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#overdiagnosis

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I've just finished "The Age of Diagnosis" by Suzanne O'Sullivan.

The author, an Irish neurologist, claims that we are becoming the victims of overdiagnosis and overmedicalization.

Overdiagnosis - a term with which I was not not hitherto familiar - "refers to a diagnosis that is correct but which does not benefit the patient and may arguably do harm. Overdiagnosis occurs when a medical problem is detected at a stage when medical treatment is not really required".

Overmedicalisation "occurs when ordinary human differences, behaviour and life stages are given medical labels..."

I found this book thought provoking, in particular with regard to the author's challenge to commonly held assumptions about the benefits of screening and pre-emptive testing. I also thought her warnings about the dangers of thinking of diagnosis as a technical procedure rather than a physician's attempt to explain symptoms should be heeded.

Links to a couple of reviews can be found here: floss.social/@rdnielsen/114478

Some will disagree in the strongest of terms with her arguments about diagnosis creep with regard to autism, ADHD, and Lyme disease. This critical review accuses O'Sullivan of a poorly informed paternalism: mastodon.ie/@Tupp_ed/114609317

Although I am not going to discuss those specific issues, I do worry that....

#TheAgeOfDiagnosis #SuzanneOSullivan #Health #Medicine
#Overdiagnosis #Overmedicalization #Overmedicalisation #Medicalization

FLOSS.socialRDN (@rdnielsen@floss.social)A couple of review of a new book "The Age of Diagnosis" that suggests that the increasing prevalence of once-rare conditions is due to an overdiagnosis epidemic. https://undark.org/2025/05/09/book-review-age-of-diagnosis/ https://openlettersreview.com/posts/the-age-of-diagnosis-by-suzanne-osullivan It's not evident that the book's author addresses neglect of base rates in diagnoses, but that is possibly a related issue. Note that the author evidently has a critical view of the expanding diagnoses of autism and ADHD. #Medicine #Diagnoses #Health

Harmless cancers are being overdiagnosed & overtreated in America. "In our exuberance to find these cancers, we have basically turned a lot of healthy people who are not destined to die from cancers into patients,” says Dr. Ade Adamson, a cancer screening expert. Check out my new piece👇
tinyurl.com/4bzfnhd3

Fortune · The growing case for doing less: How harmless cancers are being overdiagnosed in AmericaBy Carolyn Barber

Do you really have cancer?

Overdiagnosis in medicine is well-documented. "For many cancers, the term "cancer" simply doesn’t match how the disease behaves."

For ex, low risk prostate CA & DCIS breast CA comprise ~1/4 of all US prostate/breast cancer diagnoses. “These pts are routinely treated with surgery or radiation,” even though pts have no symptoms at presentation--should they be?

By @DrLauraEsserman @UCSF & @uroegg @UChicagoMed
tinyurl.com/yc6nkppp
#cancer #overdiagnosis

The New York TimesOpinion | Not Everything We Call Cancer Should Be Called CancerBy Laura Esserman