Discover and read the best of Twitter Threads about #Overdiagnosis

Most recents (5)

THREAD on « A case-control study to evaluate the impact of the breast screening programme on breast cancer incidence in England » by Blyuss et al., 2022.
#overdiagnosis #breastcancer #radiation
@MaryanneDemasi @trishgreenhalgh @DrJBhattacharya @DgCostagliola @CatherineRiva
1/
The article’s conclusion suits me: The NHS Breast Screening Programme in England confers at worst modest levels of overdiagnosis.
onlinelibrary.wiley.com/doi/10.1002/ca…
2/
However, Blyuss et al. did their work on breast cancer incidence, not on overdiagnosis. How could they miss the massive increase of breast cancer incidence caused by mammography-induced cancers?

3/
Read 20 tweets
Hi @DrFJameel & @BMA_GP & #GeorgeRae , many thanks for your @TheBMA joint statement with @rcgp on Inclisiran
rcgp.org.uk/policy/rcgp-po… ... 1/n
2/n ... As a @NHSEngland clinical public health commissioner, I'm very surprised to read that @NICEComms have indicated that Inliciran is cost-effective
3/n ... This is because the highly reputed/independent US org @icer_review conducted a detailed CE analysis of Inliciran and Bempedoic Acid icer.org/news-insights/… earlier in the year, and their findings are at complete odds with what NICE is stating
Read 17 tweets
A tweet thread on AYUSH.
I think these traditional medicine systems are here to stay. They are of course pure junk, totally unscientific, snake-oil, voodoo medicine.. call it whatever pejorative term you like.. but they are here to stay.
Why are they here to stay?
Well they are here to stay quite simply because many many people have faith in them. The source of this faith and whether it is faith backed by research is debatable but the fact is people have faith in them. Mainly upper caste Hindus when it comes to Ayurveda,
But homeopathy, Unani and Siddha have their own adherents.China is promoting its #TCM - traditional Chinese medicine and the English speaking world has its #AlternativeMedicine movement. On TCM see: economist.com/leaders/2017/0…
Read 11 tweets
I'm afraid this attempt at allaying popular anxieties about #Covid19 and #Coronavirus by the head of a major #Pharma major in #India might achieve precisely the opposite. Image
For someone who had mild Covid19 illness - in my taxonomy this would mount to a Grade 2-3 Coronavirus infection - this write up seems to be advocating a horrendous amount of #Overdiagnosis. Image
Clearly she has at her beck and call the most expensive specialists from the best hospitals, a platoon of biochemists, immunologists and virologist using the latest laboratory assays. This is a response to her position from people who want to please, not to her clinical need
Read 7 tweets
GPs understanding of the benefits and harms of long term treatments. Paper out today bjgpopen.org/content/early/… Shows we GPs have a real knowledge gap about the absolute size of treatment effects. System problem, not individuals and some good news too. Thread 1/22
Thanks to co-authors Geoff Wong, Coral Milburn-Curtis, @Feakster86 @trishgreenhalgh . @NIHRcommunity -this done under an In-Practice fellowship and the excellent MSc in EBHC @CebmOxford Also @medmyths @sfinnikin Sally Higgibottom,@rcgp #overdiagnosis group 2/
I was moved to do this research after recognising my own knowledge gap a few years ago - that the actual treatment effects of stuff I was prescribing everyday were way off my expectations 3/
Read 7 tweets

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