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The Top Ranked Health Blogs – By Wikio.com

Even if you’re not into blog rankings, Wikio.com’s ranked list includes links to many solid sites. This blog rose a bit in the rankings in the past month. We’re pleased to be included in a list of so many quality blogs.

1 Well
2 Kevin, M.D. – Medical Weblog
3 Respectful Insolence
4 Science-Based Medicine
5 The Health Care Blog
6 Pharmalot
7 John Goodman’s Health Policy Blog
8 In the Pipeline
9 Age of Autism
10 Better Health
11 Health Beat
12 Dr. Wes
13 Healthcare Economist
14 The Covert Rationing Blog
15 Gary Schwitzer’s HealthNewsReview Blog
16 Movin’ Meat
17 Health Business Blog
18 Running a hospital
19 Diabetes Mine
20 Shrink Rap
21 Brain Blogger
22 The Last Psychiatrist
23 The Carlat Psychiatry Blog
24 Health Care Renewal
25 The Medical Quack
26 The Happy Hospitalist
27 InsureBlog
28 StevePavlina.com
29 Doctor Anonymous
30 ScienceRoll

Ranking made by Wikio

Wikio’s fine print on how ratings are compiled: Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

When Less Is More: How To Improve The Quality Of Primary Care

On the NPR Shots blog, Scott Hensley writes, “Quality Prescription For Primary Care Doctors: Do Less,” about an article in the Archives of Internal Medicine. Excerpt:

“A group of docs who want to improve the quality and cost-effectiveness of primary care tinkered with some Top 5 lists for of dos and don’ts for pediatricians, family doctors and internists.

After testing them a bit, they published online by the Archives of Internal Medicine. Most of the advice falls in the category of less is more.

So what should family doctors not be doing? The Top 5 list for them goes like this:

1. No MRI or other imaging tests for low back pain, unless it has persisted longer than six weeks or there are red flags, such as neurological problems.
2. No antibiotics for mild to moderate sinusitis, unless it has lasted a week or longer. Or the condition worsens after first getting better.
3. No annual electrocardiograms for low-risk patients without cardiac symptoms.
4. No Pap tests in patients under 21, or women who’ve had hysterectomies for non-malignant disease.
5. No bone scans for women under 65 or men under 70, unless they have specific risk factors.”

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Coffee And Prostate Cancer: The Quality Of News Reports Varies Significantly

We simply don’t know why more news organizations can’t do an adequate job of explaining the limitations of observational studies – most notably, that they can’t prove cause and effect.

Yes, they can show strong associations. But they can’t prove cause and effect.

NBC Nightly News, as one example recently, inadequately explained the latest suggestion that coffee consumption can lower the risk of prostate cancer. In the anchor lead, Brian Williams framed this as another case of flip-flopping science, lightheartedly talking about what they say about “all those medical studies…if you don’t like the findings, wait for the next study.”

The story seemed puzzled at how the same “lab” 30 years ago reported that coffee was linked to an increase in pancreatic cancer. NBC said the researchers later said they got it wrong. This time – with the prostate cancer link – they say they got it right. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Media Bias Favors Mammography Against The Evidence

A new analysis in the American Journal of Preventive Medicine, “The Public’s Response to the U.S. Preventive Services Task Force’s 2009 Recommendations on Mammography Screening,” included a content analysis of news stories and social media posts around the time of the USPSTF announcement. The authors report:

“Of the 233 newspaper articles, blog posts, and tweets coded, 51.9% were unsupportive, and only 17.6% were supportive. Most newspaper articles and blog posts expressed negative sentiment (55.0% and 66.2%, respectively)….The most common reasons mentioned for being unsupportive of the new recommendations were the belief that delaying screening would lead to later detection of more advanced breast cancer and subsequently more breast cancer-related deaths (22.5%) and the belief that the recommendations reflected government rationing of health care (21.9%).

These results are consistent with previous studies that suggest a media bias in favor of mammography screening.”

Also see an accompanying editorial by Task Force members Diana Petitti and Ned Calonge.

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Free Throat, Head, Neck Cancer Screenings May Overstate Their Effectiveness

All over the country in May, hospitals are offering “Free Throat Cancer Screening.” A Google search turned up dozens of results for that specific term or the related “oral, head and neck cancer screening.”

Here’s one example, promoting “Oral, Head and Neck Cancer Awareness Week, May 8-14.”

This promotion uses ominous warnings:

Can you live without your voice?

What about your jaw?

Would you miss it if you couldn’t swallow food?

Throat cancer can take all of those things away, along with your ability to eat, talk and breathe normally. These debilitating problems can be prevented, but you have to catch cancer early.

Some promotions – such as this one – use celebrity pitches such as “If it happened to Michael Douglas, it can happen to you.”

Here’s one that states, “A 10-minute, painless screening could save your life.”

But where’s the evidence for that? Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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