Too much medicine; too little care:Time to wind back the harms of overdiagnosis and overtreatment

BMJ (Online)

Volumn 347, Issue 7915, 2013, Pages

  Glasziou, Paul ^a   Moynihan, Ray ^a   Richards, Tessa ^b   Godlee, Fiona ^b  

^a BOND UNIVERSITY   (Australia)

^b BMJ   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

CANCER SCREENING; CLINICAL MEDICINE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONFLICT; EDITORIAL; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH HAZARD; LUNG EMBOLISM; PATIENT CARE; PATIENT INFORMATION; PATIENT REFERRAL; PRIORITY JOURNAL; RISK BENEFIT ANALYSIS; THYROID CANCER;

HUMANS; PULMONARY EMBOLISM; PULMONARY VEINS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84880054174     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.f4247     Document Type: Editorial

References (11)

1. McCartney M. The patient paradox: why sexed up medicine is bad for your health. Pinter and Martin, 2012
2. Davies L, Welch HG. Increasing incidence of thyroid cancer in the United States, 1973-2002. JAMA 2006;295:2164-7.
3. Australian Institute of Health and Welfare. Cancer survival and prevalence in Australia: period estimates from 1982 to 2010. 2012. www.aihw.gov.au/WorkArea/DownloadAsset. aspx?id=10737422721.
4. Welch HG, Black WC. Overdiagnosis in cancer. J Natl Cancer Inst 2010;102:605-13.
5. Morrell S, Barratt A, Irwig L, Howard K, Biesheuvel C, Armstrong B. Estimates of overdiagnosis of invasive breast cancer associated with screening mammography. Cancer Causes Control 2010;21:275-82.
6. Schwartz LM, Woloshin S. Changing disease definitions: implications for disease prevalence. Analysis of the third national health and nutrition examination survey, 1988-1994. Effect Clin Pract 1999;2:76-85.
7. Weiner RS, Schwartz L, Wooloshin S. When a test is too good: how CT pulmonary angiograms find pulmonary emboli that do not need to be found. BMJ 2013;347:f3368.
8. Gornall J. DSM -5: a fatal diagnosis? BMJ 2013;346:f3256.
9. Heath I, Hippisley-Cox J, Smeeth L. Measuring performance and missing the point? BMJ 2007;335:1075-6. (Pubitemid 350206278)
10. Frances A. Saving normal: an insider's revolt against out-of-control psychiatric diagnosis, DSM-5, big pharma, and the medicalization of ordinary life. William Morrow, 2013.
11. Tiefer L, Witzak K, Heath I. A call to challenge the "Selling of Sickness." BMJ 2013;346:f2809