Michael Baum
Encyclopedia
Professor Michael Baum, Professor Emeritus of Surgery and visiting Professor of Medical Humanities at University College London
(UCL), is a leading British oncologist who specialises in breast cancer
treatment. He is also notable for his contributions to the evaluation and support of patient quality of life. He has been Professor of Surgery at King's College London
, the Royal Marsden Hospital
and UCL. He is a notable critic of alternative medicine
.
In 2007, Baum received the St Gallen lifetime achievement award for the treatment of breast cancer.
Baum's team were 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.
Baum was active in the successful campaign to retain the Royal Marsden's site at Fulham
in central London.
, Michael Baum and Edzard Ernst
-- writing to other physicians—wrote some strong criticisms of homeopathy
:
He has also described homoeopathy as a "cruel deception".
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:
In a letter from Michael Baum and 13 other scientists to the chief executives of all 476 acute and primary care trusts, they wrote:
In an open letter to Prince Charles
, rebuking him for his stance on alternative medicine, he wrote:
In an article entitled “What are the drawbacks of breast screening?” published in 2011, Michael Baum criticised the NHS Breast Screening Programme:
University College London
University College London is a public research university located in London, United Kingdom and the oldest and largest constituent college of the federal University of London...
(UCL), is a leading British oncologist who specialises in breast cancer
Breast cancer
Breast cancer is cancer originating from breast tissue, most commonly from the inner lining of milk ducts or the lobules that supply the ducts with milk. Cancers originating from ducts are known as ductal carcinomas; those originating from lobules are known as lobular carcinomas...
treatment. He is also notable for his contributions to the evaluation and support of patient quality of life. He has been Professor of Surgery at King's College London
King's College London
King's College London is a public research university located in London, United Kingdom and a constituent college of the federal University of London. King's has a claim to being the third oldest university in England, having been founded by King George IV and the Duke of Wellington in 1829, and...
, the Royal Marsden Hospital
The Royal Marsden NHS Foundation Trust
The Royal Marsden Hospital is a specialist cancer treatment hospital in London, England. It is an NHS Foundation Trust, and operates facilities on two sites:*The Chelsea site in Brompton, next to the Royal Brompton Hospital, on Fulham Road...
and UCL. He is a notable critic of alternative medicine
Alternative medicine
Alternative medicine is any healing practice, "that does not fall within the realm of conventional medicine." It is based on historical or cultural traditions, rather than on scientific evidence....
.
In 2007, Baum received the St Gallen lifetime achievement award for the treatment of breast cancer.
Baum's team were the first to demonstrate the effectiveness of adjuvant tamoxifen
Tamoxifen
Tamoxifen is an antagonist of the estrogen receptor in breast tissue via its active metabolite, hydroxytamoxifen. In other tissues such as the endometrium, it behaves as an agonist, hence tamoxifen may be characterized as a mixed agonist/antagonist...
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
Anastrozole
Anastrozole is an aromatase-inhibiting drug approved for treatment of breast cancer after surgery, as well as for metastasis in both pre and post-menopausal women. The severity of breast cancer is increased by estrogen, as sex hormones cause hyperplasia, and differentiation at estrogen receptor...
to be better than tamoxifen.
Baum was active in the successful campaign to retain the Royal Marsden's site at Fulham
Fulham
Fulham is an area of southwest London in the London Borough of Hammersmith and Fulham, SW6 located south west of Charing Cross. It lies on the left bank of the Thames, between Putney and Chelsea. The area is identified in the London Plan as one of 35 major centres in Greater London...
in central London.
Criticisms of alternative medicine
In an article entitled "Should We Maintain an Open Mind about Homeopathy?" published in the American Journal of MedicineAmerican Journal of Medicine
The American Journal of Medicine is the official medical journal of the Association of Professors of Medicine, publishing original clinical research in internal medicine of interest to physicians in academia and in community based practice...
, Michael Baum and Edzard Ernst
Edzard Ernst
Edzard Ernst is the first Professor of Complementary Medicine in the world, at the University of Exeter, England....
-- writing to other physicians—wrote some strong criticisms of homeopathy
Homeopathy
Homeopathy is a form of alternative medicine in which practitioners claim to treat patients using highly diluted preparations that are believed to cause healthy people to exhibit symptoms that are similar to those exhibited by the patient...
:
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".
In an article in The Times
The Times
The Times is a British daily national newspaper, first published in London in 1785 under the title The Daily Universal Register . The Times and its sister paper The Sunday Times are published by Times Newspapers Limited, a subsidiary since 1981 of News International...
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.
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 NHSNational Health Service (England)The National Health Service or NHS is the publicly funded healthcare system in England. It is both the largest and oldest single-payer healthcare system in the world. It is able to function in the way that it does because it is primarily funded through the general taxation system, similar to how...
. 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.
In an open letter to Prince Charles
Charles, Prince of Wales
Prince Charles, Prince of Wales is the heir apparent and eldest son of Queen Elizabeth II and Prince Philip, Duke of Edinburgh. Since 1958 his major title has been His Royal Highness The Prince of Wales. In Scotland he is additionally known as The Duke of Rothesay...
, 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.
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. He recently gave a lecture at UCL entitled, "Breast cancer Screening: Some Inconvenient Truths".In an article entitled “What are the drawbacks of breast screening?” 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.
External links
- Personal website
- Festschrift in honour of Professor Michael Baum, University College LondonUniversity College LondonUniversity College London is a public research university located in London, United Kingdom and the oldest and largest constituent college of the federal University of London...
- Times summary of achievements