Going Global: New WHO Report on the Rise of Chronic Disease

It's been a trend developing for a number of years: the rising prominence of chronic disease across the globe.  Where diseases like heart disease, stroke, diabetes, and cancer were once the main health concerns of more affluent countries, they've now taken over top spots in...

Preventing Disease, Saving Billions of Dollars

In the New York Times this week, Mark Bittman highlights the magnitude of our chronic disease burden and the potential for prevention to save our future federal budget billions of dollars (see story).  A small change in diet to reduce heart disease by 10% would save 100 billion dollars. And this is all easy to achieve. Many suggestions are out...

Radiation, Chernobyl, and the Japanese burden of cancer

The New York Times today reports that the nuclear disaster in Japan is on par with the 1986 Chernobyl explosion (see story). It is appropriate that we consider the impact this will have on disease. In a rigorous review of the epidemiologic evidence following the Chernobyl nuclear accident, Cardis and Hatch provided an update on the impact of that...

Which Screening Tests and When? Two Nice Tools Cover This and More

I was on the Preventive Services Task Force website yesterday to read some new screening recommendations, and I came across a couple neat little widgets that personalize the Task Force's prevention-related guidelines.  One is intended for the public and provides very nice, straightforward recommendations based on a person's gender and age....

More on estrogen as a cause of breast cancer

For more details on our editorial this week in JAMA see the story from the Washington University School of Medicine news office.We caution physicians and women to consider the broader body of evidence that even use of estrogen alone increases risk of breast cancer. This has been reiterated in several media stories covering the changing tide of evidence...

Breast Cancer: Balancing Risks and Benefits of Postmenopausal Estrogen Therapy. Caution Still Called For.

When the Women’s Health Initiative (WHI) began in 1993, hormone therapy (HT) was prescribed for a variety of reasons that ranged from the management of menopausal symptoms to the prevention of chronic disease. The WHI was a randomized controlled trail aimed at documenting the risks...