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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 8 Nov 2017

    What progress looks like. How cancer survival rates have changed https://www.axios.com/axios-am-2507660413.html?rebelltitem=6&utm_term=twsocialshare#rebelltitem6 … #axiosam

    4:43 AM - 8 Nov 2017
    • 470 Retweets
    • 653 Likes
    • TBPbeatsup Web Design Express Hanfsamen kaufen Rene Petry Christopher Galiano Mary Ann McDonough Gabriel Gutiérrez Luis A. Segarra Dr Erik Schwarz
    29 replies 470 retweets 653 likes
      1. New conversation
      2. Anil Jain, FRCR‏ @anilkjain61 12 Nov 2017
        Replying to @Atul_Gawande

        Indeed amazing progress, still a long way to go for many cancers. @BME_CANCER @abcdiagnosis @Mike_Thorpe_ @louisebrady17 @UzmaMD @shaheedashaikh @MissLivJoseph @Catz75Cat @liz_leaver @Liz_ORiordan @trishgreenhalgh

        3 replies 4 retweets 5 likes
      3. Jane Maher‏ @Maherjane 12 Nov 2017
        Replying to @anilkjain61 @Atul_Gawande and

        Cancer is complicated - helpful to distinguish broad groups based on site &stage ( most live 10, most die 1 year, & a middle chronic group

        2 replies 3 retweets 6 likes
      4. Mike Thorpe  🐝‏ @Mike_Thorpe_ 12 Nov 2017
        Replying to @Maherjane @anilkjain61 and

        How much does that translate into living longer rather than just being diagnosed earlier?

        2 replies 3 retweets 5 likes
      5. Anil Jain, FRCR‏ @anilkjain61 12 Nov 2017
        Replying to @Mike_Thorpe_ @Maherjane and

        This question has been asked by many to original @Atul_Gawande tweet. Early diagnosis has many other benefits. Less than 1yr for most one extreme does need more work!

        1 reply 4 retweets 4 likes
      6. Mike Thorpe  🐝‏ @Mike_Thorpe_ 12 Nov 2017
        Replying to @anilkjain61 @Maherjane and

        No doubt early detection can mean easier to treat but we do need data on this. Prostate cancer can be over diagnosed so it is very complicated Anil.

        1 reply 4 retweets 4 likes
      7. louise brady RN‏ @louisebrady17 12 Nov 2017
        Replying to @Mike_Thorpe_ @anilkjain61 and

        Screening.. (benefits & risks) needs to be clearly explained in primary care, with space & time for discussion.. ..key role for all 2 play!

        1 reply 3 retweets 5 likes
      8. Mike Thorpe  🐝‏ @Mike_Thorpe_ 12 Nov 2017
        Replying to @louisebrady17 @anilkjain61 and

        Spot on Louise. We also can spend a lot of time in primary care during aftercare, more responsibility there with supported self management. 💉💊

        2 replies 4 retweets 6 likes
      9. Jo Taylor‏ @abcdiagnosis 12 Nov 2017
        Replying to @Mike_Thorpe_ @louisebrady17 and

        You spend a lot of time in secondary care (if you are lucky enough!) but be careful with supported self management especially with BC...

        2 replies 1 retweet 5 likes
      10. 12 more replies
      1. New conversation
      2. Tricia Lanter‏ @PatriciaLanter 8 Nov 2017
        Replying to @Atul_Gawande

        How much of this is lead time bias? 5 year survival changes are difficult to interpret

        1 reply 1 retweet 9 likes
      3. Travis Austin‏ @OrdinaryDoc 8 Nov 2017
        Replying to @PatriciaLanter @Atul_Gawande

        Yes! I worry about lead time bias and overdiagnosis. I’d love to see adjusted mortality data instead as an indicator of ? progress.

        0 replies 0 retweets 3 likes
      4. End of conversation
      1. New conversation
      2. JT‏ @JohnTuckerPhD 8 Nov 2017
        Replying to @Atul_Gawande @OmicsOmicsBlog

        Interesting how the impression one gets from the data varies with how it is presented. I'd say 5M pts in clintrials -> 15% increase in 5 y survival a little disappointing.pic.twitter.com/b3p95nqif3

        1 reply 2 retweets 7 likes
      3. 1 more reply
      1. New conversation
      2. Lesley Goodburn‏ @lgoodbu 8 Nov 2017
        Replying to @Atul_Gawande @UpperGISurg

        There is progress but for pancreatic cancer in awareness month survival remains static listen to our #pancanstory to understand the impactpic.twitter.com/FNNAJTj4CK

        1 reply 0 retweets 3 likes
      3. Andrew Kennedy‏ @UpperGISurg 8 Nov 2017
        Replying to @lgoodbu @Atul_Gawande

        Yep, still a very difficult disease

        1 reply 1 retweet 1 like
      4. Lesley Goodburn‏ @lgoodbu 8 Nov 2017
        Replying to @UpperGISurg @Atul_Gawande

        But if we can raise awareness of signs symptoms that like our daily #pancanstory tomorrows story is called #greyhairs it’s from a surgeon

        1 reply 0 retweets 1 like
      5. Lesley Goodburn‏ @lgoodbu 8 Nov 2017
        Replying to @lgoodbu @UpperGISurg @Atul_Gawande

        pic.twitter.com/RqFd244atb

        0 replies 0 retweets 0 likes
      6. End of conversation
      1. Paras Singh‏ @parsin276 8 Nov 2017
        Replying to @Atul_Gawande

        Paras Singh Retweeted Atul Gawande

        Some real progress. Some eg #prostate cancer also related to lead time bias, over-treatment etc. While no improvement in other common cancers like #bladder #cancer survival, perhaps more needs to be done....https://twitter.com/atul_gawande/status/928241621837197313 …

        Paras Singh added,

        Atul GawandeVerified account @Atul_Gawande
        What progress looks like. How cancer survival rates have changed https://www.axios.com/axios-am-2507660413.html?rebelltitem=6&utm_term=twsocialshare#rebelltitem6 … #axiosam
        0 replies 0 retweets 5 likes
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      1. Alice‏ @HodkinsonAlice 8 Nov 2017
        Replying to @Atul_Gawande

        Lead time bias. Overdiagnosis. What’s the actual death rate change?

        0 replies 0 retweets 6 likes
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      1. Álvaro J. Castro R.‏ @micokoch 8 Nov 2017
        Replying to @Atul_Gawande

        This is wonderful, but I wonder why the only cancers with regressions (cervix, uterus) affect women exclusively, and the greatest progress (in % gains) is in a very male cancer (prostate). And Movember is still "a thing."

        0 replies 1 retweet 1 like
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