Educated Guesses

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  • Educated Guesses Book Detail

  • Author : Louise B. Russell
  • Release Date : 1994-02-11
  • Publisher : Univ of California Press
  • Genre : Medical
  • Pages : 148
  • ISBN 13 : 9780520083660
  • File Size : 76,76 MB

Educated Guesses by Louise B. Russell PDF Summary

Book Description: Standard recommendations such as annual Pap smears for women and prostate tests for men over forty are in fact simply rules of thumb that ignore the complexities of individual cases and the tradeoffs between escalating costs and early detection, Russell argues. By looking beyond these recommendations to examine conflicting evidence about the effectiveness of screening tests, Russell demonstrates that medical experts' recommendations are often far simpler and more solid-looking than the evidence behind them. It is not at all clear, for example, that annual Pap smears are effective enough in reducing deaths from cervical cancer to justify the enormous additional costs involved in testing all women every year rather than every three years. Nor is there solid evidence for the value of prostate cancer screening, despite recommendations that all men over forty be tested annually.

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