Avril Danczak: Is “early cancer diagnosis” a meaningless concept?

I often see articles, posters, and advertisements stating that early diagnosis of cancer “saves lives.” An implication that general practitioners are not “doing enough” or that people “ignore symptoms” usually follows. GPs are now encouraged to investigate if there is a “3% or more cancer risk.” Does this way of talking about cancer actually make […]

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Richard Smith: Little global progress in countering non-communicable disease

In 2011 the United Nations held a high level meeting on preventing and controlling non-communicable disease (NCD) and produced a declaration on what countries should do. In 2018 it will hold another meeting to review progress, and unless there is a dramatic acceleration the meeting is likely to conclude that progress has been poor, said […]

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Richard Lehman: Sharing medicine—negative capability

It’s just over a year ago that an essay called “Tolerating Uncertainty” appeared in the NEJM, headed by a quotation from Keats: “At once it struck me what quality went to form a Man of Achievement . . . when a man is capable of being in uncertainties, mysteries, doubts, without any irritable reaching after […]

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Jeffrey Aronson: When I Use a Word . . . Alpha, beta, gamma . . . zeta

In the Christmas issue of The BMJ, recently out, you can read about my exploration of nonexistent authors listed in citations in PubMed, a never ending source of general amusement in the form of misattributions and misspellings. I reported three varieties: apparent authors (such as Et Al and Anon), concealing the identities of real contributors; […]

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