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Search Results for: overdiagnosis
Overdiagnosis
Overdiagnosis is now recognized as a common and serious problem in human medicine that causes substantial harm in terms of unnecessary costs, wasted resources, and patient and caregiving suffering. International conferences (e.g. Preventing Overdiagnosis) and special features in major medical … Continue reading
Posted in General, Science-Based Veterinary Medicine
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WVC 2016: Overdiagnosis and Overtreatment
Here are the notes and slides from my presentation on Overdiagnosis. WHAT IS OVERDIAGNOSIS? A 5 year-old Labrador retriever presents for an acute cranial cruciate ligament rupture. Otherwise, the dog is healthy in every way with no clinical symptoms other … Continue reading
Liquid Biopsy- An Evidence Update
I have written about the emerging liquid biopsy tests a couple of times before (here and here). These are blood tests that are intended to find signs of cancer circulating in the blood. This can be used for screening, testing individuals with … Continue reading
Posted in Science-Based Veterinary Medicine
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Rational Use of Diagnostic & Screening Tests
I have written many times about the misuse of diagnostic tests and the risks of misdiagnosis and overdiagnosis associated with improper use of screening tests. Recently, I condensed my rants on these topics into an article I hope will be … Continue reading
Posted in Science-Based Veterinary Medicine
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OncoK9 Liquid Biopsy: Should Your Dog have this Test?
It is really never a good sign when a miraculous new breakthrough in veterinary medicine is announced on the internet. That isn’t where true scientific breakthroughs show up. Legitimate science is a slow, detailed process where even brilliant, revolutionary ideas have … Continue reading
Posted in Science-Based Veterinary Medicine
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Should I Worry About Bacteria in My Pet’s Urine? Well, It Depends….
Veterinarians and pet owners are highly motivated to find discrete, fixable problems when pets are unwell. Owners want the reassurance and sense of control that comes with knowing what the problem is and taking action. Vets want to help our … Continue reading
Posted in Science-Based Veterinary Medicine
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What are Screening Tests, and Should You Use them?
What is Screening?Screening is the use of diagnostic tests in apparently healthy individuals with no clinical symptoms.1-2The purpose is to detect asymptomatic disease with the presumption that this allows earlier, more effective intervention and will reduce suffering and delay or … Continue reading
Posted in Science-Based Veterinary Medicine
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Presentation on Choosing Diagnostic Tests
Here are the notes and slides for a recent presentation on strategies for effectively choosing diagnostic tests. GOALS OF DIAGNOSTIC TESTING Ultimately, the goal of any test we run should be obtaining information that allows us to more effectively treat … Continue reading
New Review Reminds us Doctors are Lousy at Predicting Benefits and Harms of their Tests and Treatments
One of the major focuses of my criticism of both science-based and alternative medicine is the failure of doctors to recognize their own limitations. There are innumerable cognitive biases and other sources of error that interfere with accurate and effective … Continue reading
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More Evidence that Laboratory Testing of Healthy Dogs and Cats Uncovers Lots of Abnormalities of Questionable Significance
A new article has just been published adding some information to a subject I’ve addressed before, the value of blood testing and other diagnostics in clinical health dogs and cats (discussed Here and Here). In the past, I have come … Continue reading
Posted in General, Science-Based Veterinary Medicine
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