Early diagnosis can hurt you, three doctors argue their new Overdiagnosed: Making People Sick in the Pursuit of Health (Beacon Press, 228 pp., $24.95). Too many Americans are being treated for conditions that will never cause symptoms, let alone death, say H. Gilbert Welch, Lisa Schwartz, and Steven Woolshin. Some people contend that no harm can come of the “epidemic of diagnosis”:
“But the truth is that early diagnosis is a double-edged sword. While it has the potential to help some, it always has a hidden danger: overdiagnosis—the detection of abnormalities that are not destined to ever bother us. …
“the conventional wisdom is that more diagnosis—particularly, more early diagnosis—means better medical care. The logic goes something like this: more diagnosis means more treatment, and more treatment means better health. This may be true for some. But there is another side to the story. More diagnosis may make healthy people feel more vulnerable—and, ironically, less healthy. In other words, excessive diagnosis can literally make you feel sick. And more diagnosis leads to excessive treatment—treatment for problems that either aren’t that bothersome or aren’t bothersome at all. Excessive treatment, of course, can really hurt you. Excessive diagnosis may lead to treatment that is worse than the disease.”
You can read the introduction to Overdiagnosed on Scribed.
© 2011 Janice Harayda. All rights reserved.