Walking the tightrope: communicating overdiagnosis in modern healthcareBMJ 2016; 352 doi: https://doi.org/10.1136/bmj.i348 (Published 05 February 2016) Cite this as: BMJ 2016;352:i348
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Helping patients to understand risk factors (hypertension, Hba1c, cholesterol), shared decision making, has been the core of UK GP practice for long time. QOF does not facilitate this as encourages "treatment" for risk factors that should be the patient's choice.
Secondly how many patients has the author seen with Restless Leg Syndrome? Mentioned as a "pseudodisease". This can severely upset sleep and be quite disabling, and there is a non-manipulative osteopathic treatment for this using a technique called Strain Counterstrain. Research shows this is more effective than any drugs (A pilot single-blind randomized controlled trial; the CARL Trial. Peters T, MacDonald R, Leach C. International Musculoskeletal Medicine 2012; 34(4): 137-40).
Competing interests: Course Director of the London College of Osteopathic Medicine
In helping people to understand how to look after their health, one might invite them to compare how they look after their house. They would not routinely invite a plumber, electrician and builder to have a look around and see if they might be able to find any problems. The thought of how expensive and troublesome this could become would be very off-putting. So why do it with their health care?
Competing interests: No competing interests