Evidence map›Paper›PMID 30563626›Full record

ArticleAtencion primaria2018

[Impact of overdiagnosis and overtreatment on the patient, the health system and society].

Txema Coll-Benejam, Rafael Bravo-Toledo, María Pilar Marcos-Calvo, María Pilar Astier-Peña

Abstract read
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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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.

Txema Coll-BenejamGrupo de Trabajo de Seguridad del Paciente de la semFYC; Dirección de Atención Primaria de Menorca, Servicio Balear de Salud.
Rafael Bravo-ToledoGrupo de Trabajo de Seguridad del Paciente de la semFYC; Centro de Salud Linneo, Servicio Madrileño de Salud, Madrid, España.
María Pilar Marcos-CalvoGrupo de Trabajo de Seguridad del Paciente de la semFYC; Centro de Salud Casetas, Servicio Aragonés de Salud, Zaragoza, España.
María Pilar Astier-PeñaGrupo de Trabajo de Seguridad del Paciente de la semFYC; Centro de Salud Tauste, Servicio Aragonés de Salud, Zaragoza, España; Wonca World Working Party On Quality and Safety (WWPQS); Wonca Europe Working Party on Quality and Safety (EquiP). Electronic address: mpastier@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The medical activity displays a set of skills aimed at improving the health status of people. In this way, diagnoses are made, choices of tests and treatments are made, and decisions are made about what to do and what not to do that affect the lives of patients. In this article, we propose a reflection on overdiagnosis and overtreatment in relation to the factors that promote it and the impact they have on society, on the functioning of the health system and also directly on patients. Finally, we make some proposals on how to address this overuse considering that primary care is a privileged place to adapt and minimize the impact of the actions of the health system on the health of citizens and reduce the incidents of patient safety linked to the overdiagnosis and inappropriate use of tests and treatments that do not add value to the health of patients.

Indexed as

Health Care SectorMedical OverusePatient SafetyPractice Patterns, Physicians'Biomedical TechnologyClinical Decision-MakingEvidence-Based MedicineHumansMedical History TakingMedicalizationMotivationPrimary Health CareUncertaintyHealthcare systemOverdiagnosisOvertreatmentPatient safetyPrevencion cuaternariaQuaternary preventionSeguridad del pacienteSistema sanitarioSobrediagnosticoSobretratamiento

Identifiers

PMID30563626
PMCPMC6837148

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.