Journal
AMERICAN JOURNAL OF EPIDEMIOLOGY
Volume 188, Issue 10, Pages 1812-1817Publisher
OXFORD UNIV PRESS INC
DOI: 10.1093/aje/kwz148
Keywords
biological markers; definition; diagnosis; indicators; overdiagnosis; suffering
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Epidemiologic studies of overdiagnosis are challenged by unclear definitions and the absence of unified measures. This spurs great controversies. Etymologically, overdiagnosis means too much diagnosis and stems from the inability to distinguish what is important from what is not. Accordingly, in order to grasp, measure, and handle overdiagnosis, we should revivemedicine's original goal and reconnect diagnosis to what matters to professionals and patients: knowledge and suffering, respectively. Thiswillmake overdiagnosis easier to define andmeasure, and eventually less difficult to reduce.
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