Evidence map›Paper›PMID 29384397›Full record

ArticleThe European journal of general practice2018

Quaternary prevention: reviewing the concept.

Carlos Martins, Maciek Godycki-Cwirko, Bruno Heleno, John Brodersen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The European journal of general practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Meditation: Evidence Map of Systematic Reviews.Frontiers in public health · 2021
    Pooled it
  2. Pooled it
  3. Article
  4. Article
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  6. Article
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  8. Article
  9. Article
  10. Review
  11. Update on Occupational Cancer for Better Cancer Prevention and Control.Asian Pacific journal of cancer prevention : APJCP · 2024
    Review
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  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Prevention Aiming at Functioning-Describing Prevention in the Context of Rehabilitation: A Discussion Paper.International journal of environmental research and public health · 2023
    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

4 authors.

Carlos Martinsa Family Medicine, Department of Community Medicine, Information and Decision in Health (MEDCIDS) of the Faculty of Medicine of Porto , Centre for Health Technology and Services Research (CINTESIS) , Porto , Portugal.ORCID http://orcid.org/0000-0001-8561-5167
Maciek Godycki-Cwirkob Division of Public Health, Centre for Family and Community Medicine , Medical University of Lodz , Lodz , Poland.
Bruno Helenoc Chronic Diseases Research Centre, NOVA Medical School/Faculdade de Ciências Médicas , Universidade NOVA de Lisboa , Lisboa , Portugal.
John Brodersend Section of General Practice & Research Unit for General Practice, Department of Public Health, Faculty of Health Sciences, Primary Healthcare Research Unit , University of Copenhagen , Region Zealand , Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccording to the Wonca International Dictionary for General/Family Practice Quaternary Prevention is defined as: 'Action taken to identify patient at risk of overmedicalization, to protect him from new medical invasion, and to suggest to him interventions, which are ethically acceptable.' The concept of quaternary prevention was initially proposed by Marc Jamoulle and the targets were mainly patients with illness but without a disease.

objectivesThe purpose of this opinion article is to open the debate around a new possible definition and a new conceptual model of quaternary prevention based on the belief that quaternary prevention should be present in physicians' minds for every intervention they suggest to a patient. DISCUSSION: The debate around quaternary prevention is vital in the context of contemporary medicine and has expanded worldwide. The human being may suffer harm from medical interventions from conception, during their childhood, during their entire healthy lifetime as well as during a self-limited disease, a chronic disease, or a terminal disease. The current definition of quaternary prevention has limitations because it excludes patients and medical interventions where a quaternary prevention perspective would be needed and useful to protect patients from harm. In this context, a new definition and conceptual model of quaternary prevention is proposed.

conclusionIn this new proposal, quaternary prevention is defined as an 'action taken to protect individuals (persons/patients) from medical interventions that are likely to cause more harm than good.'

Indexed as

General PracticeMedicalizationMedically Unexplained SymptomsPhysician-Patient RelationsConcept FormationHumanshealth ethicsoverdiagnosispatient involvement (empowermentPreventionquaternary preventionself-management)

Identifiers

PMID29384397
PMCPMC5795741

What OpenQuestion holds

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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.