Dhruv Khullar on overdiagnosis

Edward Hoffer ehoffer at GMAIL.COM
Wed Nov 14 19:38:53 UTC 2018


Good point.  Money is almost certainly a driver in the use of invasive
testing such as thyroid needle biopsies, endoscopies and coronary
angiography.
Ed
Edward P Hoffer MD

On Wed, Nov 14, 2018 at 11:34 AM Robert Bell <
0000000296e45ec4-dmarc-request at list.improvediagnosis.org> wrote:

> Thanks Helen,
>
> Important post.
>
> Is money a driver for any of these diagnoses?
>
> Which brings up the argument as to how big an issue money is in the
> diagnostic process.
>
> Many years ago there used to be concerns in the medical community about
> certain surgical procedures being done so frequently by some.
>
> Is there literature that discusses the influence of money on diagnosis and
> has SIDM ever considered it in their positions and writings?
>
> Rob Bell M.D.
>
>
>
> On Wednesday, November 14, 2018, 9:04:11 AM MST, Helen Haskell <
> haskell.helen at GMAIL.COM> wrote:
>
>
>
> https://www.nytimes.com/2018/11/06/well/live/a-profusion-of-diagnoses-thats-good-and-bad.html
>
> "A central problem is that medicalized diagnoses often come with
> medicalized treatments: Our penchant for pills outstrips even our desire
> for diagnosis. Since the 1990s, the number of office visits for sleep
> problems has doubled, and diagnoses of insomnia have increased sevenfold.
> But prescriptions for sleep medications have increased more than 30 times.
>
> This is perhaps most concerning for children. About 12 percent of children
> in America now carry a diagnosis of A.D.H.D, and there was a 40-fold
> increase in childhood bipolar disorder diagnoses between 1994 and 2003.
> Five times as many children are now prescribed psychostimulant and
> antipsychotic medications as were in the 1980s. Today, a quarter of
> children and teenagers take prescription drugs regularly, and seven percent
> of older adolescents and young adults report abusing opioids — most of whom
> were initially prescribed them by a doctor."
>
> Also Lown:
>
> https://lowninstitute.org/news/blog/when-diagnosis-becomes-dangerous-a-taxonomy-of-medicalization/
>
> "More newly recognized diagnoses is not inherently a good or bad thing.
> But we need to look deeper at this pattern – who is creating these
> diagnoses, who they are affecting, and how they are treated – to better
> understand how some diagnoses can be helpful and others harmful."
>
>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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