In 2019, the NHS Long Term Plan set an ambitious goal, stating that by 2028, the NHS will diagnose 75% of cancers at stage 1 or 2. In order to achieve this aim, researchers, clinicians and policymakers have discussed the possibility of introducing new screening modalities for types of cancer that are not currently screened for.
Published in European urology oncology
Previous research quantified the effect of prostate-specific antigen (PSA)-based prostate cancer (PCa) screening on quality-adjusted life years using 11-yr follow-up data from the European Randomized Study of Screening for Prostate Cancer (ERSPC) extrapolated by the Microsimulation Screening Analysis (MISCAN). ERSPC data now matured to 21 yr of fol...
Abstract The notion of risk questions our dominant and traditional medical approach to health phenomena: a binary normal-pathological model anchored in the pathophysiological framework. For risk factors which are continuous biological variables such as hypertension or hypercholesterolemia, the demarcation line between a level which would be ‘normal...
Published in BMC Primary Care
Background Healthcare costs are rising worldwide. At the same time, a considerable proportion of care does not benefit or may even be harmful to patients. We aimed to explore attitudes towards low-value care and identify the most important barriers to the de-implementation of low-value care use in primary care in high-income countries. Methods Betw...
Published in BMC public health
Thyroid cancer overdiagnosis is a major public health issue in South Korea, which has the highest incidence rate. The accessibility of information through the Internet, particularly on YouTube, could potentially impact excessive screening. This study aimed to analyze the content of thyroid cancer-related YouTube videos, particularly those from 2016...
Published in BMC Medical Education
Overdiagnosis is a growing health issue, yet our understanding of medical students’ exposure to this concept within medical education is limited. Our aim was to explore students’ experience of diagnostic learning to identify how overdiagnosis may be understood by students. During in-person and online semi-structured interviews throughout 2021, we e...
Published in Respiratory medicine
The quality of e-Consultations in the COPD is unknown. The objectives of this study were (i) to evaluate the quality of referrals; (ii) to define the characteristics of patients referred from Primary Care (PC) to the Unit of Pulmonology; and (iii) to describe differences between accepted and rejected patients. A retrospective, observational study o...
Published in Journal of clinical epidemiology
To evaluate the strength of the evidence for, and the extent of, overdiagnosis in noncancer conditions. We systematically searched for studies investigating overdiagnosis in noncancer conditions. Using the 'Fair Umpire' framework to assess the evidence that cases diagnosed by one diagnostic strategy but not by another may be overdiagnosed, two revi...
Published in Journal of Cancer
Overdiagnosis of papillary thyroid microcarcinoma (PTMC) is prevalent, and effective management of PTMC is an important matter. The high incidence and low mortality rate of papillary thyroid carcinoma (PTC) justify the preference for active surveillance (AS) over immediate surgery (IS), particularly in cases of low-risk PTMC. Japan began AS in the ...
Published in Patient education and counseling
Examine how women aged 35-50 respond to messages about limiting cancer screening. A national sample of women aged 35-50 (n = 983) were randomly assigned to read one of four media vignettes: three provided information about potential harms of mammograms using evidence, norms, or an anecdote strategy, and one provided no such information. Participant...
