Evidence map›Paper›PMID 35249191›Full record

ArticleInternal and emergency medicine2022

Overdiagnosis in the emergency department: a sharper focus.

Marisa Vigna, Carina Vigna, Eddy S Lang

Abstract read
PubMed Publisher
In one paragraph

Article in Internal and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Failure rate of the pulmonary embolism rule-out criteria rule for adults 35 years or younger: Findings from the RIETE Registry.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  2. Teaching to address overdiagnosis.BMJ evidence-based medicine · 2024
    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

3 authors at 2 institutions in 2 countries.

Marisa VignaCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Carina VignaSt. George's University School of Medicine, St. George's, WI, Grenada.
Eddy S LangDepartment of Emergency Medicine, Cumming School of Medicine, Rockyview General Hospital-Holy Cross Ambulatory Care Centre, University of Calgary, 5th Floor, Room 5A105, 7007 14th St. SW, Calgary, AB, T2V 1P9, Canada. eddy.lang@albertahealthservices.ca.ORCID http://orcid.org/0000-0003-0850-4337
University of Calgary · CASt. George's University · GD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Overdiagnosis occurs when a person's symptoms or life experiences are given a diagnostic label that ultimately causes them more harm than good. We describe the complex drivers of overdiagnosis spanning five interconnected domains, which can lead to numerous negative impacts on patients. Emergency physicians are often tasked with making timely clinical assessments, decisions, and diagnoses that can unintentionally result in overdiagnosis. Three pertinent areas related to overdiagnosis in Emergency Medicine: anaphylaxis, subsegmental pulmonary embolism, and low-risk chest pain are discussed. For a broader perspective, insight on overdiagnosis from medical students and a patient advisor are presented. The perspectives illustrated are meant to spark reflection on: the ethics of labeling a person with a diagnosis, current clinical practices, the limitations of medical education, and patient care and communication in the context of overdiagnosis in the Emergency Department.

Indexed as

Medical OveruseOverdiagnosisEmergency Service, HospitalHumansEthicsLow-value careOverdiagnosisOvertreatmentOveruseShared decision-making

Identifiers

PMID35249191
OpenAlexW4220967929

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.