Health
Errors in disease diagnosis lead to nearly 800,000 deaths, disabilities in US each year: study
Misdiagnoses in the U.S. lead to hundreds of thousands of deaths and major disabilities each year, according to a recent report from Johns Hopkins School of Medicine in Maryland.
Each year, an estimated 795,000 Americans become permanently disabled or die due to a misdiagnosis, the study found.
It was published in The BMJ, a peer-reviewed medical trade journal.
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The top five misdiagnosed conditions were stroke, sepsis, pneumonia, venous thromboembolism (formation of a blood clot in a vein) and lung cancer — which together made up 38.7% of all cases.
More than half of all serious harm cases were made up of only 15 dangerous diseases, which led researchers to believe the issue may be more manageable than expected.
Study co-author Dr. David Newman-Toker, a neurology professor at the Johns Hopkins University School of Medicine and director of the Armstrong Institute Center for Diagnostic Excellence, told Fox News Digital in an interview how he and his team determined the number of affected people.
The “very simple” math, he said, included tallying up the total number of dangerous disease cases — such as heart attack, stroke, infections, vascular events and cancer — and multiplying that by both the error rate for each disease and the “risk of harm” associated with each error.
The researchers used a “complex set of data sources” for each of these factors, according to Newman-Toker.
These included population-based data such as the National Inpatient Sample and national cancer registries, as well as systematic reviews.
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“For the final totals, we used nine different methods to assess the impact of various assumptions we made along the way,” he said, “as well as to externally validate using other data sources and methods that our numbers were reasonable.”
Regarding the total number of nearly 800,000 harmful outcomes, Newman-Toker said the results were “sort of unsurprising.”
He added, “We’ve known for quite some time that diagnostic errors are a significant hidden source of harm from medical error.”
And so, “to see a number that exceeded all the prior totals from medical error wasn’t that surprising to us.”
“The most important question to ask your doctor is: ‘What’s the worst thing this could be?’”
He added, “Most of those totals basically ignore diagnostic errors, and they’re sort of the bottom of the iceberg of patient safety and quality.”
What was surprising, Newman-Toker noted, was the relatively small number of diseases that accounted for a majority of errors.
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“Fifteen diseases accounted for half of all the serious harms and just five diseases accounted for nearly 40%,” he said.
“That’s an important insight because it makes the problem more tractable, and the diagnostic errors are a problem across all sectors of medicine, with all diseases and in all contexts.”
“It’s easy for it to start to feel overwhelming from a problem-fixing standpoint,” Newman-Toker said.
“But this gives us an opportunity to actually tackle some of the highest harm problems and make a big dent in reducing the harms to patients.”
The researcher said he is hopeful that this kind of research could help curb major errors in the future.
“It tells us where the majority of harms are occurring.”
“It points us in the direction we need to go,” he said. “It tells us where the majority of harms are occurring.”
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While these findings offer useful insights toward preventing misdiagnoses, Newman-Toker pointed out that this is the “most underfunded” sector of public health.
For anyone concerned about a potential misdiagnosis, patients should come prepared to doctor’s appointments, ask plenty of questions and remain vigilant, said the researcher.
Being prepared, according to Newman-Toker, means showing up with a “simple summary” of symptoms, as well as the patient’s medical history.
“The most important question to ask your doctor is, ‘What’s the worst thing this could be? And why is it not that?’” he said.
Rather than asking if they need a different medicine, patients should ask, “Are we sure the diagnosis was right?” said Newman-Moker.
“Those are the main things patients must do to protect themselves.”
Health
Jennifer Hudson Lost 80-Lbs Without Depriving Herself—Learn Her Secrets
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Health
Kennedy’s Plan for the Drug Crisis: A Network of ‘Healing Farms’
Though Mr. Kennedy’s embrace of recovery farms may be novel, the concept stretches back almost a century. In 1935, the government opened the United States Narcotic Farm in Lexington, Ky., to research and treat addiction. Over the years, residents included Chet Baker and William S. Burroughs (who portrayed the institution in his novel, “Junkie: Confessions of an Unredeemed Drug Addict”). The program had high relapse rates and was tainted by drug experiments on human subjects. By 1975, as local treatment centers began to proliferate around the country, the program closed.
In America, therapeutic communities for addiction treatment became popular in the 1960s and ’70s. Some, like Synanon, became notorious for cultlike, abusive environments. There are now perhaps 3,000 worldwide, researchers estimate, including one that Mr. Kennedy has also praised — San Patrignano, an Italian program whose centerpiece is a highly regarded bakery, staffed by residents.
“If we do go down the road of large government-funded therapeutic communities, I’d want to see some oversight to ensure they live up to modern standards,” said Dr. Sabet, who is now president of the Foundation for Drug Policy Solutions. “We should get rid of the false dichotomy, too, between these approaches and medications, since we know they can work together for some people.”
Should Mr. Kennedy be confirmed, his authority to establish healing farms would be uncertain. Building federal treatment farms in “depressed rural areas,” as he said in his documentary, presumably on public land, would hit political and legal roadblocks. Fully legalizing and taxing cannabis to pay for the farms would require congressional action.
In the concluding moments of the documentary, Mr. Kennedy invoked Carl Jung, the Swiss psychiatrist whose views on spirituality influenced Alcoholics Anonymous. Dr. Jung, he said, felt that “people who believed in God got better faster and that their recovery was more durable and enduring than people who didn’t.”
Health
Children exposed to higher fluoride levels found to have lower IQs, study reveals
The debate about the benefits and risks of fluoride is ongoing, as RFK Jr. — incoming President Trump’s pick for HHS secretary — pushes to remove it from the U.S. water supply.
“Fluoride is an industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders and thyroid disease,” RFK wrote in a post on X in November.
A new study published in JAMA Pediatrics on Jan. 6 found another correlation between fluoride exposure and children’s IQs.
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Study co-author Kyla Taylor, PhD, who is based in North Carolina, noted that fluoridated water has been used “for decades” to reduce dental cavities and improve oral health.
“However, there is concern that pregnant women and children are getting fluoride from many sources, including drinking water, water-added foods and beverages, teas, toothpaste, floss and mouthwash, and that their total fluoride exposure is too high and may affect fetal, infant and child neurodevelopment,” she told Fox News Digital.
The new research, led by scientists at the National Institute of Environmental Health Sciences (NIEHS), analyzed 74 epidemiological studies on children’s IQ and fluoride exposure.
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The studies measured fluoride in drinking water and urine across 10 countries, including Canada, China, Denmark, India, Iran, Mexico, Pakistan, New Zealand, Spain and Taiwan. (None were conducted in the U.S.)
The meta-analysis found a “statistically significant association” between higher fluoride exposure and lower children’s IQ scores, according to Taylor.
“[It showed] that the more fluoride a child is exposed to, the more likely that child’s IQ will be lower than if they were not exposed,” she said.
These results were consistent with six previous meta-analyses, all of which reported the same “statistically significant inverse associations” between fluoride exposure and children’s IQs, Taylor emphasized.
The research found that for every 1mg/L increase in urinary fluoride, there was a 1.63-point decrease in IQ.
‘Safe’ exposure levels
The World Health Organization (WHO) has established 1.5mg/L as the “upper safe limit” of fluoride in drinking water.
“There is concern that pregnant women and children are getting fluoride from many sources.”
Meanwhile, the U.S. Public Health Service recommends a fluoride concentration of 0.7 mg/L in drinking water.
“There was not enough data to determine if 0.7 mg/L of fluoride exposure in drinking water affected children’s IQs,” Taylor noted.
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Higher levels of the chemical can be found in wells and community water serving nearly three million people in the U.S., the researcher noted.
She encouraged pregnant women and parents of small children to be mindful of their total fluoride intake.
“If their water is fluoridated, they may wish to replace tap water with low-fluoride bottled water, like purified water, and limit exposure from other sources, such as dental products or black tea,” she said.
“Parents can use low-fluoride bottled water to mix with powdered infant formula and limit use of fluoridated toothpaste by young children.”
For more Health articles, visit www.foxnews.com/health.
While the research did not intend to address broader public health implications of water fluoridation in the U.S., Taylor suggested that the findings could help inform future research into the impact of fluoride on children’s health.
Dental health expert shares cautions
In response to this study and other previous research, Dr. Ellie Phillips, DDS, an oral health educator based in Austin, Texas, told Fox News Digital that she does not support water fluoridation.
“I join those who vehemently oppose public water fluoridation, and I question why our water supplies are still fluoridated in the 21st century,” she wrote in an email.
“There are non-fluoridated cities and countries where the public enjoy high levels of oral health, which in some cases appear better than those that are fluoridated.”
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Phillips called the fluoride debate “confusing” even among dentists, as the American Dental Association (ADA) advocates for fluoride use for cavity prevention through water fluoridation, toothpaste and mouthwash — “sometimes in high concentrations.”
“[But] biologic (holistic) dentists generally encourage their patients to fear fluoride and avoid its use entirely, even if their teeth are ravaged by tooth decay,” she said.
“Topical fluoride is beneficial, while systemic consumption poses risks.”
Phillips encouraged the public to consider varying fluoride compounds, the effect of different concentrations and the “extreme difference” between applying fluoride topically and ingesting it.
“Topical fluoride is beneficial, while systemic consumption poses risks,” she cautioned.
“Individuals must take charge of their own oral health using natural and informed strategies.”
The study received funding from the National Institute of Environmental Health Sciences (NIEHS), the National Institutes of Health (NIH) and the Intramural Research Program.
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