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I Am Afraid of Early Cancer Detection

Sensible Medicine

It’s been a few years since I first heard about the Galleri test produced by the Menlo Park startup Grail. Galleri is a blood-based screening test for cancer. For a couple of reasons, I didn’t work very hard to learn about the Galleri test. Second, I was worried that this test might have real promise.

Tests 363
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A (re)Visit to an Old-Fashioned Doctor

Sensible Medicine

On the other, articles will sometimes find second life on the site. 1 Being alerted to this article was a gift for several reasons. The article itself also got me thinking. Initially, I was tempted to dismiss it as one of those “back in the good old days” screeds until I realized the article was published in 1998.

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Why Attribution Bias Might be the Costliest Bias

Sensible Medicine

I am a total sucker for an article that argues for the importance of primary care. I am also obsessed with our diagnostic reasoning biases. Pat Croskerry’s 2002 article in which he identifies 30 “failed heuristics, biases, and cognitive dispositions” is one of my absolute favorites that I reference a few times a year.

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Improving Your Critical Appraisal Skills #4

Sensible Medicine

If RCTs are the most useful study design, and articles about case control studies are my favorite to read, the use and interpretation of diagnostic tests and the articles that define test characteristics are my favorite to think about, talk about, and teach. Read more

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Could we do worse than the PSA for prostate cancer screening?

Sensible Medicine

Last week a friend sent me a link to an article in The Financial Times titled, MRI scan more accurate than blood test at diagnosing prostate cancer, UK study finds. I read the article, skeptically, thinking MRI as a screening test, come on. The following 2X2 table shows the number of men with positive and negative tests.

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Can a Dog Diagnose Colon Cancer with Her Nose?

Sensible Medicine

Reading Vinay’s article last week called to mind one of my favorite articles. By the time a medical student has reached the 4 th year, he or she has learned from textbooks, review articles, and lectures. In the second half of the course, students were free to choose articles from the entirety of the medical literature.

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The Rise of At-Home Health Diagnostics

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. It’s been more than 35 years since the original at-home pregnancy tests came on the market. Since then, there has been a surge of home-testing options, driven by a fervid interest in wellness, expediency, cost-efficiency, […].