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Breast Cancer Breakthrough: Less Is More

Recently, every newspaper in the country reported on a landmark development in breast cancer treatment. It is now clear that certain breast cancer women do not need to undergo removal of lymph nodes from the armpit as part of their treatment. This would spare them from the risk and discomfort of an unnecessary procedure. It is welcome news, particularly for those of us who argue that in medicine, less is more. This is an example of the benefit of comparative effectiveness research, a tool that can separate what patients truly need from what the medical profession believes they must have.

Let’s hope that breast cancer breakthrough metastasizes across the medical profession. Here’s what it accomplished.

  • It spares women from unnecessary surgery.
  • It saves money.
  • It demonstrates that physicians and medical professionals can serve the public interest.
  • It gives hope that all medical specialties will critically evaluate and justify the tests and treatments that we recommend to our patients.

Ironically, when the U.S Preventive Services Task Force (USPSTF) published their mammography guidelines last year, also arguing that less is more, they were assailed as medical traitors against women.

When it comes to breasts
There’s a tug of war
Some want less
And some want more.
Every practicing physician, medical educator and researcher should examine their own practices and medical advice. On what basis do we recommend our treatments? Do we do so because we were taught these practices in our training years ago? Is it from habit or adhering to the community standard? Is it because patients have such a high expectation of a medical intervention that we feel obligated to act?

Can anyone argue that patients are subjected to too much/many

  • Chemotherapy
  • Antibiotics
  • Colonoscopies
  • Cardiac stents
  • CAT scans and their imaging cousins Read more »

*This blog post was originally published at MD Whistleblower*

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