Too
Much
Medicine

XXIX Paulo Foundation
International Medical
Symposium

15–17 August 2018
Helsinki, Finland

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Paulo Foundation

Abstracts

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Speakers

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Paul Glasziou
Paul Glasziou
Professor
Jeanne Lenzer
Jeanne Lenzer
Associate Editor of the BMJ
Robert Whitaker
Robert Whitaker
Journalist and author
Deborah Cohen
Deborah Cohen
Journalist
Gary Schwitzer
Gary Schwitzer
Health care journalist
Alan Cassels
Alan Cassels
Journalist and author
Malcolm Willett
Malcolm Willett
Artist, illustrator, and designer
Gordon Guyatt
Gordon Guyatt
Distinguished Professor
Lisa Schwartz
Lisa Schwartz
Professor of Medicine
Steve Woloshin
Steve Woloshin
Professor of Medicine
Kari Tikkinen
Kari Tikkinen
Adjunct Professor
James McCormack
James McCormack
Professor of Pharmacy
Allen Frances
Allen Frances
Professor emeritus of psychiatry
Lisa Cosgrove
Lisa Cosgrove
Professor of Counseling and School Psychology
Rachelle Buchbinder
Rachelle Buchbinder
MD, Professor
Andrew Carr
Andrew Carr
Professor of Orthopaedic Surgery
Peter C. Gøtzsche
Peter C. Gøtzsche
MD, Director of the Nordic Cochrane Centre
Vesa Kataja
Vesa Kataja
Professor of Oncology
Kimmo Porkka
Kimmo Porkka
Professor of Clinical Hematology
Kim Witczak
Kim Witczak
Consumer representative and drug safety advocate
Iona Heath
Iona Heath
General practitioner

Overdiagnosis and overtreatment are causes for increasing concern

The XXIX Paulo Scientific Symposium will bring together a group of outstanding international scientific experts to raise awareness of problems related to medical excess and to identify the best sustainable evidence-based practices. The Symposium aims to find methods for eliminating sources of bias from clinical trials and guidelines, to advance the dissemination of accurate scientific information and to promote critical societal debate about medicine.

Too Much Medicine is organized in collaboration with the Preventing Overdiagnosis Conference in Copenhagen, Denmark, on Aug. 20-22, 2018

Programme

Wednesday 15 August

8:00 Registration opening

Welcome session

Chairs: Risto Renkonen and Teppo Järvinen
9:30 Opening words
9:40 Welcome speech

Paulo Foundation: Risto Renkonen

9:50 Winding back overdiagnosis: where are the leverage points?

Paul Glasziou

10:30 Opening speech

Annika Saarikko, Minister of Family Affairs and Social Services, Ministry of Family Affairs and Health

10:45 Coffee and refreshments

Media Session

Chair: Jussi Valtonen and Mia Pohtola
Communicating sustainability in modern healthcare - Walking the tightrope
11:15 How journalists often promote too much medicine: >3,000 lessons from HealthNewsReview.org

Gary Schwitzer

11:55 The media and overdiagnosis: Challenges and opportunities in educating the public

Alan Cassels

12:35 Lunch

Investigative journalists

Watchdogs or lapdogs
Chairs: Pertti Saloheimo and Mira Karrasch
13:35 Secret scandals: How political influence keeps doctors and surgeons from knowing the truth about the drugs they prescribe and the devices they implant

Jeanne Lenzer

14:15 Who needs investigative journalism in medicine?

Robert Whitaker

14:55 Medical reporting in the face of attack from vested interests

Deborah Cohen

15:35 Coffee and refreshments

Being artistic and less misled

Chairs: Jorma Komulainen and Samantha Craigie
16:05 Using art as a means to engage lay public in health dialogue

Malcolm Willett

16:45 How to help clinicians avoid being misled 

Gordon Guyatt

17:25 Afternoon break 
18:15 - 20:15 Complimentary nature trip to Seurasaari 

A guided 1.5 hours walk around picturesque island of Seurasaari. Bus arrives 18:15 at Hotel Kalastajatorppa. Please, register at Too Much Medicine information desk.

Thursday 16 August

Best abstracts session

Chairs: Jarno Rutanen and Tuomas Lähdeoja
9:00 No benefit of additional care for 'high risk' patients with acute low backpain: The PREVENT randomized, placebo-controlled trial

Adrian Traeger

9:10 Increasing prescription of opioid analgesics and neuropathic pain medicines for spinal pain in Australia

Stephanie Mathieson

9:20 Decision support and knowledge translation tools to highlight the benefits and downstream harms of screening: Resources from the Canadian Task Force for Preventive Healthcare

Eddy Lang

9:30 Five minutes break

Communicating about overdiagnosis and overtreatment

Chairs: Jari Petäjä and Jarkko Jokihaara
9:35 Allowing disease awareness campaigns to fuel overdiagnosis 

Lisa Schwartz

10:15 Attempts to prevent "too much medicine": policy and interventions from the trenches

Steven Woloshin

10:55 Coffee and refreshments

Defining disease

Chairs: Kati Myllymäki and Arnav Agarwal
11:25 Finnish Disease (FIND) Survey: What is a disease?

Kari Tikkinen

12:05 Reporting lab results: The cause of, and the solution to, the overdiagnosis problem

James McCormack

12:45 Lunch

Finding the right mental care

Chairs: Jesper Ekelund and Mia Pohtola
13:40 What causes overdiagnosis in psychiatry - with lessons for other medical specialties

Allen Frances

14:20 Too much screening means too much medicine

Lisa Cosgrove

15:00 Coffee and refreshments

Eradicating unnecessary care in musculoskeletal diseases

Chairs: Martti Kekomäki and Jarkko Jokihaara
15:30 Wiser healthcare: addressing the problem of inappropriate testing and treatment

Rachelle Buchbinder

16:10 Improving evidence for orthopaedics

Andrew Carr

16:50 Afternoon break
18:30 Symposium Dinner

Dress code: smart casual.

Friday 17 August

Refining clinical practice guidelines

Chairs: Marjukka Mäkelä and Elina Hemminki
8:30 Why systematic reviews of published drug trials lead to too much medicine

Peter C. Gøtzsche

9:10 Making clinical guidelines useful for healthcare, clinicians, and patients

Gordon Guyatt

9:50 Coffee

Personalized medicine

Opportunity or opportunity cost?
Chairs: Petri Virolainen and Jarno Rutanen
10:20 Will personalized medicine in oncology be affordable for all?

Vesa Kataja

11:00 Therapy of acute leukemia - an example of personalized medicine

Kimmo Porkka

11:40 Lunch

Patient centered healthcare

Chairs: Teppo Järvinen and Kari Tikkinen
12:40 Regulatory experiences from a patient advocate: The FDA Psychopharmacologic Drugs Advisory Committee

Kim Witczak

13:20 The role of fear in overdiagnosis

Iona Heath

14:00 Less medicine, more care: wrapping-up and looking forward

Ray Moynihan

14:20 Coffee and End

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