Too much of a good thing
Too much of a good thing is a blog series that was published as a collaboration between Wiser Healthcare and Croakey.org. The series investigated how to reduce overdiagnosis and overtreatment in Australia and globally.
The articles are also available for republication by public interest organisations, upon request.
Diagnostic imaging scans for back pain: three things they can do, three things they can’t
It’s time for patients and clinicians to have frank discussions about what diagnostic imaging scans can do for low back pain, and what they cannot, according to research published recently in BMJ Open.
Weighing up the potential benefits and harms of comprehensive full body health checks
This article explores the general or ‘full body’ health check that not only involves a comprehensive clinical assessment, but also includes performing a whole battery of laboratory, genetic and imaging tests in a person who does not feel ill and has not sought care.
Should the Queen go for breast screening?
This article explores the contention around the AgeX trial, the biggest randomised trial ever, which is considering how long should older women continue to be screened for breast cancer.
‘Cancer’: what is really in a name?
This article explores some of the reasons why tackling the complex problem of too much medicine remains a big priority in the COVID era.
Tackling medical excess remains a huge priority
This article explores some of the reasons why tackling the complex problem of too much medicine remains a big priority in the COVID era.
Raising the bar for surgery
This article discusses the problems with the current regulatory environment and suggests changes to improve the safety and quality use of devices and surgery.
Can ‘audit and feedback’ reduce low value care? Promises and challenges
This article explores the use of audit and feedback to reduce overdiagnosis and overtreatment (e.g. over-prescription of opioids) as well as under-diagnosis and under-treatment.
Tackling overtreatment near the end of life
This article introduces us to “Walter”, a fictitious character whose story is typical of many older patients, and explains how tackling overtreatment could improve his care.
The ‘Catch it Early’ bandwagon: do the media overhype medical testing for healthy people?
This article explains that the findings are likely to shed new light on the causes of overdiagnosis in healthy people.
What is overdiagnosed cancer? And why does it matter?
This article explores that patients, doctors and Health Ministers must understand the limitations of screening “if we are to avoid an epidemic of overdiagnosis”.