Evidence map›Paper›PMID 30563623›Full record

ArticleAtencion primaria2018

[Overdiagnosis in women's health: The case of osteoporosis].

Elena Cardona Corrochano, Ana Pereira Iglesias, David Fraile Navarro, Alberto López García Franco

Abstract read
In one paragraph

Article in Atencion primaria, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elena Cardona CorrochanoCentro de Salud Dr. Mendiguchía Carriche, Leganés, Madrid, España.
Ana Pereira IglesiasCentro de Salud Dr. Mendiguchía Carriche, Leganés, Madrid, España.
David Fraile NavarroCentro de Salud Dr. Mendiguchía Carriche, Leganés, Madrid, España.
Alberto López García FrancoCentro de Salud Dr. Mendiguchía Carriche, Leganés, Madrid, España; Grupo de Trabajo de Atención a la Mujer de la SoMaMFyC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 1994, the World Health Organisation established osteoporosis criteria based on bone mineral density (in terms of T-Score), granting a risk factor the category of disease. Given that it has a low positive predictive value of fractures when applied to low-risk populations, its use as a screening test is controversial because it favours overdiagnosis due to the false labelling of the disease it produces. In the coming years, the indication of densitometry will be made based on the absolute risk of fracture. This is the criterion adopted by the PAPPS (Programa de Actividades Preventivas y de Promoción de la Salud or Programme for Preventive Activities and the Promotion of Health), which proposes as part of its latest recommendations the use of the Z-score instead of the T-Score, as a densitometric evaluation criterion, in a clear effort to fight against overdiagnosis.

Indexed as

Bone DensityMedical OveruseAgedAged, 80 and overAge FactorsBone Density Conservation AgentsDensitometryFemaleHip FracturesHumansMiddle AgedOsteoporosisPredictive Value of TestsRisk AssessmentRisk FactorsSensitivity and SpecificityBone Density Conservation AgentsDensitometríaDensitometryEnfermedades óseas metabólicasFracturas de caderaHip fracturesMetabolic bone diseaseOsteoporosis

Identifiers

PMID30563623
PMCPMC6836950

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.