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Archive for the ‘Mis-diagnosis’ Category

JUNE 16: NEW PROSTATE CANCER INFO-LINK:  The whole issue of the appropriateness of cancer screening is starting to become a major public health issue, closely and inevitably associated with cancer risk, writes Mike Scott. READ MORE>

“The New Prostate Cancer Infolink believes we can expect strong feelings to be expressed on both sides of this issue over the next few years, and we want to go on record now as stating that the currently available data for and against the appropriateness of screening for almost every form of cancer is generally very poor.

“We are never going to be able to resolve any of these issues until be get a lot better at at least some — and preferably all — of the following:

  • The early differential diagnosis of cancers by clinical risk — in other words, being able to have much better understanding at the time of diagnosis of who really needs aggressive treatment because their cancer may either shorten their life or severely affect its quality.
  • Explaining to individual patients why aggressive treatment may not be  in their best interests if they have every indication of low risk, indolent forms of cancer.
  • Alignment of physicians’ financial reimbursement with truly appropriate medical practice — so that a urologist (for example) is as reasonably compensated for convincing a 70-year-old patient that expectant management is probably an excellent form of care for his prostate cancer, given his particular circumstances, as the urologist would be for carrying out a radical prostatectomy.
  • Teaching society that the vast majority of cancer diagnoses have long since ceased to be a death sentence (although there are still plenty of exceptions to that statement).”

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JUNE 8: NZ DOCTOR: Some 50 per cent of men diagnosed via a PSA test would never experience symptoms if left untreated, says a NZ epidemiologist who has analysed the large randomised studies reported recently. READ MORE>

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MAY 26: STUFF: NZ Health and Disability Commissioner Ron Paterson has called for more robust systems to be implemented at Nelson Hospital after a man underwent unnecessary prostate surgery. The 67-year-old man underwent radical surgery in 2007 after he was diagnosed with prostate cancer by a locum senior pathologist. While the surgery was uneventful, the man experienced ongoing urinary incontinence and another pathologist reviewed the diagnosis and found no evidence of malignancy. READ MORE>

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