Overdiagnosed: Making People Sick in the Pursuit of Health
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Overdiagnosed: Making People Sick in the Pursuit of Health
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eBay-Artikelnr.:136340654667
Artikelmerkmale
- Artikelzustand
- Release Year
- 2012
- Book Title
- Overdiagnosed: Making People Sick in the Pursuit of Health
- ISBN
- 9780807021996
Über dieses Produkt
Product Identifiers
Publisher
Beacon Press
ISBN-10
0807021997
ISBN-13
9780807021996
eBay Product ID (ePID)
108140064
Product Key Features
Number of Pages
248 Pages
Language
English
Publication Name
Overdiagnosed : Making People Sick in the Pursuit of Health
Publication Year
2012
Subject
Ethics, General, Diagnosis, Health Policy
Type
Textbook
Subject Area
Medical
Format
Trade Paperback
Dimensions
Item Height
0.7 in
Item Weight
13.3 Oz
Item Length
9 in
Item Width
6 in
Additional Product Features
Intended Audience
Trade
Reviews
"Very insightful and engaging."--Dennis Rosen, The Boston Globe "One of the most important books about health care in the last several years."--Cato Institute "One of the big strengths of this relatively small book is that if you are inclined to ponder medicine's larger questions, you get to tour them all. What is health, really'... In the finite endeavor that is life, when is it permissible to stop preventing things? And if the big questions just make you itchy, you can concentrate on the numbers instead: The authors explain most of the important statistical concepts behind evidence-based medicine in about as friendly a way as you are likely to find."--Abigail Zuger, MD, The New York Times " Overdiagnosed --albeit controversial--is a provocative, intellectually stimulating work. As such, all who are involved in health care, including physicians, allied health professionals, and all current or future patients, will be well served by reading and giving serious thought to the material presented."─ JAMA "Everyone should read this book before going to the doctor! Welcome evidence that more testing and treatment is not always better."─ Susan Love, MD, author of Dr. Susan Love's Breast Book "This book makes a compelling case against excessive medical screening and diagnostic testing in asymptomatic people. Its important but underappreciated message is delivered in a highly readable style. I recommend it enthusiastically for everyone."─ Arnold S. Relman, MD, editor-in-chief emeritus, New England Journal of Medicine , and author of A Second Opinion: Rescuing America's Health Care "This stunning book will help you and your loved ones avoid the hazards of too much health care. Within just a few pages, you'll be recommending it to family and friends, and, hopefully, your local physician. If every medical student read Overdiagnosed, there is little doubt that a safer, healthier world would be the result."─ Ray Moynihan, conjoint lecturer at the University of Newcastle, visiting editor of the British Medical Journal, and author of Selling Sickness "An 'overdiagnosis' is a label no one wants: it is worrisome, it augurs 'overtreatment,' and it has no potential for personal benefit. This elegant book forewarns you. It also teaches you how and why to ask, 'Do I really need to know this?' before agreeing to any diagnostic or screening test. A close read is good for your health."─ Nortin M. Hadler, MD, professor of medicine and microbiology/immunology at University of North Carolina at Chapel Hill and author of Worried Sick and The Last Well Person "We've all been made to believe that it is always in people's best interest to try to detect health problems as early as possible. Dr. Welch explains, with gripping examples and ample evidence, how those who have been overdiagnosed cannot benefit from treatment; they can only be harmed. I hope this book will trigger a paradigm shift in the medical establishment's thinking." --Sidney Wolfe, MD, author of Worst Pills, Best Pills and editor of WorstPills.org, "One of the most important books about health care in the last several years."-Cato Institute "One of the big strengths of this relatively small book is that if you are inclined to ponder medicine's larger questions, you get to tour them all. What is health, really'... In the finite endeavor that is life, when is it permissible to stop preventing things? And if the big questions just make you itchy, you can concentrate on the numbers instead: The authors explain most of the important statistical concepts behind evidence-based medicine in about as friendly a way as you are likely to find."-Abigail Zuger, MD, The New York Times " Overdiagnosed -albeit controversial-is a provocative, intellectually stimulating work. As such, all who are involved in health care, including physicians, allied health professionals, and all current or future patients, will be well served by reading and giving serious thought to the material presented."─ JAMA "Everyone should read this book before going to the doctor! Welcome evidence that more testing and treatment is not always better."─ Susan Love, MD, author of Dr. Susan Love's Breast Book "This book makes a compelling case against excessive medical screening and diagnostic testing in asymptomatic people. Its important but underappreciated message is delivered in a highly readable style. I recommend it enthusiastically for everyone."─ Arnold S. Relman, MD, editor-in-chief emeritus, New England Journal of Medicine , and author of A Second Opinion: Rescuing America's Health Care "This stunning book will help you and your loved ones avoid the hazards of too much health care. Within just a few pages, you'll be recommending it to family and friends, and, hopefully, your local physician. If every medical student read Overdiagnosed, there is little doubt that a safer, healthier world would be the result."─ Ray Moynihan, conjoint lecturer at the University of Newcastle, visiting editor of the British Medical Journal, and author of Selling Sickness "An 'overdiagnosis' is a label no one wants: it is worrisome, it augurs 'overtreatment,' and it has no potential for personal benefit. This elegant book forewarns you. It also teaches you how and why to ask, 'Do I really need to know this?' before agreeing to any diagnostic or screening test. A close read is good for your health."─ Nortin M. Hadler, MD, professor of medicine and microbiology/immunology at University of North Carolina at Chapel Hill and author of Worried Sick and The Last Well Person "We've all been made to believe that it is always in people's best interest to try to detect health problems as early as possible. Dr. Welch explains, with gripping examples and ample evidence, how those who have been overdiagnosed cannot benefit from treatment; they can only be harmed. I hope this book will trigger a paradigm shift in the medical establishment's thinking." -Sidney Wolfe, MD, author of Worst Pills, Best Pills and editor of WorstPills.org, "Very insightful and engaging."-Dennis Rosen, The Boston Globe "One of the most important books about health care in the last several years."-Cato Institute "One of the big strengths of this relatively small book is that if you are inclined to ponder medicine's larger questions, you get to tour them all. What is health, really'... In the finite endeavor that is life, when is it permissible to stop preventing things? And if the big questions just make you itchy, you can concentrate on the numbers instead: The authors explain most of the important statistical concepts behind evidence-based medicine in about as friendly a way as you are likely to find."-Abigail Zuger, MD, The New York Times " Overdiagnosed -albeit controversial-is a provocative, intellectually stimulating work. As such, all who are involved in health care, including physicians, allied health professionals, and all current or future patients, will be well served by reading and giving serious thought to the material presented."─ JAMA "Everyone should read this book before going to the doctor! Welcome evidence that more testing and treatment is not always better."─ Susan Love, MD, author of Dr. Susan Love's Breast Book "This book makes a compelling case against excessive medical screening and diagnostic testing in asymptomatic people. Its important but underappreciated message is delivered in a highly readable style. I recommend it enthusiastically for everyone."─ Arnold S. Relman, MD, editor-in-chief emeritus, New England Journal of Medicine , and author of A Second Opinion: Rescuing America's Health Care "This stunning book will help you and your loved ones avoid the hazards of too much health care. Within just a few pages, you'll be recommending it to family and friends, and, hopefully, your local physician. If every medical student read Overdiagnosed, there is little doubt that a safer, healthier world would be the result."─ Ray Moynihan, conjoint lecturer at the University of Newcastle, visiting editor of the British Medical Journal, and author of Selling Sickness "An 'overdiagnosis' is a label no one wants: it is worrisome, it augurs 'overtreatment,' and it has no potential for personal benefit. This elegant book forewarns you. It also teaches you how and why to ask, 'Do I really need to know this?' before agreeing to any diagnostic or screening test. A close read is good for your health."─ Nortin M. Hadler, MD, professor of medicine and microbiology/immunology at University of North Carolina at Chapel Hill and author of Worried Sick and The Last Well Person "We've all been made to believe that it is always in people's best interest to try to detect health problems as early as possible. Dr. Welch explains, with gripping examples and ample evidence, how those who have been overdiagnosed cannot benefit from treatment; they can only be harmed. I hope this book will trigger a paradigm shift in the medical establishment's thinking." -Sidney Wolfe, MD, author of Worst Pills, Best Pills and editor of WorstPills.org, "Everyone should read this book before going to the doctor! Welcome evidence that more testing and treatment is not always better." ─ Susan Love, MD, author of Dr. Susan Love's Breast Book "This book makes a compelling case against excessive medical screening and diagnostic testing in asymptomatic people. Its important but underappreciated message is delivered in a highly readable style. I recommend it enthusiastically for everyone."─ Arnold S. Relman, MD, editor-in-chief emeritus, New England Journal of Medicine , and author of A Second Opinion: Rescuing America's Health Care "This stunning book will help you and your loved ones avoid the hazards of too much health care. Within just a few pages, you'll be recommending it to family and friends, and, hopefully, your local physician. If every medical student read Overdiagnosed, there is little doubt that a safer, healthier world would be the result."─ Ray Moynihan, conjoint lecturer at the University of Newcastle, visiting editor of the British Medical Journal, and author of Selling Sickness "An 'overdiagnosis' is a label no one wants: it is worrisome, it augurs 'overtreatment,' and it has no potential for personal benefit. This elegant book forewarns you. It also teaches you how and why to ask, 'Do I really need to know this?' before agreeing to any diagnostic or screening test. A close read is good for your health."─ Nortin M. Hadler, MD, professor of medicine and microbiology/immunology at University of North Carolina at Chapel Hill and author of Worried Sick and The Last Well Person "We've all been made to believe that it is always in people's best interest to try to detect health problems as early as possible. Dr. Welch explains, with gripping examples and ample evidence, how those who have been overdiagnosed cannot benefit from treatment; they can only be harmed. I hope this book will trigger a paradigm shift in the medical establishment's thinking." -Sidney Wolfe, MD, author of Worst Pills, Best Pills and editor of WorstPills.org, "One of the big strengths of this relatively small book is that if you are inclined to ponder medicine's larger questions, you get to tour them all. What is health, really'... In the finite endeavor that is life, when is it permissible to stop preventing things? And if the big questions just make you itchy, you can concentrate on the numbers instead: The authors explain most of the important statistical concepts behind evidence-based medicine in about as friendly a way as you are likely to find."-Abigail Zuger, MD, The New York Times " Overdiagnosed -albeit controversial-is a provocative, intellectually stimulating work. As such, all who are involved in health care, including physicians, allied health professionals, and all current or future patients, will be well served by reading and giving serious thought to the material presented." JAMA “Everyone should read this book before going to the doctor! Welcome evidence that more testing and treatment is not always better.� Susan Love, MD, author of Dr. Susan Love’s Breast Book “This book makes a compelling case against excessive medical screening and diagnostic testing in asymptomatic people. Its important but underappreciated message is delivered in a highly readable style. I recommend it enthusiastically for everyone.� Arnold S. Relman, MD, editor-in-chief emeritus, New England Journal of Medicine , and author of A Second Opinion: Rescuing America’s Health Care “This stunning book will help you and your loved ones avoid the hazards of too much health care. Within just a few pages, you’ll be recommending it to family and friends, and, hopefully, your local physician. If every medical student read Overdiagnosed, there is little doubt that a safer, healthier world would be the result.� Ray Moynihan, conjoint lecturer at the University of Newcastle, visiting editor of the British Medical Journal, and author of Selling Sickness “An ‘overdiagnosis’ is a label no one wants: it is worrisome, it augurs ‘overtreatment,’ and it has no potential for personal benefit. This elegant book forewarns you. It also teaches you how and why to ask, ‘Do I really need to know this?’ before agreeing to any diagnostic or screening test. A close read is good for your health.� Nortin M. Hadler, MD, professor of medicine and microbiology/immunology at University of North Carolina at Chapel Hill and author of Worried Sick and The Last Well Person “We’ve all been made to believe that it is always in people’s best interest to try to detect health problems as early as possible. Dr. Welch explains, with gripping examples and ample evidence, how those who have been overdiagnosed cannot benefit from treatment; they can only be harmed. I hope this book will trigger a paradigm shift in the medical establishment’s thinking.� -Sidney Wolfe, MD, author of Worst Pills, Best Pills and editor of WorstPills.org, " Overdiagnosed -albeit controversial-is a provocative, intellectually stimulating work. As such, all who are involved in health care, including physicians, allied health professionals, and all current or future patients, will be well served by reading and giving serious thought to the material presented."─ JAMA "Everyone should read this book before going to the doctor! Welcome evidence that more testing and treatment is not always better."─ Susan Love, MD, author of Dr. Susan Love's Breast Book "This book makes a compelling case against excessive medical screening and diagnostic testing in asymptomatic people. Its important but underappreciated message is delivered in a highly readable style. I recommend it enthusiastically for everyone."─ Arnold S. Relman, MD, editor-in-chief emeritus, New England Journal of Medicine , and author of A Second Opinion: Rescuing America's Health Care "This stunning book will help you and your loved ones avoid the hazards of too much health care. Within just a few pages, you'll be recommending it to family and friends, and, hopefully, your local physician. If every medical student read Overdiagnosed, there is little doubt that a safer, healthier world would be the result."─ Ray Moynihan, conjoint lecturer at the University of Newcastle, visiting editor of the British Medical Journal, and author of Selling Sickness "An 'overdiagnosis' is a label no one wants: it is worrisome, it augurs 'overtreatment,' and it has no potential for personal benefit. This elegant book forewarns you. It also teaches you how and why to ask, 'Do I really need to know this?' before agreeing to any diagnostic or screening test. A close read is good for your health."─ Nortin M. Hadler, MD, professor of medicine and microbiology/immunology at University of North Carolina at Chapel Hill and author of Worried Sick and The Last Well Person "We've all been made to believe that it is always in people's best interest to try to detect health problems as early as possible. Dr. Welch explains, with gripping examples and ample evidence, how those who have been overdiagnosed cannot benefit from treatment; they can only be harmed. I hope this book will trigger a paradigm shift in the medical establishment's thinking." -Sidney Wolfe, MD, author of Worst Pills, Best Pills and editor of WorstPills.org From the Hardcover edition.
Dewey Edition
22
Illustrated
Yes
Dewey Decimal
616.07/54
Table Of Content
Table of Contents... Introduction: Our Enthusiasm for Diagnosis Chapter 1) Genesis: People Become Patients with High Blood Pressure Chapter 2) We Change the Rules: How Numbers Get Changed to Give You Diabetes, High Cholesterol, and Osteoporosis Chapter 3) We Are Able to See More: How Scans Give You Gallstones, Damaged Knee Cartilage, Bulging Discs, Abdominal Aortic Aneurysms, and Blood Clots Chapter 4) We Look Harder for Prostate Cancer: How Screening Made It Clear That Overdiagnosis Exists in Cancer Chapter 5) We Look Harder for Other Cancers Chapter 6) We Look Harder for Breast Cancer Chapter 7) We Stumble onto Incidentalomas That Might Be Cancer Chapter 8) We Look Harder for Everything Else: How Screening Gives You (and Your Baby) Another Set of Problems Chapter 9) We Confuse DNA with Disease: How Genetic Testing Will Give You Almost Anything Chapter 10) Get the Facts Chapter 11) Get the System Chapter 12) Get the Big Picture Conclusion: Pursuing Health with Less Diagnosis Acknowledgments Notes Index
Synopsis
A nationally recognized expert offers a searing expose of Big Pharma and the American healthcare system's zeal for excessive medical testing. More screening doesn't lead to better health-but can turn healthy people into patients. Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening. Drawing on 25 years of medical practice and research on the effects of medical testing, Welch explains in a straightforward, jargon-free style how the cutoffs for treating a person with "abnormal" test results have been drastically lowered just when technological advances have allowed us to see more and more "abnormalities," many of which will pose fewer health complications than the procedures that ostensibly cure them. Citing studies that show that 10% of 2,000 healthy people were found to have had silent strokes, and that well over half of men over age sixty have traces of prostate cancer but no impairment, Welch reveals overdiagnosis to be rampant for numerous conditions and diseases, including diabetes, high cholesterol, osteoporosis, gallstones, abdominal aortic aneuryisms, blood clots, as well as skin, prostate, breast, and lung cancers. With genetic and prenatal screening now common, patients are being diagnosed not with disease but with "pre-disease" or for being at "high risk" of developing disease. Revealing the economic and medical forces that contribute to overdiagnosis, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, excessive worry, and exorbitant costs, all while maintaining a balanced view of both the potential benefits and harms of diagnosis. Drawing on data, clinical studies, and anecdotes from his own practice, Welch builds a solid, accessible case against the belief that more screening always improves health care., Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening., A complex web of factors has created the phenomenon of overdiagnosis: the popular media promotes fear of disease and perpetuates the myth that early, aggressive treatment is always best; in an attempt to avoid lawsuits, doctors have begun to leave no test undone, no abnormality overlooked; and profits are being made from screenings, medical procedures, and pharmaceuticals. Revealing the social, medical, and economic ramifications of a health-care system that overdiagnoses and overtreats patients, Dr. H. Gilbert Welch makes a reasoned call for change that would save us pain, worry, and money., A nationally recognized expert offers a searing exposé of Big Pharma and the American healthcare system's zeal for excessive medical testing. More screening doesn't lead to better health--but can turn healthy people into patients. Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening. Drawing on 25 years of medical practice and research on the effects of medical testing, Welch explains in a straightforward, jargon-free style how the cutoffs for treating a person with "abnormal" test results have been drastically lowered just when technological advances have allowed us to see more and more "abnormalities," many of which will pose fewer health complications than the procedures that ostensibly cure them. Citing studies that show that 10% of 2,000 healthy people were found to have had silent strokes, and that well over half of men over age sixty have traces of prostate cancer but no impairment, Welch reveals overdiagnosis to be rampant for numerous conditions and diseases, including diabetes, high cholesterol, osteoporosis, gallstones, abdominal aortic aneuryisms, blood clots, as well as skin, prostate, breast, and lung cancers. With genetic and prenatal screening now common, patients are being diagnosed not with disease but with "pre-disease" or for being at "high risk" of developing disease. Revealing the economic and medical forces that contribute to overdiagnosis, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, excessive worry, and exorbitant costs, all while maintaining a balanced view of both the potential benefits and harms of diagnosis. Drawing on data, clinical studies, and anecdotes from his own practice, Welch builds a solid, accessible case against the belief that more screening always improves health care.
LC Classification Number
RC71.3.W45 2011
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baystatebooks
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Angemeldet als privater VerkäuferDaher finden verbraucherschützende Vorschriften, die sich aus dem EU-Verbraucherrecht ergeben, keine Anwendung. Der eBay-Käuferschutz gilt dennoch für die meisten Käufe.
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- eBay automated feedback- Bewertung vom Käufer.Letzter MonatOrder delivered on time with no issues
- 7***c (408)- Bewertung vom Käufer.Letzte 6 MonateBestätigter KaufI got 4 books from this seller. One was wrong book (same writer,simular covers) which,when you order used books several at a time from big used book warehouses, this happens every now and then. Seller contacted me and refunded within a couple hours on the same business day. These people do business right.The 3 others were just as described, packed perfect. Shipping was on time. Good books at good price and a seller who does business right. I highly recommend this seller and the items I ordered.
- c***m (445)- Bewertung vom Käufer.Letzte 6 MonateBestätigter KaufAAA+++; Excellent Service; Great Pricing; Fast Delivery-Faster Than Expected to Hawaii using free shipping USPS Ground Mail, Received 06/18; Paperback book in Great Condition as Described ; TLC Packaging; Excellent Seller Communication, Sends updates . Highly Recommended!, Thank you very much!Jesse Livermore: World's Greatest Stock Trader (Nr. 146613728980)
- r***o (1609)- Bewertung vom Käufer.Letzte 6 MonateBestätigter Kaufthe book I received was in brand new condition .As shown in my picture, much better condition than I expected. It was packaged well and it arrived very fast for media mail. unfortunately I thought I buying the second edition that came with an index. the seller quickly fixed the problem , good communication. 100%positive and I would recommend this seller.
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baystatebooks
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Verkäuferbewertungen (80'339)
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- eBay automated feedback- Bewertung vom Käufer.Letzter MonatOrder delivered on time with no issues
- 7***c (408)- Bewertung vom Käufer.Letzte 6 MonateBestätigter KaufI got 4 books from this seller. One was wrong book (same writer,simular covers) which,when you order used books several at a time from big used book warehouses, this happens every now and then. Seller contacted me and refunded within a couple hours on the same business day. These people do business right.The 3 others were just as described, packed perfect. Shipping was on time. Good books at good price and a seller who does business right. I highly recommend this seller and the items I ordered.
- c***m (445)- Bewertung vom Käufer.Letzte 6 MonateBestätigter KaufAAA+++; Excellent Service; Great Pricing; Fast Delivery-Faster Than Expected to Hawaii using free shipping USPS Ground Mail, Received 06/18; Paperback book in Great Condition as Described ; TLC Packaging; Excellent Seller Communication, Sends updates . Highly Recommended!, Thank you very much!Jesse Livermore: World's Greatest Stock Trader (Nr. 146613728980)
- r***o (1609)- Bewertung vom Käufer.Letzte 6 MonateBestätigter Kaufthe book I received was in brand new condition .As shown in my picture, much better condition than I expected. It was packaged well and it arrived very fast for media mail. unfortunately I thought I buying the second edition that came with an index. the seller quickly fixed the problem , good communication. 100%positive and I would recommend this seller.