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problems of overdiagnosis

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....appled to DCs?  E.g. " killer " subluxations? A. Simpson, DC | Vice President, Medical DirectorThe CHP Group | Smart Solutions. Healthy Results.

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 csimpson@... O | C6600 SW 105th Ave, Ste 115 | Beaverton, OR 97008http://www.bmj.com/content/344/bmj.e3502.full?ijkey=tzRK2ncLto2JJ9I & keytype=ref

Problems of overdiagnosis

Asthma—Canadian study suggests 30% of people with diagnosis may not have asthma, and 66% of those may not require medications37

Attention deficit hyperactivity disorder—Widened definitions have led to concerns about overdiagnosis; boys born at the end of the school year have 30% higher chance of diagnosis and 40% higher chance of medication than those born at the beginning of the year46

Breast cancer—Systematic review suggests up to a third of screening detected cancers may be overdiagnosed4

Chronic kidney disease—Controversial definition classifies 1 in 10 as having disease; concerns about overdiagnosis of many elderly people 23

Gestational diabetes—Expanded definition classifies almost 1 in 5 pregnant women 31

High blood pressure—Systematic review suggests possibility of substantial overdiagnosis22

High cholesterol—Estimates that up to 80% of people with near normal cholesterol treated for life may be overdiagnosed3

Lung cancer—25% or more of screening detected lung cancers may be overdiagnosed56

Osteoporosis—Expanded definitions may mean many treated low risk women experience net harm18

Prostate cancer—Risk that a cancer detected by prostate specific antigen testing is overdiagnosed may be over 60%12

Pulmonary embolism—Increased diagnostic sensitivity leads to detection of small emboli. Many may not require anticoagulant treatment 39

Thyroid cancer—Much of the observed increase in incidence may be overdiagnosis28

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