Uruguay’s mandatory breast cancer screening is challenged

The BMJ Opinion, 26 October 2017
Author: Ana Rosengurtt
“In 2006, it became mandatory for all women aged 40-59 in Uruquay to have a free mammography every two years, despite its National Cancer Registry showing a sustained decrease in breast cancer mortality since 1990. President Tabaré Vázquez, an oncologist by profession, instigated this. But, as previously reported in The BMJ: “It’s the only country in the world with this sort of mandatory screening. And there is absolutely no scientific basis for applying this to women between 40 and 50.”
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Too many children exposed to unnecessary X-rays, Choosing Wisely experts tell doctors

SMH, 25 September 2017
Author: Kate Aubusson
“Unfortunately what we see is that so many of these children that come in to emergency departments with breathing problems and are having chest X-rays that doesn’t really change the treatment that we offer but it does put them at risk of the radiation that is associated with the X-ray and that is what we are trying to stop,” Dr Dalton said.”
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Direct-to-Consumer Medical Testing in the Era of Value-Based Care

JAMA. 2017; 317(24): 2485-2486.
Author: Kimberly Lovett Rockwell
“This Viewpoint documents the growing market share of direct-to-consumer (DTC) medical testing despite growing recognition that it represents low-value or harmful care and proposes policy options to increase accountability and protect patients from adverse consequences of DTC testing.”
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How to rein in the widening disease definitions that label more healthy people as sick

The Conversation, 16 May 2017
Authors: Ray Moynihan, Rita Horvath
“Medical panels are constantly changing diagnostic cut-offs and lowering thresholds to classify many conditions and diseases. Those changes determine whether we or our loved ones receive a diagnosis that might help us – by, for example, giving us access to a life-saving treatment – or harm us – by bringing the anxiety, cost and danger of an unneeded medical label.”
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