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Overdiagnosis paradigm: not suitable for decreasing the overuse of antibiotics

This paper summarises the discussion during the workshop on ‘Overdiagnosis and overtreatment of infectious diseases in general practice. How and where to break the endless loop?’ The workshop was organised as part of the overdiagnosis conference carried out in August 2018 in Copenhagen, Denmark. Dur...

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Autores principales: Cordoba, Gloria, Llor, Carl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837244/
https://www.ncbi.nlm.nih.gov/pubmed/30745411
http://dx.doi.org/10.1136/bmjebm-2018-111146
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author Cordoba, Gloria
Llor, Carl
author_facet Cordoba, Gloria
Llor, Carl
author_sort Cordoba, Gloria
collection PubMed
description This paper summarises the discussion during the workshop on ‘Overdiagnosis and overtreatment of infectious diseases in general practice. How and where to break the endless loop?’ The workshop was organised as part of the overdiagnosis conference carried out in August 2018 in Copenhagen, Denmark. During the workshop, participants from all over the world reflected on the challenges of embracing the overdiagnosis paradigm as a tool to advance understanding and to find solutions to the unnecessary use of antibiotics in primary health care. It was concluded that the narrow view of the overdiagnosis paradigm does not provide theoretical resources to address the problem of the inherent connection between diagnostic error and treatment decision. In contrast to the overdiagnosis paradigm, the too much medicine paradigm is an umbrella term suitable to frame actions that recognise the complexity of the decision-making process during the consultation and its impact on overtreatment.
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spelling pubmed-68372442019-11-12 Overdiagnosis paradigm: not suitable for decreasing the overuse of antibiotics Cordoba, Gloria Llor, Carl BMJ Evid Based Med EBM analysis This paper summarises the discussion during the workshop on ‘Overdiagnosis and overtreatment of infectious diseases in general practice. How and where to break the endless loop?’ The workshop was organised as part of the overdiagnosis conference carried out in August 2018 in Copenhagen, Denmark. During the workshop, participants from all over the world reflected on the challenges of embracing the overdiagnosis paradigm as a tool to advance understanding and to find solutions to the unnecessary use of antibiotics in primary health care. It was concluded that the narrow view of the overdiagnosis paradigm does not provide theoretical resources to address the problem of the inherent connection between diagnostic error and treatment decision. In contrast to the overdiagnosis paradigm, the too much medicine paradigm is an umbrella term suitable to frame actions that recognise the complexity of the decision-making process during the consultation and its impact on overtreatment. BMJ Publishing Group 2019-10 2019-02-11 /pmc/articles/PMC6837244/ /pubmed/30745411 http://dx.doi.org/10.1136/bmjebm-2018-111146 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle EBM analysis
Cordoba, Gloria
Llor, Carl
Overdiagnosis paradigm: not suitable for decreasing the overuse of antibiotics
title Overdiagnosis paradigm: not suitable for decreasing the overuse of antibiotics
title_full Overdiagnosis paradigm: not suitable for decreasing the overuse of antibiotics
title_fullStr Overdiagnosis paradigm: not suitable for decreasing the overuse of antibiotics
title_full_unstemmed Overdiagnosis paradigm: not suitable for decreasing the overuse of antibiotics
title_short Overdiagnosis paradigm: not suitable for decreasing the overuse of antibiotics
title_sort overdiagnosis paradigm: not suitable for decreasing the overuse of antibiotics
topic EBM analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837244/
https://www.ncbi.nlm.nih.gov/pubmed/30745411
http://dx.doi.org/10.1136/bmjebm-2018-111146
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