{"id":33517,"date":"2015-03-04T14:50:49","date_gmt":"2015-03-04T13:50:49","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/bmj\/?p=33517"},"modified":"2015-03-04T14:50:49","modified_gmt":"2015-03-04T13:50:49","slug":"bmj-today-overdetecting-aaa-and-breast-cancer-and-how-much-do-people-care","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2015\/03\/04\/bmj-today-overdetecting-aaa-and-breast-cancer-and-how-much-do-people-care\/","title":{"rendered":"BMJ Today: Overdetecting AAA and breast cancer, and how much do people care?"},"content":{"rendered":"<p><strong><a href=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/abdominal_aortic_aneurysm.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-33518\" src=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/abdominal_aortic_aneurysm-150x150.jpg\" alt=\"abdominal_aortic_aneurysm\" width=\"150\" height=\"150\" \/><\/a>Overdiagnosis in screening for abdominal aortic aneurysm\u00a0<\/strong><br \/>\n<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h825\">Johansson and colleagues discuss<\/a> the assumptions and evidence behind such screening programmes, and call for a revisit of these programmes &#8220;because of reduced benefits in modern populations and because data suggest considerable harm.&#8221;<!--more--><\/p>\n<p><strong>Overdiagnosis in mammography screening<\/strong><br \/>\nThe leap of faith here assumes early breast cancer detection and treatment carries more benefit than harm. There is evidence casting doubt on such assumptions, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h867%20\">says Barratt<\/a>, but it is limited. In the meanwhile, we need more agreement between experts, to help women make informed choices, and we should think twice before expanding screening programmes.<a href=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/mammogram_room.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-33520\" src=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/mammogram_room-150x150.jpg\" alt=\"mammogram_room\" width=\"150\" height=\"150\" \/><\/a><\/p>\n<p>But <strong>how willing are people to accept overdetection in cancer screening anyway?<\/strong> The answer varies, according to a <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h980\">population survey conducted by Van den Bruel<\/a> et al.<\/p>\n<p><strong><a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1095\">Too much medicine is not just a problem of rich countries<\/a><\/strong>, says Jain, who describes manifestations of overdiagnosis and overtreatment in India, as well as burgeoning initiatives against them.<\/p>\n<p><a href=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/mobile_phone_teen.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-33521\" src=\"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2015\/03\/mobile_phone_teen-150x150.jpg\" alt=\"mobile_phone_teen\" width=\"150\" height=\"150\" \/><\/a>Now for a good news story on use of new technology:<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1099\"> editorialists Bailey and colleagues discuss how <strong>digital media can promote sexual health<\/strong><\/a>. Internet or mobile phone interventions are ideal for this purpose\u2014accessible (especially by those in high risk groups), private, convenient, and allowing for &#8220;self paced and personalised&#8221; learning. And they can actually improve knowledge of sexual health and promote safer sexual behaviours.<\/p>\n<p><em><strong>Mabel Chew<\/strong> is the practice editor<\/em>, The BMJ.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Overdiagnosis in screening for abdominal aortic aneurysm\u00a0 Johansson and colleagues discuss the assumptions and evidence behind such screening programmes, and call for a revisit of these programmes &#8220;because of reduced benefits in modern populations and because data suggest considerable harm.&#8221; [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmj\/2015\/03\/04\/bmj-today-overdetecting-aaa-and-breast-cancer-and-how-much-do-people-care\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-33517","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/33517","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=33517"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/33517\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=33517"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=33517"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=33517"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}