..is the headline on a local NHS newsletter. It refers to FOB colon cancer screening, which is part of the National Screening Programme. The story below reveals that after the positive test, Jimmy had a colonoscopy, a CT scan, “very aggressive” chemotherapy, a large operation (a colectomy) and a liver resection for metastatic spread. Not […]
Continue Reading →Health alert on the lure of cancer screening
A rather disappointing debate recorded in Hansard on the subject of screening for cancer in men. Unfortunately the extremely important issues of effectiveness, evidence, and potential harms seem to have become lost, e.g. “the government is committed to introducing screening for prostate cancer” – but since the evidence is mixed but much of it shows that it does more harm than […]
Continue Reading →4D Antenatal scans need careful consideration
Not content to prescribe a shopping list of buggies, cots, Moses baskets, bibs, nappies, changing mats, slings, car seats, blankets, hats, romper suits and bootees, a contender on the pregnancy to-do list is the 4D baby scan. No, the fourth dimension is not really recordable (although my understanding of quantum physics is rather shaky) it refers instead to […]
Continue Reading →The fashion for genes
Over the past few weeks, I have been offered massages, gym visits, vitamin supplements, make-up tips and consultations with cosmetic surgeons. All these generous invitations came from PR companies keen to create a media glow for their clients’ products. Since an awful lot of column inches seem to be devoted to genome testing at the […]
Continue Reading →Abreast of the matter
I am reporting good news, for a change. The UK Breast Screening Service has said it intends to rip up the leaflet which is currently sent to women with breast screening appointments. A recent paper in the British Medical Journal outlined the kinds of uncertainties and likelihoods the authors thought would have counted as “fair […]
Continue Reading →Check the check up
And lo, the government said, we must woo voters. And they had a great idea: check ups. Let’s not leave them to the private providers. Let’s put them on the NHS. Everybody loves a check up. The Department of Health sets out its new idea in a policy paper “Putting prevention first – vascular checks: […]
Continue Reading →Facts: the facts
I was talking to a composer a few weeks ago. “This stuff doesn’t really exist except when it’s played,” he said, pointing to his score with heavy despair. “Whereas you’ve got a job where you can actually see that you are doing something good.” He couldn’t understand that my protests to the contrary were genuine: […]
Continue Reading →Breast cancer: to screen or not to screen?
A very interesting paper just published in the Archives of Internal Medicine. The study followed women before and after the introduction of a breast screening programme in Norway. They were compared to a control group of women who did not take part in the screening programme, but who would have been, had the programme been started in […]
Continue Reading →Screening complications
Regular readers will know that I have concerns about many tests used in the UK for screening. Screening tests are used when people are well, with no symptoms of disease. The aim of screening is to pick up a disease process at an early, pre-symptomatic stage such that an effective intervention can be used to prevent complications. […]
Continue Reading →Screening may do more harm than good
I am perturbed. The US Preventive Services Task Force, a government health body, has decided that doctors should stop offering prostate-cancer screening to men over 75. It has made a definitive statement: “Do not screen for prostate cancer in men age 75 years or older.” But instead of happy relief at this rare outbreak of […]
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