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A senior surgeon suggests that many commonly performed operations are not necessary and that any benefits they offer are a placebo. For many complaints and conditions the benefits from surgery are lower, and the risks higher, than you or your surgeon think. In this book you will see how commonly performed operations can be found to be useless or even harmful when properly evaluated. Of course no surgeon is recommending invasive surgery in bad faith, but Ian Harris argues that the evidence for the success for many common operations, including knee arthroscopies, back fusion or cardiac stenting, become current accepted practice without full examination of the evidence. The placebo effect may be real, but is it worth the recovery time, expense and discomfort?
An important and definitive study and critique of 86 general practices in Ontario and Nova Scotia, with particular attention to the quality of medical care and to problems of medical education and of the organization of medical care as these relate to quality. It was conceived by the College of General Practice of Canada and directed by Kenneth F. Clute. The book is addressed to all those who are interested in the broader aspects of the question of how people can best be provided with good medical care.