Recognizing the potential for overdiagnosis

Are high-sensitivity cardiac troponin assays an example?

Katy J.L. Bell, Jenny Doust, Paul Glasziou, Louise Cullen, Ian A. Harris, Leon Smith, Rachelle Buchbinder, Alexandra Barratt

Research output: Contribution to journalComment / DebateOtherpeer-review

2 Citations (Scopus)

Abstract

Overdiagnosis occurs when persons are labeled with a technically correct diagnosis that does not improve health outcomes (1). It is a common unintended consequence of early disease detection in asymptomatic persons but also takes place in persons with mild or ambiguous symptoms. Despite initiatives to prevent overdiagnosis (2), new tests and changes to disease definitions may become established in clinical practice before their potential for overdiagnosis is recognized; as such, reverting to previous approaches may be difficult. In this commentary, we propose questions (Figure) to identify new practices with the potential for overdiagnosis and evaluate the example of using high-sensitivity cardiac troponin (hs-cTn) assays to diagnose type 1 myocardial infarction.

Original languageEnglish
Pages (from-to)259-261
Number of pages3
JournalAnnals of Internal Medicine
Volume170
Issue number4
DOIs
Publication statusPublished - 5 Feb 2019

Cite this

Bell, K. J. L., Doust, J., Glasziou, P., Cullen, L., Harris, I. A., Smith, L., ... Barratt, A. (2019). Recognizing the potential for overdiagnosis: Are high-sensitivity cardiac troponin assays an example? Annals of Internal Medicine, 170(4), 259-261. https://doi.org/10.7326/M18-2645
Bell, Katy J.L. ; Doust, Jenny ; Glasziou, Paul ; Cullen, Louise ; Harris, Ian A. ; Smith, Leon ; Buchbinder, Rachelle ; Barratt, Alexandra. / Recognizing the potential for overdiagnosis : Are high-sensitivity cardiac troponin assays an example?. In: Annals of Internal Medicine. 2019 ; Vol. 170, No. 4. pp. 259-261.
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abstract = "Overdiagnosis occurs when persons are labeled with a technically correct diagnosis that does not improve health outcomes (1). It is a common unintended consequence of early disease detection in asymptomatic persons but also takes place in persons with mild or ambiguous symptoms. Despite initiatives to prevent overdiagnosis (2), new tests and changes to disease definitions may become established in clinical practice before their potential for overdiagnosis is recognized; as such, reverting to previous approaches may be difficult. In this commentary, we propose questions (Figure) to identify new practices with the potential for overdiagnosis and evaluate the example of using high-sensitivity cardiac troponin (hs-cTn) assays to diagnose type 1 myocardial infarction.",
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Bell, KJL, Doust, J, Glasziou, P, Cullen, L, Harris, IA, Smith, L, Buchbinder, R & Barratt, A 2019, 'Recognizing the potential for overdiagnosis: Are high-sensitivity cardiac troponin assays an example?', Annals of Internal Medicine, vol. 170, no. 4, pp. 259-261. https://doi.org/10.7326/M18-2645

Recognizing the potential for overdiagnosis : Are high-sensitivity cardiac troponin assays an example? / Bell, Katy J.L.; Doust, Jenny; Glasziou, Paul; Cullen, Louise; Harris, Ian A.; Smith, Leon; Buchbinder, Rachelle; Barratt, Alexandra.

In: Annals of Internal Medicine, Vol. 170, No. 4, 05.02.2019, p. 259-261.

Research output: Contribution to journalComment / DebateOtherpeer-review

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T2 - Are high-sensitivity cardiac troponin assays an example?

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AU - Doust, Jenny

AU - Glasziou, Paul

AU - Cullen, Louise

AU - Harris, Ian A.

AU - Smith, Leon

AU - Buchbinder, Rachelle

AU - Barratt, Alexandra

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