Tag: cancer

Accessing reconstructive surgery after breast cancer treatment

One in nine Canadian women will develop breast cancer in their life time. The growth of screening programs means that breast cancer is being caught and treated earlier. Often, treatment involves surgery – lumpectomy or mastectomy. Increasingly, women are also choosing to undergo breast reconstruction surgery following treatment. However, only some of these breast cancer…

Groundbreaking Canadian cohort studies aim to shed light on risk factors for cancer, chronic diseases

Groundbreaking Canadian cohort studies aim to shed light on risk factors for cancer, chronic diseases

The British Whitehall studies helped establish the importance of the social determinants of health, while a Danish study of children provided strong evidence to disprove the damaging MMR-vaccine-causes-autism hypothesis. Those are just two of many international cohort studies—studies that follow large groups of people over many years. In Canada, starting such studies has never been…

Radiation treatment after breast cancer: not optional

Lisa Priest Personal Health Navigator Sunnybrook healthydebate.ca

The Personal Health Navigator is available to all Canadian patients. Questions about your doctor, hospital or how to navigate the health care system can be sent to AskLisa@Sunnybrook.ca The Question: I have a friend who has just had a lumpectomy and sentinel lymph node biopsy for a small invasive lobular breast cancer. She has not yet met…

Improving quality and access in Ontario’s privately owned colonoscopy clinics

Improving quality and access in Ontario’s privately owned colonoscopy clinics

Five years ago, researchers in Ontario raised concerns about access and quality in privately owned clinics that performed colonoscopy, suggesting that the quality in these clinics was significantly below the standard of care in public hospitals. Privately owned clinics can be either for-profit or not-for-profit. Medical services provided at these private clinics are paid for…

What cancer patients need to know about clinical trials

Lisa Priest Personal Health Navigator Sunnybrook healthydebate.ca

The Personal Health Navigator is available to all Canadian patients. Questions about your doctor, hospital or how to navigate the health care system can be sent to AskLisa@Sunnybrook.ca The Question: I have run out of conventional medical treatments for my cancer, which has metastasized. How do I join a clinical trial? How do I increase my chances…

Who controls how patient information is shared in Ontario?

Privacy of Medical Records in Ontario

Ontario’s Information and Privacy Commissioner recently ordered Cancer Care Ontario to stop sending paper copies of screening reports containing personal health information to physicians.   However, a massive amount of personal health information is mailed or faxed every day in Ontario.  The implications of this order to information sharing and transfer across the health care…

Interpreting randomized trial evidence around mammography

Interpreting Randomized Trial Evidence on Mammography

The Canadian Task Force on Preventive Health Care recently released recommendations about screening for breast cancer.  These recommendations have been criticized by some because they emphasize the results of randomized trials.  This article explores the advantages and limitations of randomized trial evidence regarding screening mammography.  The recent recommendations by the Canadian Task Force on Preventive…

Presenting the benefits of mammography

Presenting the Benefits of Mammography

The results of research on screening for breast cancer with mammography can be presented in ways that make the benefits seem larger or smaller  Similarly, the benefits can be described as avoiding deaths from breast cancer or avoiding deaths from any cause Part of the debate about the benefits of screening mammography may be related…

The mammography controversy

Mammography controversy

In medical journals, doctors and scientists continue to debate the relative benefits and harms of breast cancer screening for women who are at average risk of developing breast cancer. This debate is not always reflected in screening programs, most of which strongly recommend mammography to average risk women within a certain age bracket. Some experts…