diagnoses has increased dramatically, from 1998 to 2018, a 787% rise. This increase, however, largely corrects past underdiagnosis due to narrow diagnostic criteria, particularly affecting marginalized groups like women and girls. Improved public awareness and more inclusive diagnostic approaches account for the rise.

smh.com.au

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May 17, 10:09

Australian 3D Skin Cancer Scanners Fail to Improve Melanoma Detection

A $35 million Australian government investment in 15 3D full-body skin cancer scanners showed no improvement in melanoma detection compared to standard checks, raising concerns about cost-effectiveness and potential overdiagnosis, according to a JAMA Dermatology study.

Australian 3D Skin Cancer Scanners Fail to Improve Melanoma Detection

A $35 million Australian government investment in 15 3D full-body skin cancer scanners showed no improvement in melanoma detection compared to standard checks, raising concerns about cost-effectiveness and potential overdiagnosis, according to a JAMA Dermatology study.

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How do the study's findings challenge the existing understanding of melanoma detection and screening methodologies?

The study highlights the challenges in translating promising medical technology into effective clinical practice. Despite initial hype and significant financial investment, the 3D scanners failed to improve melanoma detection rates, raising concerns about cost-effectiveness and potential overdiagnosis.

nos.nl

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Apr 15, 22:17

Dutch Council Urges Prevention Over Early Disease Detection

The Dutch Health Council (RVS) advocates for prioritizing disease prevention over early detection, citing diagnostic expansion's negative impact on healthcare due to increased testing, anxiety, and unnecessary interventions, as detailed in their report, "Iedereen bijna ziek".

Dutch Council Urges Prevention Over Early Disease Detection

The Dutch Health Council (RVS) advocates for prioritizing disease prevention over early detection, citing diagnostic expansion's negative impact on healthcare due to increased testing, anxiety, and unnecessary interventions, as detailed in their report, "Iedereen bijna ziek".

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How does the profit model of the medical industry contribute to the expansion of diagnoses?

The RVS criticizes the expansion of diagnoses, driven by societal emphasis on health and the medical industry's profit model. This includes increased screening (e.g., for prostate cancer, despite high rates of asymptomatic cases in older men), broader diagnostic criteria (e.g., pre-diabetes), and the lowering of thresholds (e.g., cholesterol levels).

dailymail.co.uk

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Apr 11, 01:16

Soaring Diagnoses of Learning Difficulties in Scottish Schools

The number of Scottish schoolchildren diagnosed with additional support needs (ASN) has risen from 7% to over 40% in a decade, sparking concerns about over-diagnosis masking educational failings and potentially hindering personal responsibility.

Soaring Diagnoses of Learning Difficulties in Scottish Schools

The number of Scottish schoolchildren diagnosed with additional support needs (ASN) has risen from 7% to over 40% in a decade, sparking concerns about over-diagnosis masking educational failings and potentially hindering personal responsibility.

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Quality Education

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What are the most significant implications of the near-600% increase in pupils with additional support needs (ASN) in Scottish schools over the past decade?

In Scotland, the number of pupils diagnosed with additional support needs (ASN) has increased nearly sixfold in the last decade, rising from 7% to over 40% of the student population. This dramatic rise includes a 303% increase in communication support needs and a 240% increase in autism spectrum disorder diagnoses.

bbc.com

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Mar 16, 19:14

UK Government to Reform Welfare System Amidst Concerns Over Mental Health Overdiagnosis

The UK government is reforming its welfare system, specifically targeting Personal Independence Payments (PIP) for working-age adults, due to rising costs partly attributed to an overdiagnosis of mental health conditions; these reforms aim to increase the welfare system's sustainability while ensuri...

UK Government to Reform Welfare System Amidst Concerns Over Mental Health Overdiagnosis

The UK government is reforming its welfare system, specifically targeting Personal Independence Payments (PIP) for working-age adults, due to rising costs partly attributed to an overdiagnosis of mental health conditions; these reforms aim to increase the welfare system's sustainability while ensuri...

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How do concerns about overdiagnosis of mental health conditions influence the government's approach to welfare reform?

The increasing cost of disability benefits, particularly PIP, is linked to a rise in mental health-related claims. This is prompting government reforms to tighten eligibility criteria. The Institute for Fiscal Studies highlights mental health conditions as a major contributor to the rise in working-age disability claims since the Covid-19 pandemic, fueling discussions on overdiagnosis and resource allocation.

elmundo.es

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Jul 29, 04:12

Misdiagnosis of PCOS: Lifestyle Factors and the Importance of Accurate Diagnosis

A woman with irregular periods and polycystic ovaries on ultrasound was diagnosed with PCOS, but this might be inaccurate; PCOS requires hyperandrogenism, and lifestyle factors can cause irregular cycles without PCOS.

Misdiagnosis of PCOS: Lifestyle Factors and the Importance of Accurate Diagnosis

A woman with irregular periods and polycystic ovaries on ultrasound was diagnosed with PCOS, but this might be inaccurate; PCOS requires hyperandrogenism, and lifestyle factors can cause irregular cycles without PCOS.

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How do lifestyle factors impact menstrual cycles and PCOS diagnosis, and what are the different PCOS phenotypes?

The Rotterdam criteria diagnose PCOS based on irregular cycles, hyperandrogenism (excessive androgens), and polycystic ovaries on ultrasound. Four phenotypes exist, with phenotype D (polycystic ovaries and anovulation, but no hyperandrogenism) being debated; it may not represent PCOS.

npr.org

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May 22, 01:11

Biden's Cancer Diagnosis Renews Debate on Prostate Cancer Screening

President Biden's prostate cancer diagnosis has renewed debate about the accuracy and risks of PSA tests for prostate cancer; conflicting guidelines exist, highlighting challenges in balancing early detection with overtreatment, particularly for slow-growing cancers.

Biden's Cancer Diagnosis Renews Debate on Prostate Cancer Screening

President Biden's prostate cancer diagnosis has renewed debate about the accuracy and risks of PSA tests for prostate cancer; conflicting guidelines exist, highlighting challenges in balancing early detection with overtreatment, particularly for slow-growing cancers.

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How have conflicting public health guidelines and clinical trial results contributed to the uncertainty surrounding PSA screening?

The debate surrounding PSA testing reflects a broader challenge in cancer screening: balancing the benefits of early detection against the harms of overdiagnosis and treatment. Conflicting guidelines over two decades, along with the high rate of inactive cancers discovered through autopsies (over one-third of white men and half of Black men in their 70s), exemplify the difficulty of identifying truly aggressive cancers. The current recommendation for men aged 55-69 to discuss screening with their doctors reflects this uncertainty.

dailymail.co.uk

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May 13, 16:11

CT Scans Linked to 100,000+ Future Cancers in the US

A JAMA Internal Medicine study estimates that 93 million CT scans performed in the US in 2023 could cause over 100,000 future cancers, highlighting the need for doctors to carefully weigh the risks and benefits before ordering scans.

CT Scans Linked to 100,000+ Future Cancers in the US

A JAMA Internal Medicine study estimates that 93 million CT scans performed in the US in 2023 could cause over 100,000 future cancers, highlighting the need for doctors to carefully weigh the risks and benefits before ordering scans.

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How does the risk of scan-induced cancer vary across different body regions and patient demographics, based on the JAMA Internal Medicine study?

The study in JAMA Internal Medicine shows a direct link between CT scans, particularly abdominal, pelvic, and chest scans, and increased cancer risk. For every 930 CT scans, one additional cancer case is estimated, emphasizing the need for more judicious use of this technology. The risk is heightened for children, even with lower radiation scans.

nos.nl

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Apr 15, 22:17

Dutch Council Urges Prevention Over Early Disease Detection

The Dutch Health Council (RVS) recommends shifting from early disease detection to prevention due to the excessive medical testing causing unnecessary diagnoses, overburdening healthcare, and reducing accessibility for those with genuine health issues; they propose preventative measures like legisla...

Dutch Council Urges Prevention Over Early Disease Detection

The Dutch Health Council (RVS) recommends shifting from early disease detection to prevention due to the excessive medical testing causing unnecessary diagnoses, overburdening healthcare, and reducing accessibility for those with genuine health issues; they propose preventative measures like legisla...

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How do expanded disease definitions and lowered thresholds for medical conditions contribute to the problem of diagnosis expansion?

The RVS report connects the rise in diagnoses to factors like increased screening, expanded definitions of diseases (e.g., pre-diabetes), and lowered thresholds for conditions like high cholesterol. This leads to unnecessary anxiety, medical interventions, and potential side effects like those seen in prostate cancer screenings. The report notes that over one-third of men over 60 who die from other causes have undetected prostate cancer.

foxnews.com

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Mar 28, 13:15

Celebrities Hype Full-Body Scans: Are the Risks Worth the Price?

Full-body MRI scans, promoted by celebrities like Kim Kardashian and Paris Hilton, cost up to \$2,500, are rarely covered by insurance, and raise concerns among doctors due to potential for false positives and overtreatment, despite early detection capabilities.

Celebrities Hype Full-Body Scans: Are the Risks Worth the Price?

Full-body MRI scans, promoted by celebrities like Kim Kardashian and Paris Hilton, cost up to \$2,500, are rarely covered by insurance, and raise concerns among doctors due to potential for false positives and overtreatment, despite early detection capabilities.

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What are the immediate consequences of the rising popularity of expensive, unproven full-body MRI scans for asymptomatic individuals?

Full-body MRI scans, promoted by celebrities, cost up to \$2,500 and are not typically covered by insurance. While they aim for early disease detection, concerns exist regarding false positives, overdiagnosis, and overtreatment, outweighing potential benefits for asymptomatic individuals.

theguardian.com

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Mar 16, 19:14

Streeting's Mental Health Overdiagnosis Concerns Amidst Welfare Reform

UK Health Secretary Wes Streeting voiced concerns about potential mental health overdiagnosis and insufficient support, prompting criticism from mental health charities amid government plans to reform disability benefits, including making the personal independence payment (PIP) harder to claim, desp...

Streeting's Mental Health Overdiagnosis Concerns Amidst Welfare Reform

UK Health Secretary Wes Streeting voiced concerns about potential mental health overdiagnosis and insufficient support, prompting criticism from mental health charities amid government plans to reform disability benefits, including making the personal independence payment (PIP) harder to claim, desp...

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What are the immediate consequences of Wes Streeting's comments regarding mental health overdiagnosis, and how do they impact disability support policies?

Wes Streeting, the health secretary, raised concerns about potential overdiagnosis of mental health conditions, prompting warnings against stigmatization from mental health charities and experts. He also acknowledged insufficient support for those with mental health issues, advocating for earlier intervention to aid return to work. This follows government plans to reform disability benefits, altering eligibility criteria for the personal independence payment (PIP).

Showing 1 to 12 of 19 results