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Mammography and overdiagnosis, revisited
Another new study supports the hypothesis that overdiagnosis is a major problem in mammography screening programs. Predictably, it is attacked based on a misunderstanding of what overdiagnosis is.
In which we are accused of “polarization-based medicine”
A little over a month ago, I wrote about how proponents of “complementary and alternative medicine” (CAM), now more frequently called “integrative medicine,” go to great lengths to claim nonpharmacological treatments for, well, just about anything as somehow being CAM or “integrative.” The example I used was a systematic review article published by several of the bigwigs at that government font of...
When science- and evidence-based guidelines conflict with patient wishes: What’s a doc to do?
We use the term "science-based medicine" (SBM) because medicine isn't a science. The best medicine, however, is based in science. Patient values are also important, but what is a science-based doctor to do when SBM conflicts with what a patient or family wants?
The stem cell hard sell, Stemedica edition
Stemedica Cell Technologies, a San Diego company that markets stem cell treatments for all manner of ailments, likes to represent itself as very much science-based. There are very good reasons to question that characterization, based on the histories of the people who run the company, as well as the company's behavior.
Diet and exercise versus cancer: A science-based view
Yes, diet and exercise can be useful to prevent some cancers. Unfortunately, they don't prevent all cancers, and the effect size is more modest than often represented. That's not to say that eating right and exercise aren't good. They are, for so many other reasons than cancer. Just don't view them as a panacea for preventing cancer.
“Non-pharmacological treatments for pain” ≠ CAM, no matter how much NCCIH wishes it so
When it comes to pain, in the mythos of "complementary and alternative medicine" (CAM), which in recent years has morphed into "integrative medicine," anything that isn't a drug is automatically rebranded as CAM, whether it's in any way "alternative" or not.