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Wed, Feb 01 2012 16:10:15

The Trouble with Over-screening

Experts discuss the harm of over-screening, the role of patients in health care and the need for more evidence on screening best practices.

  1. DrRichardBesser
    I'll moderate the chat and put out topics. T1, T2, T3, etc. Please use those before your posts. Who is here today? To chat use #abcDrBchat
    DrRichardBesser
    Tue, Jan 31 2012 17:54:07
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  2. OtisBrawley
    Glad to join today's chat #ABCDrBchat
    OtisBrawley
    Tue, Jan 31 2012 17:54:07
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  3. LizSzabo
    @DrRichardBesser is moderating chat/ topics. T1, T2, T3, etc. Please use those before posts. Who is here today? To chat use #abcDrBchat
    LizSzabo
    Tue, Jan 31 2012 17:54:07
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  4. NortinHadlerMD
    @DrRichardBesser I'm here. #abcdrbchat
    NortinHadlerMD
    Tue, Jan 31 2012 17:54:07
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  5. harriseve
    Eve Harris: former ca pt; health writer; budding patient navig8r & advocate 4 *appropriate* screening & tx #abcdrbchat
    harriseve
    Tue, Jan 31 2012 17:54:07
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  6. ElinSilveous
    Hi everyone. Elin here, joining in for awhile from Southern Oregon. #ABCDrBchat
    ElinSilveous
    Tue, Jan 31 2012 17:54:07
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  7. teaminspire
    Hi everyone at #abcdrbchat. John Novack, Communications Dir for Inspire (http://inspire.com), online patient support communities.
    teaminspire
    Tue, Jan 31 2012 17:54:07
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  8. DrRichardBesser
    T1: What is wrong with testing? Doesn't testing detect diseases and save lives? #abcDrBchat
    DrRichardBesser
    Tue, Jan 31 2012 17:54:07
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  9. DrRichardBesser
    T1: Isn't is always better to know about a disease earlier? #abcDrBchat
    DrRichardBesser
    Tue, Jan 31 2012 17:54:07
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  10. OtisBrawley
    T1: testing itself has risks, in some cases radiation, and can lead to treatment of disease that doesn't need treatment #abcDrBchat
    OtisBrawley
    Tue, Jan 31 2012 17:54:07
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  11. DrRichardBesser
    T1 Example? MT @OtisBrawley: testing itself has risks and can lead to treatment of disease that doesnt need treatment #abcDrBchat
    DrRichardBesser
    Tue, Jan 31 2012 17:54:07
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  12. DrRichardBesser
    T1 Example of this? MT @hmkyale: Even a simple test can cause problems through a cascade effect - one test leading to another #abcDrBchat
    DrRichardBesser
    Tue, Jan 31 2012 17:54:07
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  13. jessiegruman
    T1: Testing sometimes leads docs to over diagnose/over treat - here's a resource: http://bit.ly/wQxU7s #abcdrbchat
    jessiegruman
    Tue, Jan 31 2012 17:54:07
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  14. NortinHadlerMD
    @carrie_gann @DrRichardBesser T1 There's nothing inherently wrong, but it is methodologically demanding. #abcdrbchat
    NortinHadlerMD
    Tue, Jan 31 2012 17:54:07
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  15. DrRichardBesser
    T1 MT @OtisBrawley: Chest xray screening for lung cancer: mortality higher in screen group in randomized trials. #abcDrBchat
    DrRichardBesser
    Tue, Jan 31 2012 17:54:07
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  16. DanChildsABC
    T1 @NortinHadlerMD discusses downside of overuse of medical testing, on @ABC: http://abcn.ws/y3u6fp #abcdrbchat
    DanChildsABC
    Tue, Jan 31 2012 17:54:07
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  17. OtisBrawley
    T1. example is neuroblastoma, urine test leads to overtreatment and higher mortality in kids. #abcDrBchat
    OtisBrawley
    Tue, Jan 31 2012 17:54:07
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  18. hmkyale
    Tests have the potential to undercover important information, but must be respected as having potential benefits and harms. #ABCDrBchat
    hmkyale
    Tue, Jan 31 2012 17:54:07
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  19. hmkyale
    and I believe that we would benefit by having informed consent for testing with people being told benefits and harms. #ABCDrBchat
    hmkyale
    Tue, Jan 31 2012 17:54:07
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  20. LaraSalahiABC
    @DrRichardBesser with @otisbrawley's "how we do harm" - Twitter chat or Book club? You decide! http://yfrog.com/h2iqjotj #abcdrbchat
    LaraSalahiABC
    Tue, Jan 31 2012 17:54:07
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  21. DrRichardBesser
    T1 MT @hmkyale: Tests can undercover important information, but must be respected as having potential benefits and harms. #abcDrBchat
    DrRichardBesser
    Tue, Jan 31 2012 17:54:07
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  22. livewithBC
    What other conditions can be "overtreated" after testing? #ABCDrBchat
    livewithBC
    Tue, Jan 31 2012 17:54:07
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  23. IM4PBS
    Gr8 topic! Sneaking in late :-} #abcDrBchat
    IM4PBS
    Tue, Jan 31 2012 17:54:07
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  24. hmkyale
    and people should know what the US Preventive Task Force says about the proposed testing #ABCDrBchat
    hmkyale
    Tue, Jan 31 2012 17:54:07
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  25. DrRichardBesser
    T1: I hear from so many people that they feel better after getting tested. They have piece of mind. Is that rational? #abcDrBchat
    DrRichardBesser
    Tue, Jan 31 2012 17:54:07
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