Evidence map›Paper›PMID 31506723›Full record

ArticleEuropean journal of pediatrics2019

Overtesting and overtreatment-statement from the European Academy of Paediatrics (EAP).

Ketil Størdal, Corinne Wyder, Andreas Trobisch, Zachi Grossman, Adamos Hadjipanayis

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
8.9field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. 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

5 authors at 5 institutions in 6 countries.

Ketil StørdalNorwegian Institute of Public Health, Oslo, Norway. ketil.stordal@gmail.com.ORCID http://orcid.org/0000-0001-7826-8646
Corinne WyderKinderaerzte KurWerk, Poststrasse 9, 3400, Burgdorf, Switzerland.
Andreas TrobischDepartment of Neonatology, Medical University Graz, Graz, Austria.
Zachi GrossmanMaccabi Healthcare Services, Pediatric clinic, Tel Aviv, Israel.
Adamos HadjipanayisDepartment of Paediatrics, Larnaca General Hospital, Larnaca, Cyprus.
European University Cyprus · CYMaccabi Healthcare Services · ILMedical University of Graz · ATNorwegian Institute of Public Health · NOUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Child health has improved considerably, partly due to increased availability of appropriate disease surveillance and treatment. Inappropriate testing and treatment may impose a risk. There is a large and unexplained variation in the use of tests and treatments for children between and within countries. This suggests that non-scientific factors determine their use. In an era of increasing availability of health services, pediatricians have an important role in balancing risks and benefits of available tests and treatments. Examples from the medical literature of overtesting and overtreatment challenge us to reconsider current practices. Antibiotic overuse, overtreatment of bronchiolitis, and non-indicated radiological procedures are found in common practice across Europe. Choosing Wisely is an initiative to improve the quality of care by reducing unnecessary testing and treatment.Conclusion: Clinicians have the challenge to find the optimal balance between too much and too little medicine-just appropriate.

Indexed as

Decision MakingAntimicrobial StewardshipChildDiagnostic ImagingEuropeHumansMedical OverusePractice Guidelines as TopicProton Pump InhibitorsVitamin D DeficiencyProton Pump InhibitorsAntibioticsBronchiolitisChildOverdiagnosisOvertestingOvertreatment

Identifiers

PMID31506723
OpenAlexW2972659622

What OpenQuestion holds

Textmetadata
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.