Come gli sforzi per migliorare la salute possono renderci malati



ISBN: 9788849004700 Tipologia: , , Argomenti: , Autore/Curatore: Gilbert Welch
Collana: Spazi
Pagine: 304
Libro del mese: Novembre 2013
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Edizione italiana a cura di Laura Amato e Marina Davoli

Fare una diagnosi è sempre importante quando qualcuno è sofferente ed è fondamentale farla bene. Farla precocemente può in molti casi salvare la vita. Attenzione, però, a non incappare nel fenomeno della “sovradiagnosi”, che si determina quando ad un individuo viene diagnosticata – e di conseguenza trattata – una condizione clinica per cui non avrebbe mai sviluppato sintomi e non avrebbe mai rischiato di morire. A quest’attualissima problematica, che ha importanti ricadute sulla salute pubblica e sui costi dell’assistenza sanitaria, è dedicato questo volume.

I “check-up”, gli screening e i test diagnostici hanno molto spesso la capacità di sovrastimare l’incidenza di malattie “inconsistenti” oppure di anticipare una diagnosi che crea magari per anni ansia e angoscia supplementari senza che poi vi sia un beneficio in termini di sopravvivenza. In un futuro prossimo la generalizzazione della diagnosi precoce che sarà resa possibile grazie all’ingegneria genetica darà ad ognuno la possibilità di essere trasformato in “ammalato” subito dopo la nascita. — Dalla presentazione di Gianfranco Domenighetti

One of the most important books about health care  in the last several years. — Cato Institute
One of the big strengths of this relatively small book is that if you are inclined to ponder medicine’s larger questions, you get to tour them all. What is health, really?… In the finite endeavor that is life, when is it permissible to stop preventing things? And if the big questions just make you itchy, you can concentrate on the numbers instead: The authors explain most of the important statistical concepts behind evidence-based medicine in about as friendly a way as you are likely to find. — Abigail Zuger, MD, The New York Times
Overdiagnosed — albeit controversial — is a provocative, intellectually stimulating work. As such, all who are involved in health care, including physicians, allied health professionals, and all current or future patients, will be well served by reading and giving serious thought to the material presented. ─ JAMA
Everyone should read this book before going to the doctor! Welcome evidence that more testing and treatment is not always better. ─ Susan Love, MD, author of Dr. Susan Love’s Breast Book
This book makes a compelling case against excessive medical screening and diagnostic testing in asymptomatic people. Its important but underappreciated message is delivered in a highly readable style. I recommend it enthusiastically for everyone. ─ Arnold S. Relman, MD, editor-in-chief emeritus, New England Journal of Medicine, and author of A Second Opinion: Rescuing America’s Health Care
This stunning book will help you and your loved ones avoid the hazards of too much health care. Within just a few pages, you’ll be recommending it to family and friends, and, hopefully, your local physician. If every medical student read Overdiagnosed, there is little doubt that a safer, healthier world would be the result. ─ Ray Moynihan, conjoint lecturer at the University of Newcastle, visiting editor of the British Medical Journal, and author of Selling Sickness
An ‘overdiagnosis’ is a label no one wants: it is worrisome, it augurs ‘overtreatment,’ and it has no potential for personal benefit. This elegant book forewarns you. It also teaches you how and why to ask, ‘Do I really need to know this?’ before agreeing to any diagnostic or screening test. A close read is good for your health. ─ Nortin M. Hadler, MD, professor of medicine and microbiology/immunology at University of North Carolina at Chapel Hill and author of Worried Sick and The Last Well Person
We’ve all been made to believe that it is always in people’s best interest to try to detect health problems as early as possible. Dr. Welch explains, with gripping examples and ample evidence, how those who have been overdiagnosed cannot benefit from treatment; they can only be harmed. I hope this book will trigger a paradigm shift in the medical establishment’s thinking. — Sidney Wolfe, MD, author of Worst Pills, Best Pills and editor of