In the February 2015 issue of the Journal of Obstetrics and Gynecology, an article appears, “Increased Cervical Cancer Risk Associated with Screening at Longer Intervals.”
The editors of Women’s Health in their March 2015 issue pointed out that by report many patients were stunned upon learning after a negative co-test, they should not be rescreened for five years. Nevertheless, doctors were making decisions about patient concerns about rescreening and benefits involved without any input from the patients at all.
This is reminiscent of a time when a total laryngectomy was the surgery offered for invasive throat cancer invading the larynx. Doctors were aware of there being a less invasive procedure that would allow a patient to maintain the ability to speak and to eat. They simply never discussed the matter with patients. Then one day someone had a discussion, published a study and this study reflected the overwhelming majority of patients would rather suffer an increased risk of death than a certainty of being mute.
It just seems to go on and on. Why is it that physicians always view patients as outside of their circle of confidence?