Evidence map›Paper›PMID 30563625›Full record

ArticleAtencion primaria2018

[Concepts. Minimally disruptive medicine].

Eulalia Mariñelarena Mañeru, Laura Balague Gea, Rafael Rotaeche Del Campo

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Atencion primaria, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 80% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

3 authors at 1 institution in 1 country.

Eulalia Mariñelarena MañeruGrupo de Trabajo MBE de Osatzen. Unidad Docente Multiprofesional de Atención Familiar y Comunitaria, Osakidetza, San Sebastián, España.
Laura Balague GeaGrupo de Trabajo MBE de Osatzen. Punto de Atención Continuada (PAC), Centro de Salud de Hernani, OSI Donostia, Osakidetza, Hernani, España.
Rafael Rotaeche Del CampoGrupo de Trabajo MBE de la semFYC. Centro de Salud de Alza, OSI Donostia, Osakidetza, San Sebastián, España. Electronic address: rrotaeche@gmail.com.
Osakidetza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper presents some concepts about overdiagnosis and its consequences: overtreatment and the medicalization of the society. It recalls the origin of the term, that comes from the screening and diagnosis of cancer, and it reviews the strategies to overdiagnose. Furthermore, it analyses the conversion of illnesses diagnostic thresholds as well as the transformation of normal and vital processes and risk factors in illnesses. It shows some strategies to confront overdiagnosis at the time of medical consultation, including the management of uncertainty and the shared decision making through the right interpretation of the diagnosis results and treatment estimators. Finally, it shows the minimally disruptive medicine as the best strategy to face the disease burden induced by the overtreatment in patients suffering from multimorbidity.

Indexed as

MedicalizationHumansMedical OveruseNeoplasmsRisk FactorsTerminology as TopicAtención centrada en el pacienteEvidence based medicineMedical overuseMedicina basada en la evidenciaMultimorbidityMultimorbilidadPatient centered careSobrediagnóstico

Identifiers

PMID30563625
PMCPMC6836913
OpenAlexW2904556196

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.