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Reforming disease definitions: A new primary care led, people-centred approach

Moynihan, Ray; Brodersen, John; Heath, Iona; Johansson, Minna; Kuehlein, Thomas; Minue-Lorenzo, Sergio; Petursson, Halfdan; Pizzanelli, Miguel; Reventlow, Susanne; Sigurdsson, Johann Agust; Stavdal, Anna; Treadwell, Julian; Glasziou, Paul
Journal article, Peer reviewed
Published version
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Moynihan (175.2Kb)
URI
http://hdl.handle.net/11250/2637779
Date
2019
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  • Institutt for samfunnsmedisin og sykepleie [4227]
  • Publikasjoner fra CRIStin - NTNU [41957]
Original version
10.1136/bmjebm-2018-111148
Abstract
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.
Publisher
BMJ Publishing Group
Journal
BMJ Evidence-Based Medicine

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