Evidence map›Paper›PMID 33428025›Full record

ArticleEuropean journal of epidemiology2021

Overdiagnosis: one concept, three perspectives, and a model.

Bjørn Hofmann, Lynette Reid, Stacy Carter, Wendy Rogers

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Kairos in diagnostics.Theoretical medicine and bioethics · 2024
    Article
  4. Cancer overdiagnosis: a challenge in the era of screening.Journal of the National Cancer Center · 2022
    Article
  5. Authors' reply to Grundtvig Gram et al.European journal of epidemiology · 2021
    Article
  6. 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.

Bjørn HofmannDepartment of Health Sciences, Faculty of Medicine and Health Sciences, The Norwegian University of Science and Technology, Gjøvik, Norway. bjoern.hofmann@ntnu.no.ORCID http://orcid.org/0000-0001-6709-4265
Lynette ReidDepartment of Bioethics, Faculty of Medicine, Dalhousie University, Halifax, Canada.
Stacy CarterAustralian Centre for Health Engagement, Evidence and Values, School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia.
Wendy RogersDepartment of Philosophy and Department of Clinical Medicine, Macquarie University, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Defining, estimating, communicating about, and dealing with overdiagnosis is challenging. One reason for this is because overdiagnosis is a complex phenomenon. In this article we try to show that the complexity can be analysed and addressed in terms of three perspectives, i.e., that of the person, the professional, and the population. Individuals are informed about overdiagnosis based on population-based estimates. These estimates depend on professionals' conceptions and models of disease and diagnostic criteria. These conceptions in turn depend on individuals' experience of suffering, and on population level outcomes from diagnostics and treatment. As the personal, professional, and populational perspectives are not easy to reconcile, we must address them explicitly and facilitate interaction. Population-based estimates of overdiagnosis must be more directly informed by personal need for information. So must disease definitions and diagnostic criteria. Only then can individuals be appropriately informed about overdiagnosis.

Indexed as

Medical OveruseDiseaseEpidemiologyHumansCriteriaDiagnosisDiseaseEpidemiologyOverdiagnosis

Identifiers

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.