Michael Baum (surgeon)

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Michael Baum
Born1937 (age 85–86)
Alma mater University of Birmingham
Scientific career
Institutions
Website www.michaelbaum.co.uk

Michael Baum (born 1937), Professor Emeritus of Surgery and visiting Professor of Medical Humanities in University College London (UCL), is a British surgical oncologist who specialises in breast cancer treatment. He is also known for his contributions to the evaluation and support of patient quality of life. He has been Professor of Surgery in King's College London, the Royal Marsden Hospital and UCL. He is a notable critic of alternative medicine.

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In 2007, Baum received the St Gallen lifetime achievement award for the treatment of breast cancer.

Baum's team was the first to demonstrate the effectiveness of adjuvant tamoxifen for early breast cancer, which has contributed to the 30 per cent reduction in breast cancer mortality and its efficacy in the prevention of breast cancer in susceptible women. Since then, while at UCL, he was responsible for the largest-ever international cancer trial (ATAC - Arimidex, Tamoxifen, Alone or in Combination), which in record time showed anastrozole to be better than tamoxifen. [1]

Baum was active in the successful campaign to retain the Royal Marsden's site at Fulham in central London.

Criticisms of alternative medicine

In an article entitled "Should We Maintain an Open Mind about Homeopathy?" [2] published in the American Journal of Medicine , Michael Baum and Edzard Ernst—writing to other physicians—wrote some strong criticisms of homeopathy:

Homeopathy is among the worst examples of faith-based medicine... These axioms [of homeopathy] are not only out of line with scientific facts but also directly opposed to them. If homeopathy is correct, much of physics, chemistry, and pharmacology must be incorrect... To have an open mind about homeopathy or similarly implausible forms of alternative medicine (eg, Bach Flower remedies, spiritual healing, crystal therapy) is therefore not an option. We think that a belief in homeopathy exceeds the tolerance of an open mind. We should start from the premise that homeopathy cannot work and that positive evidence reflects publication bias or design flaws until proved otherwise... We wonder whether any kind of evidence would persuade homeopathic physicians of their self-delusion and challenge them to design a methodologically sound trial, which if negative would finally persuade them to shut up shop... Homeopathy is based on an absurd concept that denies progress in physics and chemistry. Some 160 years after Homeopathy and Its Kindred Delusions , an essay by Oliver Wendell Holmes, we are still debating whether homeopathy is a placebo or not... Homeopathic principles are bold conjectures. There has been no spectacular corroboration of any of its founding principles... After more than 200 years, we are still waiting for homeopathy "heretics" to be proved right, during which time the advances in our understanding of disease, progress in therapeutics and surgery, and prolongation of the length and quality of life by so-called allopaths have been breathtaking. The true skeptic therefore takes pride in closed mindedness when presented with absurd assertions that contravene the laws of thermodynamics or deny progress in all branches of physics, chemistry, physiology, and medicine.

He has also described homoeopathy as a "cruel deception". [3]

In an article in The Times entitled "The top fifty people who influence the way we eat, exercise and think about ourselves", he was described as:

Anti-alternative: The emeritus professor of surgery at University College London wants alternative medicine banned in the NHS. Claim to fame: He described homoeopathy as a "cruel deception" in an open letter to health authority bosses. Lasting legacy: Has given a spur to the NHS to be more consistent in what it provides free and what it doesn't. [3]

In a letter from Michael Baum and 13 other scientists to the chief executives of all 476 acute and primary care trusts, they wrote:

Re Use of ‘alternative’ medicine in the NHS. We are a group of physicians and scientists who are concerned about ways in which unproven or disproved treatments are being encouraged for general use in the NHS.... While medical practice must remain open to new discoveries for which there is convincing evidence, including any branded as ‘alternative’, it would be highly irresponsible to embrace any medicine as though it were a matter of principle.... These are not trivial matters. We urge you to take an early opportunity to review practice in your own trust with a view to ensuring that patients do not receive misleading information about the effectiveness of alternative medicines. We would also ask you to write to the Department of Health requesting evidence-based information for trusts and for patients with respect to alternative medicine. [4] [5]

In an open letter to Prince Charles, rebuking him for his stance on alternative medicine, he wrote:

The power of my authority comes with a knowledge built on 40 years of study and 25 years of active involvement in cancer research... Your power and authority rest on an accident of birth. [6]

Criticisms of breast cancer screening

Professor Baum is also critical of the breast cancer screening program and believes women are not receiving accurate and complete information on the actual benefits and risks of the procedure. This means most women are not giving informed consent for breast cancer screening. In 2010 he gave a lecture at UCL entitled, "Breast cancer Screening: Some Inconvenient Truths". [7]

In an article entitled "What are the drawbacks of breast screening?" [8] published in 2011, Michael Baum criticised the NHS Breast Screening Programme:

Whatever the number, that one woman who benefits from a decade of screening has a life of infinite worth and if screening were as non‐toxic as wearing a seat belt there would be no case to answer. However, there is a downside to screening, namely the problem of the over‐diagnosis of "pseudo‐cancers". … (F)or every life saved ten healthy women will, as a consequence, become cancer patients and will be treated unnecessarily. These women will have either a part of their breast or the whole breast removed, and they will often receive radiotherapy and sometimes chemotherapy.

Related Research Articles

Alternative medicine is any practice that aims to achieve the healing effects of medicine despite lacking biological plausibility, testability, repeatability or evidence of effectiveness. Unlike modern medicine, which employs the scientific method to test plausible therapies by way of responsible and ethical clinical trials, producing repeatable evidence of either effect or of no effect, alternative therapies reside outside of medical science and do not originate from using the scientific method, but instead rely on testimonials, anecdotes, religion, tradition, superstition, belief in supernatural "energies", pseudoscience, errors in reasoning, propaganda, fraud, or other unscientific sources. Frequently used terms for relevant practices are New Age medicine, pseudo-medicine, unorthodox medicine, holistic medicine, fringe medicine, and unconventional medicine, with little distinction from quackery.

<span class="mw-page-title-main">Homeopathy</span> Pseudoscientific system of alternative medicine

Homeopathy or homoeopathy is a pseudoscientific system of alternative medicine. It was conceived in 1796 by the German physician Samuel Hahnemann. Its practitioners, called homeopaths, believe that a substance that causes symptoms of a disease in healthy people can cure similar symptoms in sick people; this doctrine is called similia similibus curentur, or "like cures like". Homeopathic preparations are termed remedies and are made using homeopathic dilution. In this process, the selected substance is repeatedly diluted until the final product is chemically indistinguishable from the diluent. Often not even a single molecule of the original substance can be expected to remain in the product. Between each dilution homeopaths may hit and/or shake the product, claiming this makes the diluent "remember" the original substance after its removal. Practitioners claim that such preparations, upon oral intake, can treat or cure disease.

<span class="mw-page-title-main">Breast cancer</span> Cancer that originates in mammary glands

Breast cancer is cancer that develops from breast tissue. Signs of breast cancer may include a lump in the breast, a change in breast shape, dimpling of the skin, milk rejection, fluid coming from the nipple, a newly inverted nipple, or a red or scaly patch of skin. In those with distant spread of the disease, there may be bone pain, swollen lymph nodes, shortness of breath, or yellow skin.

<span class="mw-page-title-main">Anastrozole</span> Chemical compound

Anastrozole, sold under the brand name Arimidex among others, is a medication used in addition to other treatments for breast cancer. Specifically it is used for hormone receptor-positive breast cancer. It has also been used to prevent breast cancer in those at high risk. It is taken by mouth.

<span class="mw-page-title-main">University College Hospital</span> Hospital in London, England

University College Hospital (UCH) is a teaching hospital in the Fitzrovia area of the London Borough of Camden, England. The hospital, which was founded as the North London Hospital in 1834, is closely associated with University College London (UCL), whose main campus is situated next door. The hospital is part of the University College London Hospitals NHS Foundation Trust.

<span class="mw-page-title-main">Aromatase inhibitor</span> Class of drugs

Aromatase inhibitors (AIs) are a class of drugs used in the treatment of breast cancer in postmenopausal women and in men, and gynecomastia in men. They may also be used off-label to reduce estrogen conversion when supplementing testosterone exogenously. They may also be used for chemoprevention in women at high risk for breast cancer.

Anthroposophic medicine is a form of alternative medicine based on pseudoscientific and occult notions. Devised in the 1920s by Rudolf Steiner (1861–1925) in conjunction with Ita Wegman (1876–1943), anthroposophical medicine draws on Steiner's spiritual philosophy, which he called anthroposophy. Practitioners employ a variety of treatment techniques based upon anthroposophic precepts, including massage, exercise, counselling, and substances.

The Christie NHS Foundation Trust in Withington, Manchester, manages the Christie Hospital, one of the largest cancer treatment centres of its type in Europe. The Christie became an NHS Foundation Trust in 2007 and is also an international leader in cancer research and development, home to the Paterson Institute for Cancer Research.

<span class="mw-page-title-main">Edzard Ernst</span> German academic physician and researcher (born 1948)

Edzard Ernst is a retired British-German academic physician and researcher specializing in the study of complementary and alternative medicine. He was Professor of Complementary Medicine at the University of Exeter, the world's first such academic position in complementary and alternative medicine.

The NHS treatments blacklist is an informal name for a list of medicines and procedures which will not be funded by public money except in exceptional cases. These include but are not limited to procedures which the National Institute for Health and Care Excellence (NICE) has ruled of limited effectiveness and particular brand name medicines. In 2017 there was a proposal for 3,200 over-the-counter (OTC) drugs to be restricted and 18 procedures to be added to the list. This generated some controversy amongst doctors with some arguing that OTC should be blacklisted instead, and others believing the move did not take into account individual patient needs.

<span class="mw-page-title-main">Ductal carcinoma in situ</span> Medical condition

Ductal carcinoma in situ (DCIS), also known as intraductal carcinoma, is a pre-cancerous or non-invasive cancerous lesion of the breast. DCIS is classified as Stage 0. It rarely produces symptoms or a breast lump one can feel, typically being detected through screening mammography. It has been diagnosed in a significant percentage of men.

Breast cancer management takes different approaches depending on physical and biological characteristics of the disease, as well as the age, over-all health and personal preferences of the patient. Treatment types can be classified into local therapy and systemic treatment. Local therapy is most efficacious in early stage breast cancer, while systemic therapy is generally justified in advanced and metastatic disease, or in diseases with specific phenotypes.

<span class="mw-page-title-main">Breast cancer screening</span> Medical screening of asymptomatic, healthy women for breast cancer

Breast cancer screening is the medical screening of asymptomatic, apparently healthy women for breast cancer in an attempt to achieve an earlier diagnosis. The assumption is that early detection will improve outcomes. A number of screening tests have been employed, including clinical and self breast exams, mammography, genetic screening, ultrasound, and magnetic resonance imaging.

<span class="mw-page-title-main">Regulation and prevalence of homeopathy</span> Alternative medicine

Homeopathy is fairly common in some countries while being uncommon in others. In some countries, there are no specific legal regulations concerning the use of homeopathy, while in others, licenses or degrees in conventional medicine from accredited universities are required.

The Ministry of Ayush, a ministry of the Government of India, is responsible for developing education, research and propagation of traditional medicine systems in India. Ayush is a name devised from the names of the alternative healthcare systems covered by the ministry: Ayurveda, Yoga & Naturopathy, Unani, Siddha, Sowa Rigpa, and Homeopathy.

University College London Hospitals NHS Foundation Trust (UCLH) is an NHS foundation trust based in London, United Kingdom. It comprises University College Hospital, University College Hospital at Westmoreland Street, the UCH Macmillan Cancer Centre, the Royal National ENT and Eastman Dental Hospitals, the Hospital for Tropical Diseases, the National Hospital for Neurology and Neurosurgery, the Royal London Hospital for Integrated Medicine and the Royal National Throat, Nose and Ear Hospital.

Christine Dean FRCPsych is an English psychiatrist consulting at the Priory Hospital, Roehampton, the British Association of Performing Arts Medicine (BAPAM), The Helen Bamber Foundation, in her private practice and as a medical member of the Mental Health Review Tribunals, Ministry of Justice.

<span class="mw-page-title-main">Royal London Hospital for Integrated Medicine</span> A specialist alternative medicine hospital located in London

The Royal London Hospital for Integrated Medicine is a specialist alternative medicine hospital located in London, England and a part of University College London Hospitals NHS Foundation Trust. It is the largest public sector provider of complementary medicine in Europe. It is based in the Bloomsbury area of Central London, adjacent to Great Ormond Street Hospital.

The infinitesimally low concentration of homeopathic preparations, which often lack even a single molecule of the diluted substance, has been the basis of questions about the effects of the preparations since the 19th century. Modern advocates of homeopathy have proposed a concept of "water memory", according to which water "remembers" the substances mixed in it, and transmits the effect of those substances when consumed. This concept is inconsistent with the current understanding of matter, and water memory has never been demonstrated to exist, in terms of any detectable effect, biological or otherwise.

<span class="mw-page-title-main">Jayant S. Vaidya</span> British-Indian surgeon and oncologist

Jayant S. Vaidya is a British-Indian surgeon-oncologist and clinical academic who, together with Michael Baum and Jeffrey Tobias, developed the technique called targeted intra-operative radiotherapy (TARGIT). He is a professor of surgery and oncology at the University College London, London and the author of two books on breast cancer, one on tobacco eradication, and over 200 academic articles.

References

  1. ↑ Howell A, Cuzick J, Baum M, et al. (2005). "Results of the ATAC (Arimidex, Tamoxifen, Alone or in Combination) trial after completion of 5 years' adjuvant treatment for breast cancer". Lancet . 365 (9453): 60–2. doi:10.1016/S0140-6736(04)17666-6. PMID   15639680.
  2. ↑ Baum M, Ernst E (November 2009). "Should we maintain an open mind about homeopathy?". Am. J. Med. 122 (11): 973–4. doi:10.1016/j.amjmed.2009.03.038. PMID   19854319.
  3. 1 2 Hilly Janes, Editor of Body&Soul. The Lifestyle 50: The top fifty people who influence the way we eat, exercise and think about ourselves. The Times , September 6, 2008
  4. ↑ Michael Baum, et al. Full text of a letter from Michael Baum and 13 other scientists Archived 2010-12-06 at the Wayback Machine to the chief executives of all 476 acute and primary care trusts to demand that only evidence-based therapies are provided free to patients. Sense about Science , May 19, 2006
  5. ↑ Mark Henderson, Science Editor. NHS told to abandon alternative medicine: Top doctors say money should go to conventional treatment. The Times , May 23, 2006. "The 13 scientists, who include some of the most eminent names in British medicine, have written to the chief executives of all 476 acute and primary care trusts to demand that only evidence-based therapies are provided free to patients."
  6. ↑ Michael Baum. An open letter to the Prince of Wales: with respect, your highness, you've got it wrong. British Medical Journal 2004;329:118 (10 July), doi : 10.1136/bmj.329.7457.118
  7. ↑ Michael Baum (28 October 2010). "Breast cancer Screening: Some Inconvenient Truths".
  8. ↑ Michael Baum. What are the drawbacks of breast screening? Total Health, November 2, 2011
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