Evidence map›Paper›PMID 26088562›Full record

ArticleBMC medical ethics2015

How much dentists are ethically concerned about overtreatment; a vignette-based survey in Switzerland.

Ali Kazemian, Isabelle Berg, Christina Finkel, Shahram Yazdani, Hans-Florian Zeilhofer, Philipp Juergens, Stella Reiter-Theil

Open access · goldAbstract read
In one paragraph

Article in BMC medical ethics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Overtreatment in Restorative Dentistry: Decision Making by Last-Year Dental Students.International journal of environmental research and public health · 2021
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Ali KazemianDepartment of Community Oral Health, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran. Ali.Kazemian@usb.ch.
Isabelle BergDepartment of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, Basel, Switzerland. isabelle.berg@usb.ch.
Christina FinkelUniversity Basel, Hightech Research Center, Basel, Switzerland. cristinafinkel@yahoo.com.
Shahram YazdaniEducational Development Center (EDC), Shahid Beheshti University of Medical Sciences, Tehran, Iran. shahram.yazdani@yahoo.com.
Hans-Florian ZeilhoferDepartment of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, Basel, Switzerland. hfzeilhofer@uhbs.ch.
Philipp JuergensDepartment of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, Basel, Switzerland. pjuergens@uhbs.ch.
Stella Reiter-TheilDepartment of Clinical Ethics, Psychiatric Hospital of the University Basel, University Hospital Basel, Basel, Switzerland. s.reiter-theil@unibas.ch.
University of Basel · CHMashhad University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IRUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOvertreatment (or unnecessary treatment) is when medical or dental services are provided with a higher volume or cost than is appropriate. This study aimed to investigate how a group of dentists in Switzerland, a wealthy country known to have high standards of healthcare including dentistry, evaluated the meaning of unnecessary treatments from an ethical perspective and, assessed the expected frequency of different possible behaviors among their peers.

methodsA vignette describing a situation that is susceptible for overtreatment of a patient was presented to a group of dentists. The vignette was followed by five options. A questionnaire including the vignette was posted to 2482 dentists in the German-speaking areas of Switzerland. The respondents were asked to rate each option according to their estimation about its prevalence and their judgment about the degree to which the behavior is ethically sound.

results732 completed questionnaires were returned. According to the responses, the most ethical and the most unethical options are considered to be the most and the least prevalent behaviors among dentists practicing in Switzerland, respectively.

conclusionsSuggesting unnecessary treatments to patients seems to be an ethically unacceptable conduct in the eyes of a sample of dentists in Switzerland. Although the respondents believed their colleagues were very likely to behave in an ethical way in response to a situation that is susceptible to overtreatment, they still seemed to be concerned about the prevalence of unethical behaviors in this regard.

Indexed as

Attitude of Health PersonnelEthics, DentalAdultDentistsFemaleHumansMaleMedical OveruseMiddle AgedPhysician-Patient RelationsPractice Patterns, Dentists'Surveys and QuestionnairesSwitzerlandUnnecessary Procedures

Identifiers

PMID26088562
PMCPMC4474445
OpenAlexW1522868272

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.