Wednesday, December 12, 2012

Dangers Of Medical Overdiagnosis & Overtreatment




This article brings up a hot topic in the medical world: overdiagnosis.  This term is used to describe when people test positive for a condition when no symptoms will ever show or no disease will develop.  As fear of a condition accumulates, more people are going to several doctors, ordering more tests to be done, and are essentially doing more harm than good.  Every test has an uncertainty rate and having more tests done increases chance of misdiagnosing or overdiagnosing the problem.  A study cited in the article revealed that categories of 25% of breast cancers, 50% of lung cancers, and 60% of prostate cancers are overdiagnosed.  In turn, patients go through therapies even though the cancers may eventually either regress on their own, or the patient would die of other causes before a cancerous death. 

These therapies end up harming the patient more than doing good.  Unfortunately, the author states there is ultimately no right answer for the tradeoff between taking action to potentially avert a cancer death and the likelihood of overdiagnosis, and is ultimately a personal choice.  Once I read this statement, I immediately understood why most people choose to have too many tests done.  I figured it was because they would rather do something about a potential disease than not do anything and have one develop.  However, upon looking at statistics I cited above, maybe we should start thinking about having more consideration whether we are being tested too much, leading to unnecessary procedures, rising medical costs, and predisposition to future cancers, among other conditions.  So what’re your all opinions on the matter?  Should we continue with testing all we like, have some type of regulation as to how many we get done, or go with a healthy medium?

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