{"id":"https://openalex.org/W2885728201","doi":"https://doi.org/10.1001/jamainternmed.2018.3573","title":"Development of a Conceptual Map of Negative Consequences for Patients of Overuse of Medical Tests and Treatments","display_name":"Development of a Conceptual Map of Negative Consequences for Patients of Overuse of Medical Tests and Treatments","publication_year":2018,"publication_date":"2018-08-13","ids":{"openalex":"https://openalex.org/W2885728201","doi":"https://doi.org/10.1001/jamainternmed.2018.3573","mag":"2885728201","pmid":"https://pubmed.ncbi.nlm.nih.gov/30105371","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7505335"},"language":"en","primary_location":{"id":"doi:10.1001/jamainternmed.2018.3573","doi":"https://doi.org/10.1001/jamainternmed.2018.3573","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jamainternmed.2018.3573","pdf_url":null,"source":{"id":"https://openalex.org/S65364685","display_name":"JAMA Internal Medicine","issn_l":"2168-6106","issn":["2168-6106","2168-6114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7505335","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026352446","display_name":"Deborah R. Korenstein","orcid":"https://orcid.org/0000-0003-1859-0574","observed_orcids":["https://orcid.org/0000-0003-1859-0574"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Deborah Korenstein","raw_affiliation_strings":["Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York","Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York","institution_ids":["https://openalex.org/I1334819555"]},{"raw_affiliation_string":"Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000098024","display_name":"Susan C. Chimonas","orcid":"https://orcid.org/0000-0002-7742-5950","observed_orcids":["https://orcid.org/0000-0002-7742-5950"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan Chimonas","raw_affiliation_strings":["Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York","Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York","institution_ids":["https://openalex.org/I1334819555"]},{"raw_affiliation_string":"Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103048341","display_name":"Brooke E. Barrow","orcid":"https://orcid.org/0000-0002-2947-1506","observed_orcids":["https://orcid.org/0000-0002-2947-1506"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brooke Barrow","raw_affiliation_strings":["Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York","institution_ids":["https://openalex.org/I1334819555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090402848","display_name":"Salomeh Keyhani","orcid":"https://orcid.org/0000-0001-9124-9618","observed_orcids":["https://orcid.org/0000-0001-9124-9618"]},"institutions":[{"id":"https://openalex.org/I1315708478","display_name":"San Francisco VA Medical Center","ror":"https://ror.org/049peqw80","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1315708478","https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210125474","https://openalex.org/I4210143381"]},{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]},{"id":"https://openalex.org/I4210125302","display_name":"Quality Enhancement Research Initiative","ror":"https://ror.org/03cdz5d08","country_code":"US","type":"other","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210125302"]},{"id":"https://openalex.org/I4210143381","display_name":"San Francisco VA Health Care System","ror":"https://ror.org/04g9q2h37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210125474","https://openalex.org/I4210143381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Salomeh Keyhani","raw_affiliation_strings":["Division of General Internal Medicine, University of California, San Francisco","Precision Monitoring to Transform Care Quality Enhancement Research Initiative, San Francisco Veterans Affairs Hospital, San Francisco, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, University of California, San Francisco","institution_ids":["https://openalex.org/I180670191"]},{"raw_affiliation_string":"Precision Monitoring to Transform Care Quality Enhancement Research Initiative, San Francisco Veterans Affairs Hospital, San Francisco, California","institution_ids":["https://openalex.org/I1315708478","https://openalex.org/I4210125302","https://openalex.org/I4210143381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029961862","display_name":"Aaron L. Troy","orcid":"https://orcid.org/0000-0001-9844-5718","observed_orcids":["https://orcid.org/0000-0001-9844-5718"]},"institutions":[{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Aaron Troy","raw_affiliation_strings":["New York University School of Medicine, New York, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"New York University School of Medicine, New York, New York","institution_ids":["https://openalex.org/I57206974"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026952479","display_name":"Allison Lipitz\u2010Snyderman","orcid":"https://orcid.org/0000-0003-2423-2220","observed_orcids":["https://orcid.org/0000-0003-2423-2220"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Allison Lipitz-Snyderman","raw_affiliation_strings":["Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York","Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York","institution_ids":["https://openalex.org/I1334819555"]},{"raw_affiliation_string":"Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York","institution_ids":["https://openalex.org/I1334819555"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.4399,"has_fulltext":false,"cited_by_count":154,"citation_normalized_percentile":{"value":0.9424693,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"178","issue":"10","first_page":"1401","last_page":"1401"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-harm","display_name":"patient harm","score":0.6039999723434448},{"id":"https://openalex.org/keywords/concept-maps","display_name":"concept maps","score":0.7630000114440918},{"id":"https://openalex.org/keywords/financial-burden","display_name":"financial burden","score":0.5230000019073486},{"id":"https://openalex.org/keywords/psychological-harm","display_name":"psychological harm","score":0.6589999794960022},{"id":"https://openalex.org/keywords/social-consequences","display_name":"social consequences","score":0.6399999856948853},{"id":"https://openalex.org/keywords/treatment-burden","display_name":"treatment burden","score":0.9779999852180481},{"id":"https://openalex.org/keywords/patient-dissatisfaction","display_name":"patient dissatisfaction","score":0.8370000123977661},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.4659999907016754}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6812080144882202},{"id":"https://openalex.org/C169087156","wikidata":"https://www.wikidata.org/wiki/Q2131593","display_name":"Framing (construction)","level":2,"score":0.5545260310173035},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.543334424495697},{"id":"https://openalex.org/C2778012447","wikidata":"https://www.wikidata.org/wiki/Q1034415","display_name":"Scope (computer science)","level":2,"score":0.4966745972633362},{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.45934492349624634},{"id":"https://openalex.org/C188048851","wikidata":"https://www.wikidata.org/wiki/Q2298569","display_name":"Road map","level":2,"score":0.4515881836414337},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4320741593837738},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.3910125494003296},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.34191247820854187},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2051716148853302},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.16326281428337097},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.14237269759178162},{"id":"https://openalex.org/C58640448","wikidata":"https://www.wikidata.org/wiki/Q42515","display_name":"Cartography","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C66938386","wikidata":"https://www.wikidata.org/wiki/Q633538","display_name":"Structural engineering","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000069342","descriptor_name":"Medical Overuse","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010817","descriptor_name":"Physician-Patient Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D055317","descriptor_name":"Evidence-Based Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1001/jamainternmed.2018.3573","doi":"https://doi.org/10.1001/jamainternmed.2018.3573","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jamainternmed.2018.3573","pdf_url":null,"source":{"id":"https://openalex.org/S65364685","display_name":"JAMA Internal Medicine","issn_l":"2168-6106","issn":["2168-6106","2168-6114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Internal Medicine","raw_type":"journal-article"},{"id":"pmid:30105371","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30105371","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA internal medicine","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7505335","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7505335","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"JAMA Intern Med","raw_type":"Text"},{"id":"pmh:oai:escholarship.org:ark:/13030/qt6mw337gj","doi":null,"is_oa":false,"landing_page_url":"https://escholarship.org/uc/item/6mw337gj","pdf_url":null,"source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JAMA Internal Medicine, vol 178, iss 10","raw_type":"article"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:7505335","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7505335","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"JAMA Intern Med","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[{"id":"https://openalex.org/G9000856728","display_name":"Cancer Center Support Grant","funder_award_id":"P30CA008748","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"}],"funders":[{"id":"https://openalex.org/F4320337351","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":42,"referenced_works":["https://openalex.org/W124456005","https://openalex.org/W1895482182","https://openalex.org/W1927954826","https://openalex.org/W1968670396","https://openalex.org/W1968692262","https://openalex.org/W1976177234","https://openalex.org/W1978036628","https://openalex.org/W1981313494","https://openalex.org/W1985502593","https://openalex.org/W1989217398","https://openalex.org/W1997302988","https://openalex.org/W1997960352","https://openalex.org/W2004299668","https://openalex.org/W2036247719","https://openalex.org/W2056239412","https://openalex.org/W2059012619","https://openalex.org/W2076873416","https://openalex.org/W2081004525","https://openalex.org/W2083410299","https://openalex.org/W2090844873","https://openalex.org/W2102080582","https://openalex.org/W2113875289","https://openalex.org/W2131149119","https://openalex.org/W2135608015","https://openalex.org/W2157487777","https://openalex.org/W2175402560","https://openalex.org/W2197374934","https://openalex.org/W2252603999","https://openalex.org/W2332700952","https://openalex.org/W2416221264","https://openalex.org/W2541039015","https://openalex.org/W2555474264","https://openalex.org/W2570796533","https://openalex.org/W2592374353","https://openalex.org/W2606183740","https://openalex.org/W2609498601","https://openalex.org/W2624240344","https://openalex.org/W2660356595","https://openalex.org/W2701929908","https://openalex.org/W2750641773","https://openalex.org/W2771896849","https://openalex.org/W2773763207"],"related_works":["https://openalex.org/W92805286","https://openalex.org/W2080808350","https://openalex.org/W2796121064","https://openalex.org/W4210689155","https://openalex.org/W3001293333","https://openalex.org/W2889884794","https://openalex.org/W7096775180","https://openalex.org/W4409466275","https://openalex.org/W3096574073","https://openalex.org/W2083444467"],"abstract_inverted_index":{"Importance:":[0],"Overuse":[1],"of":[2,28,31,55,58,89,106,118,130,143,163,220,276],"medical":[3],"tests":[4,82,153,262],"and":[5,44,83,113,140,154,156,174,186,218,228,250,263,295,301],"treatments":[6,84,155,264],"is":[7,35],"an":[8,39,97,207],"increasingly":[9],"recognized":[10],"problem":[11,25],"across":[12],"health":[13,177,303],"systems;":[14],"best":[15],"practices":[16],"for":[17,42,60,92,166,269,287],"reducing":[18],"overuse":[19,59,110,214],"are":[20],"not":[21,63],"clear.":[22],"Framing":[23],"the":[24,29,53,77,107,216,221,257],"in":[26,47,198,206,230,266],"terms":[27],"spectrum":[30],"potential":[32],"patient":[33,45],"harm":[34],"likely":[36],"to":[37,49,70,86,202,306],"be":[38,285],"effective":[40],"strategy":[41],"clinician":[43],"engagement":[46],"efforts":[48,305],"reduce":[50,307],"overuse,":[51,292],"but":[52],"scope":[54],"negative":[56,90,164,204,243,267,277],"consequences":[57,91,165,180,244,268,278],"patients":[61],"has":[62],"been":[64],"well":[65],"described.":[66],"Observations:":[67],"We":[68],"sought":[69],"generate":[71,160],"a":[72,116,125],"comprehensive":[73,289],"conceptual":[74,148,222,254],"map":[75,95,123,149,255,283],"documenting":[76],"processes":[78,217,258],"through":[79,137],"which":[80,260],"overused":[81,134,152,184,261,299],"lead":[85,201],"multiple":[87,274],"domains":[88,162,219,275],"patients.":[93,281],"For":[94,122],"development,":[96],"iterative":[98],"consensus":[99],"process":[100],"was":[101,128],"informed":[102],"by":[103,238,259,280],"structured":[104],"review":[105,127,139,142],"literature":[108,138],"on":[109,213],"using":[111],"PubMed":[112],"input":[114],"from":[115,183,187],"panel":[117],"6":[119,161],"international":[120],"experts.":[121],"verification,":[124],"systematic":[126],"performed":[129],"case":[131],"reports":[132,212],"involving":[133],"services,":[135,300],"identified":[136],"manual":[141],"relevant":[144],"article":[145],"collections.":[146],"The":[147,282],"documents":[150,273],"that":[151,197],"resultant":[157],"downstream":[158,188,195],"services":[159,185,196],"patients:":[167],"physical,":[168],"psychological,":[169],"social,":[170],"financial,":[171],"treatment":[172],"burden,":[173],"dissatisfaction":[175],"with":[176,241,298],"care.":[178],"Negative":[179],"can":[181,191,200],"result":[182,265],"services;":[189],"they":[190,235],"also":[192,225,272],"trigger":[193],"further":[194],"turn":[199],"more":[203],"consequences,":[205],"ongoing":[208],"feedback":[209],"loop.":[210],"Case":[211],"confirmed":[215],"map.":[223],"Cases":[224],"revealed":[226],"strengths":[227],"weaknesses":[229],"published":[231],"communication":[232,290],"about":[233,291],"overuse:":[234],"were":[236],"dominated":[237],"physical":[239],"harms,":[240],"other":[242],"receiving":[245],"far":[246],"less":[247],"attention.":[248],"Conclusions":[249],"Relevance:":[251],"This":[252],"evidence-based":[253],"clarifies":[256],"patients;":[270],"it":[271],"experienced":[279],"will":[284],"useful":[286],"facilitating":[288],"estimating":[293],"harms":[294],"costs":[296],"associated":[297],"informing":[302],"system":[304],"overuse.":[308]},"counts_by_year":[{"year":2026,"cited_by_count":10},{"year":2025,"cited_by_count":12},{"year":2024,"cited_by_count":17},{"year":2023,"cited_by_count":16},{"year":2022,"cited_by_count":23},{"year":2021,"cited_by_count":27},{"year":2020,"cited_by_count":24},{"year":2019,"cited_by_count":21},{"year":2018,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2018-08-22T00:00:00"}