A new study in early 2016, which interviewed British doctors, has some very interesting findings about their attitudes to the condition known as “Chronic Kidney Disease”. The full text of the study, published in BMJ Open, is available here for free.
“CKD” was defined in 2002, and labels many people who will never experience any kidney disease. It is a good example of a controversial disease definition which is being questioned by doctors and others.
Extracts from the findings and discussion from the BMJ Open piece are here:
“The introduction of ‘CKD’ as a new disease construct conflicted with most GP professional values and personal understandings of general practice medicine.”
“I think when it first came in as an idea…we all rolled our eyes and went ‘Oh my God’, you know? They’re creating an illness that doesn’t exist.” (GPD)
“The inclusion of the words ‘chronic’ and ‘disease’ in the term CKD was also identified as a source of tension for clinicians.”
The 4th Preventing Overdiagnosis conference, which discusses studies like this one, is being held in Barcelona, September 20-22, 2016.
Following the successful 2015 conference at the National Institutes for Health in the United States, the 4th international Preventing Overdiagnosis scientific conference will be held in Barcelona in 2016. Dates will be announced soon. For more information click http://preventingoverdiagnosis.net
One of the great minds in medicine, British GP Dr Iona Heath, is giving a free public lecture at the University of Sydney, August 5 at 6pm. You need to register, and you can find details here
The 2015 international Preventing Overdiagnosis conference will kick off September 1 at the National Institutes of Health in the US. More info here
Ray’s column on the over-selling of genetic testing has just been published in China Newsweek, here The column was originally published in the BMJ, and you can read it here
You can read Ray’s latest BMJ column – inspired by Dave Egger’s classic novel “The Circle” here
The BMJ column explores the critically acclaimed novel’s take on the future of medicine – and our obsession with measuring everything.
From the February BMJ column: “Leaving aside concern about government or corporate misuse of data, our obsession with quantification—unmodified by uncertainty and by clear awareness of limitations—carries its own tyranny. Our faith in medical numbers, sometimes little more than fabricated fictions arbitrarily interpreted, demands a reality check.”
Ray helping to open the 2013 Preventing Overdiagnosis conference
Following the success of the 2013 Preventing Overdiagnosis conference, held at Dartmouth College in the United States, the second Preventing Overdiagnosis conference will be held at the Centre for Evidence-Based Medicine, University of Oxford, Oxford, UK. You can read the 2013 conference statement, view videos of conference plenaries and see details of the 2014 conference, here
A new study published in the influential open access medical journal PLOS Medicine, has found that many of the experts who define diseases – and often widen those definitions – also work as paid consultants and speakers for drug companies which stand to benefit from their decisions. You can see the free full text of the study here
An Analysis article by Ray and co-authors in the British Medical Journal investigates the controversy over the definition of “Chronic Kidney Disease” – and the risk of overdiagnosis. See the article here. See BMJ cover art based on this article.
Ray’s latest column in the BMJ argues for greater citizen engagement in decisions about how to wind back the harms of too much medicine