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Extending breast cancer screening beyond age 45-64 years in China: A cost-effectiveness analysis.
Cancer Lett
January 2025
Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Electronic address:
The optimal breast cancer (BC) screening age in China remains uncertain. In this study, we evaluated the benefits, harms, and cost-effectiveness of lowering the screening starting age from 45 to 35 years and extending the stopping age from 64 to 79 years in Chinese women at an average risk of progressing BC. Biennial screening showed a lower incremental cost-effectiveness ratio (ICER) compared to annual screening.
View Article and Find Full Text PDFCDC's Core Elements to promote diagnostic excellence.
Diagnosis (Berl)
November 2024
Division of Healthcare Quality Promotion, US Centers for Disease Control and Prevention, Atlanta, GA, USA.
Nearly a decade after the National Academy of Medicine released the "Improving Diagnosis in Health Care" report, diagnostic errors remain common, often leading to physical, psychological, emotional, and financial harm. Despite a robust body of research on potential solutions and next steps, the translation of these efforts to patient care has been limited. Improvement initiatives are still narrowly focused on selective themes such as diagnostic stewardship, preventing overdiagnosis, and enhancing clinical reasoning without comprehensively addressing vulnerable systems and processes surrounding diagnosis.
View Article and Find Full Text PDFProstate Specific Antigen (PSA) testing in a general practice 2009-2019.
Ir J Med Sci
October 2024
Bedford Medical Centre, Navan, Ireland.
Background: Prostate-specific antigen (PSA) testing is not recommended as a population screening measure for prostate cancer. PSA testing is nevertheless widespread and is associated with harm due to false-positive test results, overdiagnosis and economic costs.
Aims: This study sought to document the exposure of patients to PSA testing over a decade in a general medical practice setting.
Evaluating progress and accountability for achieving COP26 Health Programme international ambitions for sustainable, low-carbon, resilient health-care systems.
Lancet Planet Health
October 2024
Department of Anesthesiology, Yale School of Medicine, New Haven, CT, USA; Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, USA.
Article Synopsis
- The COP26 Health Programme, launched at the 2021 UN Climate Change Conference, aims to create low-carbon and resilient health systems, with 83 countries committed to the initiative as of May 2024.
- The analysis highlights significant issues in current monitoring practices, showing that many countries focus on process indicators that don't truly measure progress towards sustainable health-care systems.
- There is a critical need for better, adaptable indicators that can effectively track health-care outcomes and contribute to climate strategies, ensuring that the COP26 Health Programme achieves its goals without misleading claims.
Iatrogenic harm in functional neurological disorder.
Brain
January 2025
Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh Bioquarter, Edinburgh E16 4SB, Scotland, UK.
Article Synopsis
- Functional Neurological Disorder (FND) is increasingly recognized as a legitimate and treatable condition, yet iatrogenic harm to patients remains a significant issue.
- Despite recent advances in understanding and treating FND, harm from misdiagnosis, delayed care, and stigma continues to affect patients, highlighting the need for better awareness among healthcare professionals.
- The review outlines the sources of this harm and suggests strategies for prevention, including improving diagnostic accuracy, enhancing communication, and fostering parity with other medical conditions.
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