Philosophy of Science 81 (5):986-998 (2014)

Authors
Peter H. Schwartz
Indiana University Purdue University, Indianapolis
Abstract
I argue that ductal carcinoma in situ (DCIS), the tumor most commonly diagnosed by breast mammography, cannot be confidently classified as cancer, that is, as pathological. This is because there may not be dysfunction present in DCIS—as I argue based on its high prevalence and the small amount of risk it conveys—and thus DCIS may not count as a disease by dysfunction-requiring approaches, such as Boorse’s biostatistical theory and Wakefield’s harmful dysfunction account. Patients should decide about treatment for DCIS based on the risks it poses and the risks and benefits of treatment, not on its disease status
Keywords CANCER  DISEASE  MEDICINE  RISK  SCIENCE  TUMOR  BOORSE, CHRISTOPHER
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DOI 10.1086/678280
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References found in this work BETA

Just Health: Meeting Health Needs Fairly.Norman Daniels - 2007 - Cambridge University Press.
Health as a Theoretical Concept.Christopher Boorse - 1977 - Philosophy of Science 44 (4):542-573.
A Rebuttal on Health.Christopher Boorse - 1997 - In James M. Humber & Robert F. Almeder (eds.), What is Disease? Humana Press. pp. 1--134.
Health, Naturalism, and Functional Efficiency.Daniel M. Hausman - 2012 - Philosophy of Science 79 (4):519-541.

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Citations of this work BETA

Progress in Defining Disease: Improved Approaches and Increased Impact.Peter H. Schwartz - 2017 - Journal of Medicine and Philosophy 42 (4):485-502.
Truth or Spin? Disease Definition in Cancer Screening.Lynette Reid - 2017 - Journal of Medicine and Philosophy 42 (4):385-404.
Looking for Trouble? Diagnostics Expanding Disease and Producing Patients.Bjørn Hofmann - 2018 - Journal of Evaluation in Clinical Practice 24 (5):978-982.
A New Approach to Defining Disease.Mary Jean Walker & Wendy A. Rogers - 2018 - Journal of Medicine and Philosophy 43 (4):402-420.

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