4 ms·
Guess it's time to share this again. "Cancer screening has never been shown to save lives" - Oncologist Vinay Prasad. Detection is not the problem. It's what to
by TaupeRanger 6y ago
Guess it's time to share this again. "Cancer screening has never been shown to save lives" - Oncologist Vinay Prasad. Detection is not the problem. It's what to do once you find it. Iatrogenic harms are real.
https://www.bmj.com/content/352/bmj.h6080 https://www.bmj.com/content/352/bmj.h6080
With better testing, we might be able to save some people, but we might also be subjecting a great deal more people to harms through unnecessary treatment and psychological trauma.
- jforman 6y agoYou can't design interventions for problems that you cannot see. Detection alone doesn't save lives, but it is a necessary step to the discovery of interventions that do.
- eloff 6y agoThere's a lot to this, if you look hard enough you'll find something wrong. But that something wrong probably would have never progressed into something that kills you - however the interventions you then undergo are not without risk. Like if you have the slow-growing prostate cancer, you'll die of something else. But if you operate you're taking risks of surgery and lifetime incontinence, and might spread it elsewhere in the body. However, I still think early detection is an important first step to finding better interventions. Once you know it's there you can start to come up with less risky/invasive treatments. The odds of dealing with it at an early stage are so much better and the scope of the intervention required so much smaller.