[Concepts. Minimally disruptive medicine].

Research paper by Eulalia E Mariñelarena Mañeru, Laura L Balague Gea, Rafael R Rotaeche Del Campo

Indexed on: 20 Dec '18Published on: 20 Dec '18Published in: Atención Primaria


This paper presents some concepts about overdiagnosis and its consequences: overtreatment and the medicalization of the society. It recalls the origin of the term, that comes from the screening and diagnosis of cancer, and it reviews the strategies to overdiagnose. Furthermore, it analyses the conversion of illnesses diagnostic thresholds as well as the transformation of normal and vital processes and risk factors in illnesses. It shows some strategies to confront overdiagnosis at the time of medical consultation, including the management of uncertainty and the shared decision making through the right interpretation of the diagnosis results and treatment estimators. Finally, it shows the minimally disruptive medicine as the best strategy to face the disease burden induced by the overtreatment in patients suffering from multimorbidity. Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.