Literature DB >> 31506723

Overtesting and overtreatment-statement from the European Academy of Paediatrics (EAP).

Ketil Størdal1,2, Corinne Wyder3,4, Andreas Trobisch5, Zachi Grossman6, Adamos Hadjipanayis7,8,9.   

Abstract

Child health has improved considerably, partly due to increased availability of appropriate disease surveillance and treatment. Inappropriate testing and treatment may impose a risk. There is a large and unexplained variation in the use of tests and treatments for children between and within countries. This suggests that non-scientific factors determine their use. In an era of increasing availability of health services, pediatricians have an important role in balancing risks and benefits of available tests and treatments. Examples from the medical literature of overtesting and overtreatment challenge us to reconsider current practices. Antibiotic overuse, overtreatment of bronchiolitis, and non-indicated radiological procedures are found in common practice across Europe. Choosing Wisely is an initiative to improve the quality of care by reducing unnecessary testing and treatment.
Conclusion: Clinicians have the challenge to find the optimal balance between too much and too little medicine-just appropriate.

Entities:  

Keywords:  Antibiotics; Bronchiolitis; Child; Overdiagnosis; Overtesting; Overtreatment

Mesh:

Substances:

Year:  2019        PMID: 31506723     DOI: 10.1007/s00431-019-03461-1

Source DB:  PubMed          Journal:  Eur J Pediatr        ISSN: 0340-6199            Impact factor:   3.183


  38 in total

1.  Vitamin D in European children-statement from the European Academy of Paediatrics (EAP).

Authors:  Zachi Grossman; Adamos Hadjipanayis; Tom Stiris; Stefano Del Torso; Jean-Christophe Mercier; Arunas Valiulis; Raanan Shamir
Journal:  Eur J Pediatr       Date:  2017-04-12       Impact factor: 3.183

2.  Choosing Wisely in Newborn Medicine: Five Opportunities to Increase Value.

Authors:  Timmy Ho; Dmitry Dukhovny; John A F Zupancic; Don A Goldmann; Jeffrey D Horbar; DeWayne M Pursley
Journal:  Pediatrics       Date:  2015-07-20       Impact factor: 7.124

3.  [Use of antibiotics in children during the period 2005 – 16].

Authors:  Ketil Størdal; Karl Mårild; Hege Salvesen Blix
Journal:  Tidsskr Nor Laegeforen       Date:  2017-10-02

Review 4.  Choosing wisely in pediatric hospital medicine: five opportunities for improved healthcare value.

Authors:  Ricardo A Quinonez; Matthew D Garber; Alan R Schroeder; Brian K Alverson; Wendy Nickel; Jenna Goldstein; Jeffrey S Bennett; Bryan R Fine; Timothy H Hartzog; Heather S McLean; Vineeta Mittal; Rita M Pappas; Jack M Percelay; Shannon C Phillips; Mark Shen; Shawn L Ralston
Journal:  J Hosp Med       Date:  2013-08-19       Impact factor: 2.960

5.  Executive summary: the management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America.

Authors:  John S Bradley; Carrie L Byington; Samir S Shah; Brian Alverson; Edward R Carter; Christopher Harrison; Sheldon L Kaplan; Sharon E Mace; George H McCracken; Matthew R Moore; Shawn D St Peter; Jana A Stockwell; Jack T Swanson
Journal:  Clin Infect Dis       Date:  2011-10       Impact factor: 9.079

Review 6.  Bronchodilators for bronchiolitis.

Authors:  Anne M Gadomski; Melissa B Scribani
Journal:  Cochrane Database Syst Rev       Date:  2014-06-17

7.  Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study.

Authors:  Nathan Kuppermann; James F Holmes; Peter S Dayan; John D Hoyle; Shireen M Atabaki; Richard Holubkov; Frances M Nadel; David Monroe; Rachel M Stanley; Dominic A Borgialli; Mohamed K Badawy; Jeff E Schunk; Kimberly S Quayle; Prashant Mahajan; Richard Lichenstein; Kathleen A Lillis; Michael G Tunik; Elizabeth S Jacobs; James M Callahan; Marc H Gorelick; Todd F Glass; Lois K Lee; Michael C Bachman; Arthur Cooper; Elizabeth C Powell; Michael J Gerardi; Kraig A Melville; J Paul Muizelaar; David H Wisner; Sally Jo Zuspan; J Michael Dean; Sandra L Wootton-Gorges
Journal:  Lancet       Date:  2009-09-14       Impact factor: 79.321

8.  Increasing requests for vitamin D measurement: costly, confusing, and without credibility.

Authors:  Naveed Sattar; Paul Welsh; Maurizio Panarelli; Nita G Forouhi
Journal:  Lancet       Date:  2012-01-14       Impact factor: 79.321

9.  Characteristics of children admitted to intensive care with acute bronchiolitis.

Authors:  Marwa Ghazaly; Simon Nadel
Journal:  Eur J Pediatr       Date:  2018-04-13       Impact factor: 3.183

10.  Prevalence of antibiotic use: a comparison across various European health care data sources.

Authors:  Ruth Brauer; Ana Ruigómez; Gerry Downey; Andrew Bate; Luis Alberto Garcia Rodriguez; Consuelo Huerta; Miguel Gil; Francisco de Abajo; Gema Requena; Yolanda Alvarez; Jim Slattery; Mark de Groot; Patrick Souverein; Ulrik Hesse; Marietta Rottenkolber; Sven Schmiedl; Frank de Vries; Maurille Feudjo Tepie; Raymond Schlienger; Liam Smeeth; Ian Douglas; Robert Reynolds; Olaf Klungel
Journal:  Pharmacoepidemiol Drug Saf       Date:  2015-07-07       Impact factor: 2.890

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  7 in total

1.  Medications Reconciled at Discharge Versus Admission Among Inpatients at a Children's Hospital.

Authors:  Abby Emdin; Marina Strzelecki; Winnie Seto; James Feinstein; Orly Bogler; Eyal Cohen; Daniel E Roth
Journal:  Hosp Pediatr       Date:  2021-12-01

2.  Antibiotic prescribing for children with upper respiratory tract infection: a Finnish nationwide 7-year observational study.

Authors:  Matti Korppi; Paula Heikkilä; Sauli Palmu; Heini Huhtala; Péter Csonka
Journal:  Eur J Pediatr       Date:  2022-05-23       Impact factor: 3.860

3.  Assessment of Machine Learning-Based Medical Directives to Expedite Care in Pediatric Emergency Medicine.

Authors:  Devin Singh; Sujay Nagaraj; Pouria Mashouri; Erik Drysdale; Jason Fischer; Anna Goldenberg; Michael Brudno
Journal:  JAMA Netw Open       Date:  2022-03-01

Review 4.  Antibiotic stewardship programmes had a low impact on prescribing for acute respiratory tract infections in children.

Authors:  Matti Korppi
Journal:  Acta Paediatr       Date:  2022-05-08       Impact factor: 4.056

5.  Overuse of medical care in paediatrics: A survey from five countries in the European Academy of Pediatrics.

Authors:  Lina Jankauskaite; Yevgenii Grechukha; Kristin Avranden Kjær; Marina Mamenko; Britt Nakstad; Ivanna Romankevych; Sara Schnyder; Joel Selvakumar; Sandra Trapani; Sandra Daniliaviciene; Arunas Valiulis; Corinne Wyder; Ketil Størdal
Journal:  Front Pediatr       Date:  2022-09-13       Impact factor: 3.569

6.  Patterns of medication errors involving pediatric population reported to the French Medication Error Guichet.

Authors:  Christine Azar; Delphine Allué; Marie B Valnet-Rabier; Laurent Chouchana; Fanny Rocher; Dorothée Durand; Nathalie Grené-Lerouge; Nadine Saleh; Patrick Maison
Journal:  Pharm Pract (Granada)       Date:  2021-06-14

7.  Hypovitaminosis D in migrant children in Switzerland: a retrospective study.

Authors:  Olivia Fahrni; Alexandra Wilhelm-Bals; Klara M Posfay-Barbe; Noémie Wagner
Journal:  Eur J Pediatr       Date:  2021-06-15       Impact factor: 3.183

  7 in total

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