Overdiagnosed : Making People Sick in the Pursuit of Health by H. Gilbert Welch,
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Artikelmerkmale
- Artikelzustand
- ISBN
- 9780807022009
Über dieses Produkt
Product Identifiers
Publisher
Beacon Press
ISBN-10
0807022004
ISBN-13
9780807022009
eBay Product ID (ePID)
102909277
Product Key Features
Number of Pages
248 Pages
Language
English
Publication Name
Overdiagnosed : Making People Sick in the Pursuit of Health
Subject
Health Care Delivery, Physician & Patient, Health Care Issues, General, Diagnosis
Publication Year
2011
Type
Textbook
Subject Area
Health & Fitness, Medical
Format
Hardcover
Dimensions
Item Height
0.9 in
Item Weight
18 Oz
Item Length
9.3 in
Item Width
6.2 in
Additional Product Features
Intended Audience
Trade
LCCN
2010-037078
Reviews
"An antidote to alarmist thinking about the prevalence of disease." -Kirkus Reviews 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 ofWorst Pills, Best Pills, and editor ofworstpills.org "Welch speaks his truth with a frankness and clarity scant found in today's hysteria over medical prescreening." -Booklist, "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, “An antidote to alarmist thinking about the prevalence of disease.� - Kirkus Reviews 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 “Welch speaks his truth with a frankness and clarity scant found in today’s hysteria over medical prescreening.� - Booklist, " 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
Synopsis
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., From a nationally recognized expert, an exposé of the worst excesses of our zeal for medical testing After the criteria used to define osteoporosis were altered, seven million American women were turned into patients--literally overnight. The proliferation of fetal monitoring in the 1970s was associated with a 66 percent increase in the number of women told they needed emergency C-sections, but it did not affect how often babies needed intensive care--or the frequency of infant death. The introduction of prostate cancer screening resulted in over a million additional American men being told they have prostate cancer, and while studies disagree on the question of whether a few have been helped--there's no disagreement that most have been treated for a disease that was never going to bother them. As a society consumed by technological advances and scientific breakthroughs, we have narrowed the definition of normal and increasingly are turning more and more people into patients. Diagnoses of a great many conditions, including high blood pressure, osteoporosis, diabetes, and even cancer, have skyrocketed over the last few decades, while the number of deaths from those diseases has been largely unaffected. Drawing on twenty-five years of medical practice and research, Dr. H. Gilbert Welch and his colleagues, Dr. Lisa M. Schwartz and Dr. Steven Woloshin, have studied the effects of screenings and presumed preventative measures for disease and "pre-disease." Welch argues that while many Americans believe that more diagnosis is always better, the medical, social, and economic ramifications of unnecessary diagnoses are in fact seriously detrimental. Unnecessary surgeries, medication side effects, debilitating anxiety, and the overwhelming price tag on health care are only a few of the potential harms of overdiagnosis. Through the stories of his patients and colleagues, and drawing from popular media, Dr. Welch illustrates how overdiagnosis occurs and the pitfalls of routine tests in healthy individuals. We are introduced to patients such as Michael, who had a slight pain in his back. Despite soon feeling fine, a questionable abnormal chest X-ray led to a sophisticated scan that detected a tiny clot in his lung. Because it could not be explained, his doctors suggested that it could be a sign of cancer. Michael did not have cancer, but he now sees a psychiatrist to deal with his anxiety about cancer. According to Dr. Welch, 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--no matter how incidental--overlooked; and, inevitably, profits are being made from screenings, a wide array of medical procedures, and, of course, pharmaceuticals. Examining the social, medical, and economic ramifications of a health care system that unnecessarily diagnoses and treats patients, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, debilitating anxiety, and exorbitant costs., An organization's brand is its most distinctive feature - it is a mechanism for coordinating resources around its vision or mission. Organizations in the Face of Crisis offers a new and unique approach to the treatment of threats to an organization and its
LC Classification Number
RC71.3.W45 2011
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