Most patient decision aids for prostate cancer screening lacked important information on overdiagnosis. Specific guidance is needed on how to communicate the risks of overdiagnosis in decision aids, including appropriate content, terminology and graphical display.
Sufficient follow-up time (≥10 years) after screening stops is key to obtaining unbiased estimates of overdiagnosis. Overdiagnosis of invasive BC is a larger problem in older compared to younger women.
Cancer screening aims to reduce morbidity and mortality through early detection of preclinical disease. These potential benefits must be weighed against potential harms from diagnostic procedures, induced anxiety, false-positive or false-negative results and the detection of ‘indolent’ cancers, otherwise known as overdiagnosis.
To determine the impact of test measurement variation on misclassification of prediabetes and diabetes in the US adult population.
To investigate the decisional impact of an age-based chart of kidney function decline to support general practitioners (GPs) to appropriately interpret estimated glomerular filtration rate (eGFR) and identify patients with a clinically relevant kidney problem.
Left ventricular non-compaction (LVNC) is characterised by a bi-layered myocardium, with excessive left ventricular (LV) trabeculation. Ongoing debate exists as to whether LVNC in adults is a distinct cardiomyopathy, or a morphological feature of ventricular remodelling present in physiological and pathological states. In this commentary, [...]
Population-based mammographic screening programmes aim to reduce breast cancer mortality through early detection of the disease. Contemporary screening programmes increasingly value women’s autonomy and endorse the notion that women ought to be supported in making an informed choice whether to participate. To this end, the [...]
The rise and rise of overdiagnosis—and its corollaries, over-testing and overtreatment—has unfolded synchronously with the health emergency caused by climate change. Climate change will drive ever more people to seek medical care for exposure to extreme heat, drought, floods, fire and extreme weather, vector borne [...]
November 2021 Wiser Healthcare welcomes the opportunity to provide our views on the Australian Department of Health's 10-year plan for Primary Health Care with the aim of strengthening the primary health care system to deliver the best health outcomes for Australians. [...]
Most of the major advances in health and life expectancy over the past couple of hundred years weren’t due to modern medicine, but to public health, political and industrial achievements, such as clean water supply, sewerage separation, having enough food and avoiding war.