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Articles on Overdiagnosis

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We wanted to know about the people who decide where to draw the line between “normal” and “abnormal”, between healthy and diseased. Shutterstock

How diseases get defined, and what that means for you

Have you ever wondered how diseases get defined? How “high” does your blood pressure have to be before it’s called “high blood pressure”? How “low” does bone density have to be before it’s “osteoporosis…
A newly-defined condition called ‘chronic kidney disease’ could turn many people unnecessarily into patients. Shutterstock

Making people patients: chronic kidney disease over-diagnosis

Kidneys are probably not a subject most of us think about too much – but right now they’re at the centre of a global medical controversy. In a paper published in the British Medical Journal today, we explain…
There’s a deep uncertainty about both the benefits and the harms of breast cancer screening as it is practiced today. Tips Times/Flickr

Growing uncertainty about breast cancer screening

When they were introduced over 20 years ago, national breast screening programs were a milestone in public health. They were based on evidence from randomised trials that screening saved lives. But there…
We need a more rational debate about how and where we spend our finite health budget. Image from shutterstock.com

Explainer: what is health rationing?

HEALTH RATIONING – a series which examines Australia’s rising health costs and the tough decisions governments must make to rein them it. Any mention of the “R” word in health care immediately brings to…
Overdiagnosis wastes money and diverts resources that could be used treating real disease, experts say. http://www.flickr.com/photos/tranchis

Medical researchers raise alarm on overdiagnosis

One of the world’s top medical journals has launched a campaign against overdiagnosis, where people are diagnosed with medical conditions they don’t have and prescribed medicine they don’t need. The British…
There’s virtually no difference in cancer incidence between women aged 20-24 years who screened are and those who are not. Spirit-Fire/Flickr

Cervical cancer screening shouldn’t start until 25

Women in England, Scotland, Wales and Northern Ireland will all soon be advised to start screening for cervical cancer at 25 years, and those aged between 50 and 64 years to screen every five years rather…
Obesity, over-diagnosis, the NDIS, vaccinations and open access for genetic information were just some of the issues covered in 2012. Kylie May; shutterstock.com; Morberg; Pranjal Mahn

2012, the year that was: Health + Medicine

It promised to be a full year of reforms: pokies legislation, front-of-pack food labels and a dental system that doesn’t cost those in need an arm and a leg. But while we did see cigarette companies forced…
Even without routine mammographs, women with a family history of the disease should be screened. Zanthia

Is routine breast cancer screening doing more harm than good?

Public discussion about the risks of over-diagnosis of breast cancer have left some women wondering whether they should take part in the government’s breast screening program. Let’s take a look at what…
Whatever the specific cause of ADHD-like behaviours for a particular child, it’s the people and institutions around them that define it as problematic. Katy Stoddard

We need a different national conversation about ADHD

Attention deficit hyperactivity disorder (ADHD) is the most diagnosed childhood disorder in Australia. Most of us now know someone, or someone’s child, who has been diagnosed with ADHD. Reports on television…
Over-diagnosis distracts us with conditions and interventions that provide marginal benefit, no benefit, or even net harm. Jonathan Cohen

Ending over-diagnosis: how to help without harming

OVER-DIAGNOSIS EPIDEMIC - In the final instalment of our series, Paul Glasziou talks about the way forward. Over-diagnosis is a significant problem that’s already common in some areas of medicine, such…
Over-diagnosis and over-treatment happen for many reasons – and consumers contribute as well. www.shutterstock.com

The ethics of over-diagnosis: risk and responsibility in medicine

OVERDIAGNOSIS EPIDEMIC – Today, Stacy Carter presents a philosophical view of over-diagnosis and what can be done to change how things stand. Recently a friend told me a story about her dad. Fit and well…
Not asking critical diagnostic questions is one of the causes ofthe high prevalence rates for ADHD. Jeff Meyer

Moving the diagnostic goalposts: medicalising ADHD

OVER-DIAGNOSIS EPIDEMIC – Today, Rae Thomas looks at the growing prevalence of attention deficit hyperactivity disorder. Does your five-year-old have difficulty sustaining attention? What about organising…
Of all the teenagers with flu-like symptoms, GPs need to find the one with a lymphoma in his chest. Joey Yee

Over-diagnosis: the view from inside primary care

OVER-DIAGNOSIS EPIDEMIC - We kick off the second week of this series with Jenny Doust looking at some drivers of over-diagnosis in general practice. It’s easy to dismiss general practice as being about…
To prevent one death from prostate cancer, 1,055 men would need to be screened and 37 cancers detected. Isaac Leedom

PSA screening and prostate cancer over-diagnosis

OVER-DIAGNOSIS EPIDEMIC – We finish our first week of this series with Robert Burton, Christopher Stevenson and Mark Frydenberg examining prostate cancer screening. Scientific oncology started with the…
Genetic testing can render perfectly healthy people into the “worried well.” Thomas Hawk

How genetic testing is swelling the ranks of the ‘worried well’

OVER-DIAGNOSIS EPIDEMIC – Today Jacqueline Savard talks about the growing prevalence of genetic testing and what impact they have on over-diagnosis. Genetic testing and screening is increasingly becoming…
Women need to be made aware of over-diagnosis and given enough information to make up their own minds about screening. Johan/Flickr

Over-diagnosis and breast cancer screening: a case study

OVER-DIAGNOSIS EPIDEMIC – Today Robin Bell and Robert Burton examine breast cancer to evaluate the role of population-wide screening in over-diagnosis. Since the national screening mammography program…
Over-diagnosis happens when people are diagnosed with diseases or conditions that won’t actually harm them. www.shutterstock.com

Preventing over-diagnosis: how to stop harming the healthy

OVER-DIAGNOSIS EPIDEMIC – In the first instalment of a nine-part series Ray Moynihan outlines the growing problem of over-diagnosis. If you haven’t heard much yet about the problem of over-diagnosis, rest…

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