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

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

Research output: Contribution to journalArticleResearchpeer-review

5 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 languageEnglish
JournalBMJ Evidence-Based Medicine
Early online date8 Apr 2019
DOIs
Publication statusPublished - 2019

Fingerprint

Primary Health Care
Conflict of Interest
Industry
Research Personnel
Guidelines
Medical Overuse

Cite this

Moynihan, Ray ; Brodersen, John ; Heath, Iona ; Johannson, Minna ; Kuehlein, Thomas ; Minué-Lorenzo, Sergio ; Petursson, Halfdan ; Pizzanelli, Miguel ; Reventlow, Susanne ; Sigurdsson, Johann ; Stavdal, Anna ; Treadwell, Julian ; Glasziou, Paul. / Reforming disease definitions : A new primary care led, people-centred approach. In: BMJ Evidence-Based Medicine. 2019.
@article{5b041ee01b794759b45a4c7f19c7221c,
title = "Reforming disease definitions: A new primary care led, people-centred approach",
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.",
author = "Ray Moynihan and John Brodersen and Iona Heath and Minna Johannson and Thomas Kuehlein and Sergio Minu{\'e}-Lorenzo and Halfdan Petursson and Miguel Pizzanelli and Susanne Reventlow and Johann Sigurdsson and Anna Stavdal and Julian Treadwell and Paul Glasziou",
year = "2019",
doi = "10.1136/bmjebm-2018-111148",
language = "English",
journal = "Evidence-Based Medicine",
issn = "1356-5524",
publisher = "BMJ Publishing Group",

}

Moynihan, R, Brodersen, J, Heath, I, Johannson, M, Kuehlein, T, Minué-Lorenzo, S, Petursson, H, Pizzanelli, M, Reventlow, S, Sigurdsson, J, Stavdal, A, Treadwell, J & Glasziou, P 2019, 'Reforming disease definitions: A new primary care led, people-centred approach' BMJ Evidence-Based Medicine. https://doi.org/10.1136/bmjebm-2018-111148, https://doi.org/10.1136/bmjebm-2018-111148

Reforming disease definitions : A new primary care led, people-centred approach. / Moynihan, Ray; Brodersen, John; Heath, Iona; Johannson, Minna; Kuehlein, Thomas; Minué-Lorenzo, Sergio; Petursson, Halfdan; Pizzanelli, Miguel; Reventlow, Susanne; Sigurdsson, Johann; Stavdal, Anna; Treadwell, Julian; Glasziou, Paul.

In: BMJ Evidence-Based Medicine, 2019.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Reforming disease definitions

T2 - A new primary care led, people-centred approach

AU - Moynihan, Ray

AU - Brodersen, John

AU - Heath, Iona

AU - Johannson, Minna

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

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85064334613&partnerID=8YFLogxK

U2 - 10.1136/bmjebm-2018-111148

DO - 10.1136/bmjebm-2018-111148

M3 - Article

JO - Evidence-Based Medicine

JF - Evidence-Based Medicine

SN - 1356-5524

ER -