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Inflammatory Bowel Disease Puts Patients At Risk For Some Skin Cancers

I stumbled across this review article (first full reference below) earlier this week.

Skin cancer is the most common form of cancer in the United States.  Most skin cancers form in older people on parts of the body exposed to the sun or in people who have weakened immune systems (such as inflammatory bowel disease patients on immunosuppressive therapy).

According to the National Cancer Institute (NCI), in there were more than one million new cases of nonmelanoma skin cancers (NMSC) in the United States in 2010.  There were less than 1,000 NMSC deaths during the same time.

NMSC includes  squamous cell carcinoma (SCC) and basal cell carcinoma (BCC).   Both occur more frequently on sunlight-exposed areas such as the head and neck. BCC is far more common than SCC and accounts for approximately 75% of all NMSC. Read more »

*This blog post was originally published at Suture for a Living*

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*

Cyclist Asks: Is Sugar Abstinence Possible?

After spending an entire vacation reading stories, I would like to start tonight’s post with a tiny dose of fantasy. Can we try using a daydream to learn something about the challenge of making good nutrition choices?

The fantasy goes something like this…

You have just been sentenced to eternal life on a far-away sun-drenched island. This island has mountains, paved roads, wide bike lanes, and mountain bike trails. You get to take two bikes, a couple riding buddies and your family—if they’ll go. You also get to take one Apple product.

Sounds good so far.

The kicker is that you only get four food choices—and liquids count.

You are a cyclist, so after coffee and beer there are only two food choices remaining. Obviously, you will need a protein source. Smart choices here would include nuts, mercury-free fish or organically-fed animals. The protein isn’t the point, let’s keep moving.

Now we are down to the carbohydrate source.

Choose one of the following:

A.) Arugula
B.) Quinoa
C.) Cranberries
D.) Fruit Loops

Herein lies the primary hurdle that smart-nutrition advocates face: unhealthy simple sugars taste really good. Read more »

*This blog post was originally published at Dr John M*

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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