over-treatment Archives

26 04, 2019

Paper of the Week: 26th April 2019: Shared Decision Making and the Importance of Time

ruth brice2019-04-26T12:46:40+00:00

For many professionals, and almost all patients , the value of time is more precious than money Full reference: Pieterse A.M., Stiggelbout A.M., Montori V.M. JAMA. Published online April 19, 2019. doi:10.1001/jama.2019.3785 This weeks Paper of the Week is brought to you by Sir Muir Gray, Founding Director. WEB LINK TO PAPER Authors conclusion “health care professionals, patient advocates, health care systems, and policy makers need to recognise that time is not simply a resource, its minutes indifferent and interchangeable like dollars or euros. A minute spent in providing information may turn out to be less important than a minute spent waiting silently for patient questions, or a minute responding emphatically to angst and loss, or a [...]

Paper of the Week: 26th April 2019: Shared Decision Making and the Importance of Timeruth brice2019-04-26T12:46:40+00:00

7 03, 2019

Paper of the Week 07.03.2019: Future Directions in Valuing Benefits for Estimating QALYs: Is Time Up for the EQ-5D?

ruth brice2019-03-07T12:21:36+00:00

Reference: Brazier J. E. et al (2019 This week’s paper of the week is brought to you by Professor Sir Muir Gray, 3V’s Founding Director. Bottom line, chosen by Muir from the paper This raises the issue of what is meant by “well-being.” A broad conception of well-being is how well an individual’s life is going on. Subjective well-being (SWB) has been described or categorised into 3 types: hedonism (well-being increases when an individual experiences more pleasure and/or less pain), flourishing theories (well-being increases when an individual fulfils their nature as a human being, or “flourishes”), and life evaluation or life satisfaction (well-being increases when an individual positively assesses his or her life). The notion of SWB is [...]

Paper of the Week 07.03.2019: Future Directions in Valuing Benefits for Estimating QALYs: Is Time Up for the EQ-5D?ruth brice2019-03-07T12:21:36+00:00

1 03, 2019

Paper of the week 27.02.19: Has the NHS Long Term Plan forgotten we are all going to die?

ruth brice2019-03-01T11:14:40+00:00

Reference: Has the Long Term Plan forgotten we are all going to die? (Bleakley T., Smith R., Taylor R) This week’s paper of the week is brought to you by Professor Sir Muir Gray, 3V’s Founding Director. Bottom line, chosen by Muir from the paper "One certainty is that there will be a lot of dying in the next 10 years as the baby boomers become the dying boomers... Increasingly, people endure slow deaths of frailty, often with dementia in the final years. Increased life expectancy is generally regarded as a cause for celebration, but many people fear dependency and dementia more than they fear death... Between a quarter and a third of health-care expenditure is for care [...]

Paper of the week 27.02.19: Has the NHS Long Term Plan forgotten we are all going to die?ruth brice2019-03-01T11:14:40+00:00

14 11, 2018

Paper of the week 14.11.18: Saving Thyroids — Over-treatment of Small Papillary Cancers

ruth brice2019-01-09T13:41:02+00:00

Reference: Saving Thyroids — Over-treatment of Small Papillary Cancers. H. Gilbert Welch, M.D., M.P.H., and Gerard M. Doherty, M.D. This weeks paper of the week is brought to you by Professor Sir Muir Gray, 3V Executive Director. Bottom line Voice and endocrine function are important to patients. Over the past 25 years, some 150,000 women and 50,000 men in the United States have undergone total thyroidectomy for small papillary cancers; all of them require thyroid hormone replacement, and thousands of them have hypoparathyroidism or have faced unnecessary voice changes. These consequences are too important to be influenced by the vicissitudes of our management habits and anxiety about under-treatment. Active surveillance should be an option available for patients with small [...]

Paper of the week 14.11.18: Saving Thyroids — Over-treatment of Small Papillary Cancersruth brice2019-01-09T13:41:02+00:00