Peste 80% din femeile 50-69 ani din Danemarca au făcut screening pentru cancerul de sân. Vedeți situația din România?

25 comments

  8. Campanii de informare cu privire la riscul cancerului- putine, spre inexistente.

    Campanii de promovare a mamografiei- putine, spre inexistente.

    Procedura prin care poti sa faci o mamografie gratuita e greoaie- iti trebuie trimitere pe la medicul de familie si apoi trebuie sa suni la clinici sa vezi daca au fonduri, iar daca au, poate ai noroc si te programeaza intr-o luna, două.

    La asta mai adaugam si grija zilei de maine cu privire la trai, bani, care nu iti permite sa te mai gandesti si la sanatatea ta, la preventie.

    Eu o programez personal pe mama mea la mamografia si testul papanicolau anual, iar la nevoie o ajut cu bani, pentru că altfel nu merge. Fie considera ca e prea scump, fie i se pare anevoioasa procedura pana ajunge la un consult gratuit.

  12. Cum mereu ajungem pe 90% din graficele din Europa ultimii?
    Adică pe lângă internet speed și no. % din populație cu proprietăți, la ce mai excelam?
    Nici la alcool nu suntem primii.
    Sad..

  13. E simplu. Sistemul medical din ro e prost si ineficient. Cate femei trecute de menopauza (ca atunci creste riscul) au abonamente private sa se duca frumos la clinica, cu programare, sa fie tratate cu respect si sa primeasca informatii? La stat stai dupa fonduri, stai dupa trimitere de la medicul de familie, stai toata ziua la cabinet/spital pana iti vine randul.

    Nu e vorba neaparat de mamografie. E vorba de orice investigatie, pana si niste banale analize de sange inseamna mult timp pierdut.

  14. E o sabie cu 2 tăișuri screening-ul. Pe deoparte salvezi vieți, pe de alta operezi tratezi leziuni benigne ce nu ar fi pus viata in pericol niciodată.

    *Which brings us to arguably the single greatest use of the precautionary principle in modern medicine: cancer-screening programs.During the past 50 years, doctors and scientists have proven that some cancers can be prevented. Sunblock can prevent skin cancer. The hepatitis B virus vaccine can prevent the most common cause of liver cancer. The human papillomavirus vaccine can prevent the only known cause of cervical cancer. And cessation of cigarette smoking can prevent a common cause of lung cancer. The results of these four strategies are clear.The definition of cancer, however, is changing—and not for the better. Medical textbooks 20 years ago defined cancer as a “disease the natural course of which is fatal.” No longer. Now we detect cancers that aren’t fatal—the kind of cancers that you are more likely to die with than from. In the process of detecting these nonfatal cancers, we are probably doing more harm than good.Gilbert Welch, a professor at Dartmouth Medical School, offers the best analogy to our current dilemma. It’s a barnyard analogy. Imagine, writes Welch, three animals in a barn that are trying to escape: a bird, a turtle, and a rabbit. When you open the door, they will escape at different rates. The bird, which will invariably fly out before you have time to close the door, is analogous to the kind of cancer that will kill you no matter what you do. Even if you detect the cancer early, it doesn’t matter—you’ll die from it anyway. It’s just too aggressive. The turtle, which is so plodding that it will never effectively escape, is analogous to a cancer that is so slow growing, so nonvirulent, that it will never kill you. You will invariably die from something else first. This is the kind of cancer that you will die with and not from.*

    *The rabbit, which can be caught if the door is closed quickly enough, is analogous to the kind of cancer worth detecting. If this cancer isn’t detected early, then it will kill you. And if it is detected early, then the screening test will have saved your life.Screening tests are valuable only if they are detecting rabbits; if they’re detecting mostly turtles and birds, then they won’t save lives. Some screening tests, like Pap smears to detect cervical cancer or colonoscopies to detect colon cancer, save lives. Both of these tests are detecting lots of rabbits. For thyroid, prostate, and breast cancers, on the other hand, the value of early screening tests isn’t so clear. Atul Gawande, a surgeon at Johns Hopkins University School of Medicine and prolific author, says it best: “We now have a vast and costly health care industry devoted to finding and responding to turtles.”We’ll start with thyroid cancer.*

    *In 1999, the South Korean government initiated a large nationwide screening program for the early detection of thyroid cancer. The screening test used was ultrasonography, which sends high-frequency sound waves (higher than those audible to the human ear) into the body. The sound waves then bounce back. Different structures absorb or reflect sound waves differently. As a result of the massive screening program, South Korean physicians detected more than 40,000 new cancers of the thyroid, 15 times more than had been detected before the screening program started. Thyroid cancer became the most common cancer in South Korea.*

    *One researcher called it a “tsunami of thyroid cancer.”Virtually all of these South Korean thyroid cancers were treated by completely removing the thyroid, called a thyroidectomy. This procedure, however, comes with a price. At the very least, everyone with a thyroidectomy has to take thyroid replacement hormones for the rest of their lives. And sometimes it’s difficult to get the dose right. People suffer from symptoms of too much replacement hormone (sweating, heart palpitations, and weight loss) or too little replacement hormone (somnolence, depression, and weight gain). Worse, because the nerves of the vocal cord travel close to the thyroid gland, some people suffer vocal cord paralysis. Or they suffer from a problem with calcium metabolism because a gland called the parathyroid gland, which regulates calcium, is also nearby. Or they suffer from life-threatening bleeding after the surgery. Initially, South Korean health officials were excited that they had detected all of these cancers before patients had developed any symptoms.*

    *Then they looked at the mortality rates from thyroid cancer. No difference. The incidence of death from thyroid cancer was exactly the same before and after the massive screening program. The only tangible outcome was that now tens of thousands of South Koreans had to suffer the side effects of thyroid surgery.Overdiagnosis and overtreatment of thyroid cancer hasn’t been limited to South Korea. In France, Italy, Croatia, Israel, China, Australia, Canada, and the Czech Republic, the rates of thyroid cancer have more than doubled. In the United States, they’ve tripled. In all of these countries, as had been the case in South Korea, the incidence of death from thyroid cancer has remained the same.*

    Pandora’s Lab de Paul Offitt

  16. Graficul asta arata cum mai exact cum sistemul social de sanatate nu are cum sa functioneaza la noi. Deci o abordare privata, similara cu cea in US pare a fi mai aproapiata de cultura si nivelul nostru de educatia. Let the downvotes hit the floor.

  17. Cand am mers sa-mi fac vaccinul am fost intrebati daca am avut cancer , iar femeia de langa mine a spus ca a avut cancer la san.

  22. E rusine maica. Mai bine mergi la parinte si te spovedesti. Si trece cu usturoi orice boala. Plus lipsa de educatie crasa. Ce pretentii sa ai … Sistemul medical e cea mai mica problema aici. Prost cum e nu-ti poate pune pistolul la cap sa te duci la un control …

  24. Serios… rata de vaccinare e 40%…

    Nu inteleg de ce va surprinde acest lucru.
    50-69 de ani inseamna comunism deci cam da.

    Again… lumea nu se vaccineaza si tu vrei sa se duca la control la sani? Pffff tu uiti cu cine vorbesti.

  25. nici titele nu mai sunt ce-au fost.

    daca vrem sa avem o tara ca afara screeningul ar trebui sa fie inclus in analizele anuale. dar pentru ca toate centrele de radiologie sunt private, nu se va intimpla asta desigur. sau se va intimpla ceva ca la sectorul 1, unde primarita se lauda cu screening gratis in pandemie, cind lumea este speriata sa ajunga in centre cu oameni bolnavi.

    eu am de facut o panoramica de control de doi ani si tot nu-mi arde sa ajung intr-un loc cu alti 50-100 de oameni asteptind o radiografie.

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