Disease labels

Are clinically unimportant findings qualified as benign in lumbar spine imaging reports? A content analysis of plain X-ray, CT and MRI reports – Caitlin Farmer et al.

2024-04-07T13:09:31+10:00Disease labels, Imaging, Low back pain, Musculoskeletal, Overdiagnosis, Overtreatment, Overuse, Pain, Publications, Radiology reports, Spinal|

Lumbar spine diagnostic imaging reports may cause patient and clinician concern when clinically unimportant findings are not explicitly described as benign. Our primary aim was to determine the frequency that common, benign findings are reported in lumbar spine plain X-ray, computed tomography (CT) and magnetic [...]

Gestational diabetes mellitus screening and diagnosis criteria before and during the COVID-19 pandemic: a retrospective pre–post study – Paul P Glasziou & Jenny A Doust

2024-04-05T15:49:44+11:00COVID-19, Diabetes, Disease labels, Gestational diabetes, Overdiagnosis, Publications, Screening, Women's health|

To the Editor: Meloncelli and colleagues1 have provided clear evidence that a fasting venous plasma glucose (FVPG) assessment may be used to decrease the number of unnecessary oral glucose tolerance tests (OGTTs) for low risk women. This would be a very welcome step forward. However, it does [...]

Attention deficit/hyperactivity disorder (ADHD) in children: more focus on care and support, less on diagnosis – Luise Kazda et al.

2024-02-13T13:02:45+11:00ADHD, Definition complexity, Diagnostic system, Disease labels, Mental Health, Prescribing, Publications|

ADHD diagnoses continue to increase, but Luise Kazda and colleagues argue that the push for diagnosis could be hampering access to care and support for children. The prevalence of attention deficit/hyperactivity disorder (ADHD) in children has been rising for several decades, including in countries with previously [...]

Inconsistent discharge diagnoses for young cardiac arrest episodes: insights from a statewide registry – Elizabeth D. Paratz et al.

2023-12-01T09:48:29+11:00Cardiovascular disease, Diagnostic system, Disease labels, Publications|

Administrative coding of out-of-hospital cardiac arrest (OHCA) is heterogeneous, with the prevalence of noninformative diagnoses uncertain. The aim of this study is to characterize the prevalence and type of non-informative diagnoses in a young cardiac arrest population.

Quantifying the psychological and behavioural consequences of a diagnostic label for non-cancer conditions: systematic review – Rebecca Sims et al

2023-06-27T17:14:41+10:00Cancer, Disease labels, Overdiagnosis, Publications, Screening|

The impacts of screening asymptomatic, non-cancer health conditions are not universally positive. Limited research exists regarding longer-term impacts. Well-designed, high-quality studies further investigating these impacts are required to assist development of protocols that minimise psychological distress following diagnosis.

How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment – Joshua R Zadro et al

2023-06-27T17:06:59+10:00Clinical guidelines, Disease labels, Imaging, Musculoskeletal, Publications, Risk, Shoulder, Surgery|

Words/feelings evoked by advice for rotator cuff disease and perceived treatment needs may explain why guideline-based advice reduces perceived need for unnecessary care compared to a treatment recommendation.

Should low-risk DCIS lose the cancer label? An evidence review – Tara Ma et al

2023-06-27T17:09:59+10:00Breast cancer, Cancer, Disease labels, Overdiagnosis, Overtreatment, Publications, Screening|

Population mammographic screening for breast cancer has led to large increases in the diagnosis and treatment of ductal carcinoma in situ (DCIS). Active surveillance has been proposed as a management strategy for low-risk DCIS to mitigate against potential overdiagnosis and overtreatment. However, clinicians and patients [...]

Low-risk prostate lesions: An evidence review to inform discussion on losing the “cancer” label – Caitlin R. Semsarian et al.

2023-03-01T12:28:26+11:00Cancer, Disease labels, Expanding disease definitions, Overdiagnosis, Overtreatment, Prostate cancer, Publications|

This review found robust evidence to inform discussion of possible recalibration of diagnostic thresholds, or use of alternative labels, for low-risk prostate cancer. RCTs and cohort studies demonstrate that active surveillance is a safe option for very low-risk and low-risk prostate cancers, with extremely low [...]

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