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Cancer Clinical trials Medicine

The Canadian Breast Screening Study attacked: Why do doctors have such a hard time with the concept of overdiagnosis?

The last couple of weeks, I’ve made allusions to the “Bat Signal” (or, as I called it, the “Cancer Signal,” although that’s a horrible name and I need to think of a better one). Basically, when Bat Cancer Signal goes up (hey, I like that one better, but do bats get cancer?), it means that […]

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Medicine Politics Popular culture Science

Is "value-based' health insurance really "value-based" or is it just an excuse to make patients pay more?

And now for something completely different… Unfortunately, it’s all too easy to find new woo-filled claims or dangerous, evidence-lacking trends to write about. Heck, I did it just last week. Examining certain other health-related issues from a science-based perspective is more difficult, but I feel obligated to do it from time to time, not just […]

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Cancer Medicine Politics Popular culture Surgery

No, redefining cancer doesn’t mean death panels

Blogging is a rather immediate endeavor. Over the last nine years (nearly), I’ve lost track of how many times I saw something that I wanted to blog about but but by the time I got around to it was no longer topical. Usually what happens is that my Dug the Dog tendencies take over, as […]

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Cancer Clinical trials Medicine

Cancer chemotherapy and obesity

In medicine, particularly oncology, it’s often the little things that matter. Sometimes, however, the “little things” aren’t actually little; they just seem that way. I was reminded of this by a story that was circulating a couple of weeks ago in the national media, often under titles like “Obese cancer patients often shorted on chemo […]

Categories
Cancer Clinical trials Medicine

No, the New York Times did not “kill your patient.”

One of the more depressing things about getting much more interested in the debate over how we should screen for common cancers, particularly breast and prostate cancer, is my increasing realization of just how little physicians themselves understand about the complexities involved in weighing the value of such tests. It’s become increasingly apparent to me […]