Overdiagnosis and overtreatment in the field Cardiovascular: risk factors, not diseases

Cardiovascular risk factors, specifically arterial hypertension, hyperlipidemia and diabetes, represent a very important part in relation to the emerging problem of overdiagnosis and overtreatment in primary health care. The reasons that support this threat are diverse. Given its high prevalence and...

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Bibliographic Details
Published in:Atención primaria 2018-11
Main Authors: Castillo Sánchez, Miguel, Galera Morcillo, Luis, Sánchez Sánchez, Juan Antonio, Menárguez Puche, Juan Francisco
Format: Article
Language:Spanish
Online Access:Get full text
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Summary:Cardiovascular risk factors, specifically arterial hypertension, hyperlipidemia and diabetes, represent a very important part in relation to the emerging problem of overdiagnosis and overtreatment in primary health care. The reasons that support this threat are diverse. Given its high prevalence and the fact that the intervention on them is not going to be reflected directly in the state of health, it is added that the diagnostic criteria and indications for pharmacological treatment are not based on solid evidence. These recommendations have also been modified in recent years by virtue of professional consensus, with great potential for overtreatment and risk of undesirable effects on health. Therefore, it is essential to adequately evaluate the diagnostic criteria, inform of existing doubts and insist on the importance of changes in healthy habits such as diet and physical exercise, as well as actively reflect on the advantages and disadvantages of pharmacological treatment.
ISSN:1578-1275
DOI:10.1016/j.aprim.2018.08.005