Estimating prevalence and predictors of glucose-lowering overtreatment among older adults with type 2 diabetes in long-term care and community settings: a machine learning–based cohort study Objective To estimate the prevalence of potential overtreatment of type 2 diabetes mellitus (T2DM) among older adults and to develop and compare predictive models to identify patient and physician cha...

🆕 UBC TI publication:

Nearly 30% of older adults with type 2 #diabetes in BC may be over-treated, despite already having A1C ≤7% 😮 ⚠️
bmjopen.bmj.com/content/16/3...

#OverTreatment #T2DM #LTC #prescribing

Lord Cameron reveals he had prostate cancer

In other words, he has been told he has a cancer gone through a load of unpleasant invasive expensive treatment, for something that most likely would never have harmed him. #overtreatment #overdiagnosis

Next step: more accurate #screening and #diagnosis to reduce #overtreatment and the fear resulting from an inaccurate #cancer diagnosis.

#CancerScreening #EarlyDetection #GetScreened #CancerAwareness #Health #PreventCancer #PublicHealth #CheckUp#KnowYourBody #HealthTips #PatientAdvocacy

Hypertension Heresy: Are We Overtreating High Blood Pressure? Should everyone, regardless of age, control hypertension rigorously? Is there such a thing as overtreating high blood pressure?

Hypertension Heresy: Are We Overtreating High Blood Pressure? www.peoplespharmacy.com/articles/hyp... via @peoplespharmacy

#hypertension #bloodpressure #overtreatment #health

Men being over-treated for prostate cancer, says charity More low-risk cancers could be monitored rather than treated, avoiding significant side effects, says a charity.

Charity warns thousands of UK men are over-treated for low-risk prostate cancer — ~5,000 a year get treatment for cancers unlikely to cause harm. Time to back active surveillance, not automatic surgery/radiation. #TCSC #ProstateCancer #MensHealth #NHS #Overtreatment

www.bbc.co.uk/news/article...

When doing less means living better. Unnecessary treatments can do more harm than good — and the movement to change that is gaining ground.

🔍 Learn how evidence-based care is reshaping medicine:
www.parsemus.org/humanhealth/...

#overusedmedicine #evidencebasedmedicine #overtreatment #medicine

"Less is more" when it comes to medical treatments! Overused procedures, like stents and unnecessary tests, can do more harm than good.

👉 See how evidence-based medicine is reshaping health care: www.parsemus.org/humanhealth/...

#overusedmedicine #evidencebasedmedicine #overtreatment #medicine

Carpal tunnel syndrome - Nature Reviews Disease Primers Carpal tunnel syndrome (CTS) is one of the most common hand conditions caused by an increased pressure on the median nerve in the carpal tunnel in the wrist. In this Primer, Dahlin et al. review the e...

First the typing, then the tingling – and suddenly you’re on the operating table?
A new #Nature study reveals: #Carpaltunnel syndrome is more complex than we think, often overdiagnosed – and surgery isn’t always the answer. #CTS #Medicine #Overtreatment
www.nature.com/articles/s41...

2/9
#PHQ9 in #PrimaryCare has a 77% false positive rate.

This leads to widespread #ovediagnosis & significant #overtreatment in our #healthcare system.

Relative importance and interactions of factors influencing low-value care provision: a factorial survey experiment among Swedish primary care physicians Background Low-value care (LVC) describes practices that persist in healthcare, despite being ineffective, inefficient or causing harm. Several determinants for the provision of LVC have been identifi...

Relative importance and interactions of factors influencing low-value care provision: a factorial survey experiment among Swedish primary care physicians qualitysafety.bmj.com/content/earl... #lowvaluecare #overtreatment #overdiagnosis

A taxonomy of the factors contributing to the overtreatment of cancer patients at the end of life. What is the problem? Why does it happen? How can it be addressed? Many patients with cancer approaching the end of life (EOL) continue to receive treatments that are unlikely to provide meaningful clinical benefit, potentially causing more harm than good. This is ca...

#PallOnc discussion @pallonccop.bsky.social

Why does #overtreatment happen in #oncology?

This article defines the #bias and #heuristic that leads to excessive 🔪☢️💉

Solution? #SuppOnc skills - Delivering #BadNews, compassionate #EoL comm 🗣️

🔗: esmoopen.com/article/S205...

9/ Simplifying complex care into rigid metrics leads to #overdiagnosis & #overtreatment.

Are we creating more harm than good?

Active Monitoring With or Without Endocrine Therapy for Low-Risk Ductal Carcinoma In Situ This randomized noninferiority trial assesses the effect of a strategy of active monitoring vs guideline-concordant care on 2-year risk of ipsilateral invasive breast cancer among women with low-risk ...

This is really good news for women low-risk DCIS, or ductal carcinoma in site, often called "stage zero" breast cancer. They safetly choose active surveillance -- with frequent monitoring -- over the usual, more invasive regiment of surgery/radiation. #overtreatment

jamanetwork.com/journals/jam...

這還真的是傳統大媒體不像大部分自媒體那樣咋咋呼呼的地方。從槍手大談自己背部手術後疼痛的已知有限信息看，這位運動男很可能是被骨外科醫生忽悠去做了一個本無必要而且術後生活質量反而惡化的手術（背部手術很常見這種情況）。很多這類情況下，保險公司那邊一開始就不認為這種手術值得做，因此也不償付（償付了等於鼓勵更多人去做這種得不償失的手術）。生活在更劇烈疼痛中的破產患者是報復保險方還是報復醫生，就看後兩者誰運氣好了。具體到這則個案到底是怎麼回事，認真一點的大媒體等到更多細節浮出之後再說，也正是他們和自媒體的分工不同 #healthcare #media #backsurgery #overtreatment

Overdiagnosis and overtreatment in dentistry More informed public dialogue would be helpful for all

More scrutiny of - and informed public dialogue about #over-diagnosis & #overtreatment in #dentistry would be helpful. Read my latest Substack: open.substack.com/pub/garyschw...

Overtreatment of Prostate Cancer Among Men With Limited Longevity in the Active Surveillance Era This cohort study examines if rates of overtreatment of men with prostate cancer with limited life expectancy have persisted in the active surveillance era and whether overtreatment varies by tumor ri...

jamanetwork.com/journals/jam...

#Overtreatment of #prostatecancer persists, especially using #radiotherapy.

This continues to be the biggest barrier to equitable #populationscreening for #earlydetection.

We must stop doing it.

#activesurveillance @uroweb.bsky.social

Overtreatment of Prostate Cancer Among Men With Limited Longevity in the Active Surveillance Era This cohort study examines if rates of overtreatment of men with prostate cancer with limited life expectancy have persisted in the active surveillance era and whether overtreatment varies by tumor ri...

Overtreatment of Prostate Cancer Among Men With Limited Longevity in the Active Surveillance Era

Think twice about Tx to avoid unnecessary toxic effects in men with insufficient longevity to benefit from Tx jamanetwork.com/journals/jam... #cancer #overtreatment #quaternaryprevention #palliativecare

Reforming disease definitions: a new primary care led, people-centred approach Expanding disease definitions are causing more and more previously healthy people to be labelled as diseased, contributing to the problem of overdiagnosis and related overtreatment. Often the specialist guideline panels which expand definitions have close tis to industry and do not investigate the harms of defining more people as sick. Responding to growing calls to address these problems, an international group of leading researchers and clinicians is proposing a new way to set diagnostic thresholds and mark the boundaries of condition definitions, to try to tackle a key driver of overdiagnosis and overtreatment. The group proposes new evidence-informed principles, with new process and new people constituting new multi-disciplinary panels, free from financial conflicts of interest. Expanding definitions of disease are causing too many people to be diagnosed and treated unnecessarily, producing harm and waste, posing a major threat to human health and the sustainability of health systems, and creating growing conflict within medicine.1 2 For example, the widely used definition of ‘chronic kidney disease’ labels around half of all older people, yet many of them will never experience related symptoms.3 Changes to the definition of gestational diabetes could double its prevalence, despite a lack of clear evidence that the expansion will bring the newly diagnosed meaningful benefits that outweigh harms.4 Recently, a new definition of hypertension which labels one in every two adults, while welcomed by some, has been soundly rejected by family doctors over concerns it may cause more harm than good to many people.5 Responding to growing calls for action to address this key driver of overdiagnosis, from professional societies and other groups around the globe,2 6 7 we are proposing a new primary care-led, multidisciplinary, independent, people-centred approach to defining disease. ### The unmet need for reform An ongoing series about overdiagnosis in the BMJ has documented global …

Disease definitions matter. Poor definitions drive #overdiagnosis, #overtreatment, patient harm, and waste. The work @PaulGlasziou and others are doing to fix this benefits patients and health systems globally. https://ebm.bmj.com/content/24/5/170.full

C. diff: diagnostic stewardship reduces unnecessary testing New study from South Florida highlights the benefits of a clearly defined, evidence-based test ordering process

A new 🇺🇸 US study describes the outcome of a new approach to testing for 🦠 Clostridioides difficile (C. diff) guided by the principles of diagnostic stewardship, to help rein in the #overtreatment of patients. #Cdiff #infectioncontrol

Many Americans receive too much health care. That may finally be changing

#Overdiagnosis and #overtreatment rarely lead to better outcomes.

Shared #DecisionMaking & aligning with patient values helps with well-being

www.ethicalpsychology.com/2023/12/many...

Great thread @hjluks! Sometimes the best treatment is do nothing. Takes tremendous trust as default often: doctor, do something! Pressure from patient, family, and DTC advertising. #overtreatment @ShannonBrownlee

x.com/hjluks/status/…

#MedEd #GrainOfSalt #cognitivebias #overtreatment #lessismore
More great thinking, from our Australian colleagues, about why clinicians keep doing low-value tests/interventions, etc
@lowninstitute
@LessIsMoreMed
@ChooseWiselyCA
@ChooseWiselyAU...

x.com

Did you have an answer? I never know what to say when have same convo ... #meded #EBM #overtreatment #lessismore https://x.com/drkatejmiller/status/768757277876715520

Ain't The Way To Die (Eminem/Rihanna Resuscitated) A rap anthem about what happens when we don't have the co...

@LessIsMoreMed @zdoggmd Just watched this again http://zdoggmd.com/aint-the-way-to-die/ TALK TO YOUR LOVED ONES about this video. #overtreatment sucks.