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

Ray Moynihan; John Brodersen; Iona Heath; Minna Johansson; Thomas Kuehlein; Sergio Minué-Lorenzo; Halfdan Petursson; Miguel Pizzanelli; Susanne Reventlow; Johann Sigurdsson; Anna Stavdal; Julian Treadwell; Paul Glasziou

doi:10.1136/bmjebm-2018-111148

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

Ray Moynihan^*, John Brodersen, Iona Heath, Minna Johansson, Thomas Kuehlein, Sergio Minué-Lorenzo, Halfdan Petursson, Miguel Pizzanelli, Susanne Reventlow, Johann Sigurdsson, Anna Stavdal, Julian Treadwell, Paul Glasziou

^*Corresponding author for this work

13 Citations (Scopus)

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.

Original language	English
Journal	BMJ Evidence-Based Medicine
Volume	24
Issue number	5
Pages (from-to)	170-173
Number of pages	4
ISSN	2515-446X
DOIs	https://doi.org/10.1136/bmjebm-2018-111148
Publication status	Published - 1 Oct 2019

Keywords

public health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

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AU - Heath, Iona

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AU - Kuehlein, Thomas

AU - Minué-Lorenzo, Sergio

AU - Petursson, Halfdan

AU - Pizzanelli, Miguel

AU - Reventlow, Susanne

AU - Sigurdsson, Johann

AU - Stavdal, Anna

AU - Treadwell, Julian

AU - Glasziou, Paul

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

Abstract

Keywords

UN SDGs

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