The prevention of elderly from overdiagnosis and overtreatment

Volume: 54 Number: 0 September 1, 2015
  • Aslı Kılavuz
  • Fehmi Akçiçek
EN TR

The prevention of elderly from overdiagnosis and overtreatment

Abstract

Overdiagnosis occurs when people without symptoms are diagnosed with a disease that ultimately will not cause them to experience symptoms or early death. Over-treatment is also an issue in relation to the overdiagnosis. Evidence is mounting that medicine is harming healthy people through ever earlier detection and ever wider definition of disease. Screening programmes are detecting early cancers that will never cause symptoms or death. Sensitive diagnostic technologies identify “abnormalities” so tiny they will remain benign, while widening disease definitions mean people at ever lower risks receive permanent medical labels and lifelong treatments that will fail to benefit many of them. More broadly defined, overdiagnosis refers to the related problems of overmedication and subsequent overtreatment, diagnosis creep, shifting thresholds, and disease mongering, all processes helping to reclassify healthy people with mild problems or at low risk as sick. All physicians should evaluate early diagnosis carefully. Overdiagnosis can be either useful or harmful.

Keywords

Details

Primary Language

Turkish

Subjects

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Journal Section

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Authors

Aslı Kılavuz

Fehmi Akçiçek

Publication Date

September 1, 2015

Submission Date

September 1, 2015

Acceptance Date

-

Published in Issue

Year 2015 Volume: 54 Number: 0

Vancouver
1.Aslı Kılavuz, Fehmi Akçiçek. Yaşlının aşırı teşhis ve tedaviden korunması. EJM. 2015 Sep. 1;54. doi:10.19161/etd.344150

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