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The benefits of screening mammography have been greatly exaggerated

Charles Wright, MD
Conditions
March 4, 2014

When first introduced four decades ago, breast cancer screening with mammography was widely regarded as an important tool in the fight against this terrible disease.  It seemed obvious that the earlier it could be diagnosed the more lives could be saved. Aggressive treatment, it was thought, would prevent the cancer from spreading through the body.  A huge amount of research evidence since then has slowly and painfully led to a …

Read more…

The benefits of screening mammography have been greatly exaggerated

Overdiagnosis: When health services harm more than help

Charles Wright, MD
Physician
December 24, 2013

“First, do no harm,” as suggested by Hippocrates, is a vital principle that should always guide physicians, but they are also well aware that in modern health care, whether in the form of drugs, operations, radiotherapy or any other form of treatment, there is always the possibility of causing harm to their patients.  All drugs have potential adverse side effects and all surgery carries risk.  Doctors and patients need to …

Read more…

Overdiagnosis: When health services harm more than help

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  • Most Popular

  • Past Week

    • The Blanket Sign: Recognizing difficult patient encounters in the ER

      George Issa, MD | Physician
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The passion vine: a lesson on restraint in medicine and life

      Rao M. Uppu, PhD | Conditions
    • The future of employer-aligned DPC and physician autonomy

      Dana Y. Lujan, MBA | Policy
    • American health care policy reform: Why we need a bipartisan commission

      Steve Cohen, JD | Policy
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Why implementation is not the same as readiness in health care

      Tiffiny Black, DM, MPA, MBA | Conditions
    • AI redefines the physician’s role by reducing cognitive overload [PODCAST]

      The Podcast by KevinMD | Podcast
    • Physician neutrality: a beacon of ethics in a divided world

      Farid Sabet-Sharghi, MD | Physician
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      George Issa, MD | Physician
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      Muhamad Aly Rifai, MD | Physician
    • The economic shift from fee-for-service to direct primary care

      Dana Y. Lujan, MBA | Policy

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