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Risiken durch nicht notwendige CT Untersuchungen
26.12.17
“Conclusions and Relevance Fee-for-service Medicare beneficiaries are commonly exposed to CT imaging. Those residing in high-scanning regions face a higher risk of nephrectomy, presumably reflecting the incidental detection of renal masses. Additional surgery should be considered one of the risks of excessive CT imaging.
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We should emphasize that surgeons are not purposely performing unnecessary surgery any more than radiologists are purposely engaged in overdiagnosis. Many clinicians understand the downsides of incidental detection. Nevertheless, they are caught in a complex web of forces promoting earlier cancer diagnosis and earlier intervention: strong financial interests, fear of litigation, and unquestioning beliefs among the public about the value of early diagnosis and treatment.35,36 More balanced medical care will require addressing these forces."