Reforming disease definitions: a new primary care led, people-centred approach
Resumen:
Expanding disease definitions are causing more and more previously healthy people to be labelled as diseased, contributing to the problem of overdiagnosis and related overtreatment. Often the specialist guideline panels which expand definitions have close tis to industry and do not investigate the harms of defining more people as sick. Responding to growing calls to address these problems, an international group of leading researchers and clinicians is proposing a new way to set diagnostic thresholds and mark the boundaries of condition definitions, to try to tackle a key driver of overdiagnosis and overtreatment. The group proposes new evidence-informed principles, with new process and new people constituting new multi-disciplinary panels, free from financial conflicts of interest.
| 2019 | |
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ATENCIÓN PRIMARIA DE SALUD DIAGNÓSTICO ATENCIÓN DIRIGIDA AL PACIENTE REFORMA DE LA ATENCIÓN DE SALUD |
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| Inglés | |
| Universidad de la República | |
| COLIBRI | |
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https://hdl.handle.net/20.500.12008/27245
http://dx.doi.org/10.1136/bmjebm-2019-111219 |
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| Acceso abierto | |
| Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0) |
| _version_ | 1807523184062234624 |
|---|---|
| author | Moynihan, Ray |
| author2 | Brodersen, John Heath, Iona Johansson, Minna Kuehlein, Thomas Minué-Lorenzo, Sergio Petursson, Halfdan Pizzanelli, Miguel Reventlow, Susanne Sigurdsson, Johann Stavdal, Anna Treadwell, Julian |
| author2_role | author author author author author author author author author author author |
| author_facet | Moynihan, Ray Brodersen, John Heath, Iona Johansson, Minna Kuehlein, Thomas Minué-Lorenzo, Sergio Petursson, Halfdan Pizzanelli, Miguel Reventlow, Susanne Sigurdsson, Johann Stavdal, Anna Treadwell, Julian |
| author_role | author |
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| collection | COLIBRI |
| dc.contributor.filiacion.none.fl_str_mv | Moynihan Ray, Centre for Research in Evidence Based Practice, Bond University, Gold Coast, Queensland Brodersen John, University of Copenhagen Heath Iona, Royal College of General Practitioners Johansson Minna, Cochrane Sweden, Lund Kuehlein Thomas, Universitätsklinikum Erlangen, Erlangen Minué-Lorenzo Sergio, Andalusian School of Public Health Petursson Halfdan, Norwegian University of Science and Technology Pizzanelli Miguel, Universidad de la República. Facultad de Medicina Reventlow Susanne, University of Copenhagen Sigurdsson Johann, Nordic Federation of General Practice Stavdal Anna, Wonca World Treadwell Julian, University of Oxford |
| dc.creator.none.fl_str_mv | Moynihan, Ray Brodersen, John Heath, Iona Johansson, Minna Kuehlein, Thomas Minué-Lorenzo, Sergio Petursson, Halfdan Pizzanelli, Miguel Reventlow, Susanne Sigurdsson, Johann Stavdal, Anna Treadwell, Julian |
| dc.date.accessioned.none.fl_str_mv | 2021-04-26T12:15:18Z |
| dc.date.available.none.fl_str_mv | 2021-04-26T12:15:18Z |
| dc.date.issued.none.fl_str_mv | 2019 |
| dc.description.abstract.none.fl_txt_mv | Expanding disease definitions are causing more and more previously healthy people to be labelled as diseased, contributing to the problem of overdiagnosis and related overtreatment. Often the specialist guideline panels which expand definitions have close tis to industry and do not investigate the harms of defining more people as sick. Responding to growing calls to address these problems, an international group of leading researchers and clinicians is proposing a new way to set diagnostic thresholds and mark the boundaries of condition definitions, to try to tackle a key driver of overdiagnosis and overtreatment. The group proposes new evidence-informed principles, with new process and new people constituting new multi-disciplinary panels, free from financial conflicts of interest. |
| dc.format.extent.es.fl_str_mv | 170–173. |
| dc.format.mimetype.es.fl_str_mv | application/pdf |
| dc.identifier.citation.es.fl_str_mv | Moynihan, R, Brodersen, J, Heath, I, y otros. "Reforming disease definitions: a new primary care led, people-centred approach"BMJ Evidence Based Medicine 2019;24:170–173. [en línea] 2019. 170–173.. |
| dc.identifier.doi.none.fl_str_mv | http://dx.doi.org/10.1136/bmjebm-2019-111219 |
| dc.identifier.issn.none.fl_str_mv | 2515-4478 |
| dc.identifier.uri.none.fl_str_mv | https://hdl.handle.net/20.500.12008/27245 |
| dc.language.iso.none.fl_str_mv | en eng |
| dc.relation.isformatof.es.fl_str_mv | pdf |
| dc.relation.ispartof.es.fl_str_mv | BMJ Evidence Based Medicine 2019;24:170–173. |
| dc.rights.license.none.fl_str_mv | Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0) |
| dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | reponame:COLIBRI instname:Universidad de la República instacron:Universidad de la República |
| dc.subject.other.es.fl_str_mv | ATENCIÓN PRIMARIA DE SALUD DIAGNÓSTICO ATENCIÓN DIRIGIDA AL PACIENTE REFORMA DE LA ATENCIÓN DE SALUD |
| dc.title.none.fl_str_mv | Reforming disease definitions: a new primary care led, people-centred approach |
| dc.type.es.fl_str_mv | Artículo |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article |
| dc.type.version.none.fl_str_mv | info:eu-repo/semantics/publishedVersion |
| description | Expanding disease definitions are causing more and more previously healthy people to be labelled as diseased, contributing to the problem of overdiagnosis and related overtreatment. Often the specialist guideline panels which expand definitions have close tis to industry and do not investigate the harms of defining more people as sick. Responding to growing calls to address these problems, an international group of leading researchers and clinicians is proposing a new way to set diagnostic thresholds and mark the boundaries of condition definitions, to try to tackle a key driver of overdiagnosis and overtreatment. The group proposes new evidence-informed principles, with new process and new people constituting new multi-disciplinary panels, free from financial conflicts of interest. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | COLIBRI_836ae75133b366a3f9a269e73bfa09e0 |
| identifier_str_mv | Moynihan, R, Brodersen, J, Heath, I, y otros. "Reforming disease definitions: a new primary care led, people-centred approach"BMJ Evidence Based Medicine 2019;24:170–173. [en línea] 2019. 170–173.. 2515-4478 |
| instacron_str | Universidad de la República |
| institution | Universidad de la República |
| instname_str | Universidad de la República |
| language | eng |
| language_invalid_str_mv | en |
| network_acronym_str | COLIBRI |
| network_name_str | COLIBRI |
| oai_identifier_str | oai:colibri.udelar.edu.uy:20.500.12008/27245 |
| publishDate | 2019 |
| reponame_str | COLIBRI |
| repository.mail.fl_str_mv | mabel.seroubian@seciu.edu.uy |
| repository.name.fl_str_mv | COLIBRI - Universidad de la República |
| repository_id_str | 4771 |
| rights_invalid_str_mv | Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0) |
| spelling | Moynihan Ray, Centre for Research in Evidence Based Practice, Bond University, Gold Coast, QueenslandBrodersen John, University of CopenhagenHeath Iona, Royal College of General PractitionersJohansson Minna, Cochrane Sweden, LundKuehlein Thomas, Universitätsklinikum Erlangen, ErlangenMinué-Lorenzo Sergio, Andalusian School of Public HealthPetursson Halfdan, Norwegian University of Science and TechnologyPizzanelli Miguel, Universidad de la República. Facultad de MedicinaReventlow Susanne, University of CopenhagenSigurdsson Johann, Nordic Federation of General PracticeStavdal Anna, Wonca WorldTreadwell Julian, University of Oxford2021-04-26T12:15:18Z2021-04-26T12:15:18Z2019Moynihan, R, Brodersen, J, Heath, I, y otros. "Reforming disease definitions: a new primary care led, people-centred approach"BMJ Evidence Based Medicine 2019;24:170–173. [en línea] 2019. 170–173..2515-4478https://hdl.handle.net/20.500.12008/27245http://dx.doi.org/10.1136/bmjebm-2019-111219Expanding disease definitions are causing more and more previously healthy people to be labelled as diseased, contributing to the problem of overdiagnosis and related overtreatment. Often the specialist guideline panels which expand definitions have close tis to industry and do not investigate the harms of defining more people as sick. Responding to growing calls to address these problems, an international group of leading researchers and clinicians is proposing a new way to set diagnostic thresholds and mark the boundaries of condition definitions, to try to tackle a key driver of overdiagnosis and overtreatment. The group proposes new evidence-informed principles, with new process and new people constituting new multi-disciplinary panels, free from financial conflicts of interest.Submitted by Cicero Alessandra (alesscicero@gmail.com) on 2021-04-07T16:47:17Z No. of bitstreams: 2 license_rdf: 23149 bytes, checksum: 1996b8461bc290aef6a27d78c67b6b52 (MD5) Moynihan_Brodersen_Reforming disease definitions.pdf: 179289 bytes, checksum: de0f033ed45880936284405753042317 (MD5)Approved for entry into archive by De Los Santos María Amparo (aleal25@gmail.com) on 2021-04-23T19:30:06Z (GMT) No. of bitstreams: 2 license_rdf: 23149 bytes, checksum: 1996b8461bc290aef6a27d78c67b6b52 (MD5) Moynihan_Brodersen_Reforming disease definitions.pdf: 179289 bytes, checksum: de0f033ed45880936284405753042317 (MD5)Made available in DSpace by Luna Fabiana (fabiana.luna@seciu.edu.uy) on 2021-04-26T12:15:18Z (GMT). No. of bitstreams: 2 license_rdf: 23149 bytes, checksum: 1996b8461bc290aef6a27d78c67b6b52 (MD5) Moynihan_Brodersen_Reforming disease definitions.pdf: 179289 bytes, checksum: de0f033ed45880936284405753042317 (MD5) Previous issue date: 2019170–173.application/pdfenengpdfBMJ Evidence Based Medicine 2019;24:170–173.Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)ATENCIÓN PRIMARIA DE SALUDDIAGNÓSTICOATENCIÓN DIRIGIDA AL PACIENTEREFORMA DE LA ATENCIÓN DE SALUDReforming disease definitions: a new primary care led, people-centred approachArtículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionreponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaMoynihan, RayBrodersen, JohnHeath, IonaJohansson, MinnaKuehlein, ThomasMinué-Lorenzo, SergioPetursson, HalfdanPizzanelli, MiguelReventlow, SusanneSigurdsson, JohannStavdal, AnnaTreadwell, JulianLICENSElicense.txtlicense.txttext/plain; charset=utf-84267http://localhost:8080/xmlui/bitstream/20.500.12008/27245/5/license.txt6429389a7df7277b72b7924fdc7d47a9MD55CC-LICENSElicense_urllicense_urltext/plain; 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- Universidad de la Repúblicafalse |
| spellingShingle | Reforming disease definitions: a new primary care led, people-centred approach Moynihan, Ray ATENCIÓN PRIMARIA DE SALUD DIAGNÓSTICO ATENCIÓN DIRIGIDA AL PACIENTE REFORMA DE LA ATENCIÓN DE SALUD |
| status_str | publishedVersion |
| title | Reforming disease definitions: a new primary care led, people-centred approach |
| title_full | Reforming disease definitions: a new primary care led, people-centred approach |
| title_fullStr | Reforming disease definitions: a new primary care led, people-centred approach |
| title_full_unstemmed | Reforming disease definitions: a new primary care led, people-centred approach |
| title_short | Reforming disease definitions: a new primary care led, people-centred approach |
| title_sort | Reforming disease definitions: a new primary care led, people-centred approach |
| topic | ATENCIÓN PRIMARIA DE SALUD DIAGNÓSTICO ATENCIÓN DIRIGIDA AL PACIENTE REFORMA DE LA ATENCIÓN DE SALUD |
| url | https://hdl.handle.net/20.500.12008/27245 http://dx.doi.org/10.1136/bmjebm-2019-111219 |
