Author’s reply to Hayes and BroggioBMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d6130 (Published 27 September 2011) Cite this as: BMJ 2011;343:d6130
- Des Spence, general practitioner1
- 1Glasgow, UK
I referenced my facts from national data sources,1 but like all “facts” they are debatable and often contradictory.2 3 The key issue, however, is whether the observed increased incidence of melanoma is real or an overdiagnosis artefact.
Overdiagnosis occurs when “cancers” that would never progress to overt disease are removed. This can reflect variation in histological practice. Doctors …
Log in using your username and password
Log in through your institution
Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial