{"id":"https://openalex.org/W3110071162","doi":"https://doi.org/10.3233/shti200717","title":"Multicriteria Decision Support Would Avoid Overdiagnosis and Overtreatment","display_name":"Multicriteria Decision Support Would Avoid Overdiagnosis and Overtreatment","publication_year":2020,"publication_date":"2020-11-23","ids":{"openalex":"https://openalex.org/W3110071162","doi":"https://doi.org/10.3233/shti200717","mag":"3110071162","pmid":"https://pubmed.ncbi.nlm.nih.gov/33227763"},"language":"en","primary_location":{"id":"doi:10.3233/shti200717","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti200717","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI200717","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI200717","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5068172233","display_name":"Vije Kumar Rajput","orcid":"https://orcid.org/0000-0001-8407-897X"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vije Kumar Rajput","raw_affiliation_strings":["Stonydelph Health Centre, Tamworth, UK"],"affiliations":[{"raw_affiliation_string":"Stonydelph Health Centre, Tamworth, UK","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056190743","display_name":"Jack Dowie","orcid":"https://orcid.org/0000-0002-4572-9562"},"institutions":[{"id":"https://openalex.org/I4210089966","display_name":"London School of Hygiene & Tropical Medicine","ror":"https://ror.org/00a0jsq62","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4210089966"]},{"id":"https://openalex.org/I177969490","display_name":"University of Southern Denmark","ror":"https://ror.org/03yrrjy16","country_code":"DK","type":"education","lineage":["https://openalex.org/I177969490"]}],"countries":["DK","GB"],"is_corresponding":true,"raw_author_name":"Jack Dowie","raw_affiliation_strings":["London School of Hygiene and Tropical Medicine","University of Southern Denmark","Corresponding author, Jack Dowie, LSHTM, 15-17 Tavistock Place, London, UK WC1H 9SH;"],"affiliations":[{"raw_affiliation_string":"London School of Hygiene and Tropical Medicine","institution_ids":["https://openalex.org/I4210089966"]},{"raw_affiliation_string":"University of Southern Denmark","institution_ids":["https://openalex.org/I177969490"]},{"raw_affiliation_string":"Corresponding author, Jack Dowie, LSHTM, 15-17 Tavistock Place, London, UK WC1H 9SH;","institution_ids":["https://openalex.org/I4210089966"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089778570","display_name":"Mette Kjer Kaltoft","orcid":"https://orcid.org/0000-0002-7056-8297"},"institutions":[{"id":"https://openalex.org/I177969490","display_name":"University of Southern Denmark","ror":"https://ror.org/03yrrjy16","country_code":"DK","type":"education","lineage":["https://openalex.org/I177969490"]}],"countries":["DK"],"is_corresponding":false,"raw_author_name":"Mette Kjer Kaltoft","raw_affiliation_strings":["University of Southern Denmark"],"affiliations":[{"raw_affiliation_string":"University of Southern Denmark","institution_ids":["https://openalex.org/I177969490"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5056190743"],"corresponding_institution_ids":["https://openalex.org/I177969490","https://openalex.org/I4210089966"],"apc_list":null,"apc_paid":null,"fwci":1.7081,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.88230741,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"275","issue":null,"first_page":"172","last_page":"176"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9973000288009644,"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/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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/overdiagnosis","display_name":"Overdiagnosis","score":0.9886530637741089},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.6441177725791931},{"id":"https://openalex.org/keywords/harm","display_name":"Harm","score":0.5919899940490723},{"id":"https://openalex.org/keywords/asymptomatic","display_name":"Asymptomatic","score":0.5695940852165222},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.5410863161087036},{"id":"https://openalex.org/keywords/preference","display_name":"Preference","score":0.5034517645835876},{"id":"https://openalex.org/keywords/intensive-care-medicine","display_name":"Intensive care medicine","score":0.45542070269584656},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.17894452810287476},{"id":"https://openalex.org/keywords/surgery","display_name":"Surgery","score":0.1782030165195465},{"id":"https://openalex.org/keywords/pathology","display_name":"Pathology","score":0.13759082555770874},{"id":"https://openalex.org/keywords/social-psychology","display_name":"Social psychology","score":0.09183332324028015}],"concepts":[{"id":"https://openalex.org/C2779377019","wikidata":"https://www.wikidata.org/wiki/Q956131","display_name":"Overdiagnosis","level":2,"score":0.9886530637741089},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6441177725791931},{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.5919899940490723},{"id":"https://openalex.org/C2777910003","wikidata":"https://www.wikidata.org/wiki/Q1707292","display_name":"Asymptomatic","level":2,"score":0.5695940852165222},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5410863161087036},{"id":"https://openalex.org/C2781249084","wikidata":"https://www.wikidata.org/wiki/Q908656","display_name":"Preference","level":2,"score":0.5034517645835876},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.45542070269584656},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.17894452810287476},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.1782030165195465},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.13759082555770874},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.09183332324028015},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000069342","descriptor_name":"Medical Overuse","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D000069342","descriptor_name":"Medical Overuse","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007258","descriptor_name":"Informed Consent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007258","descriptor_name":"Informed Consent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007258","descriptor_name":"Informed Consent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008403","descriptor_name":"Mass Screening","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008403","descriptor_name":"Mass Screening","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008403","descriptor_name":"Mass Screening","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012107","descriptor_name":"Research Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012107","descriptor_name":"Research Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012107","descriptor_name":"Research Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055088","descriptor_name":"Early Detection of Cancer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D055088","descriptor_name":"Early Detection of Cancer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D055088","descriptor_name":"Early Detection of Cancer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.3233/shti200717","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti200717","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI200717","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:33227763","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33227763","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,"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":"Studies in health technology and informatics","raw_type":null},{"id":"pmh:oai:sdu.dk:openaire/35a6902c-0db5-45b1-a421-8c5fdbeeafbc","is_oa":false,"landing_page_url":"https://portal.findresearcher.sdu.dk/da/publications/35a6902c-0db5-45b1-a421-8c5fdbeeafbc","pdf_url":null,"source":{"id":"https://openalex.org/S4306400423","display_name":"University of Southern Denmark Research Portal (University of Southern Denmark)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I177969490","host_organization_name":"University of Southern Denmark","host_organization_lineage":["https://openalex.org/I177969490"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rajput, V K, Dowie, J & Kaltoft, M K 2020, Multicriteria Decision Support Would Avoid Overdiagnosis and Overtreatment. in A V\u00e4rri, J Delgado, P Gallos, M H\u00e4gglund, K H\u00e4yrinen, U-M Kinnunen, L B Pape-Haugaard, L-M Peltonen & P Scott (eds), Integrated Citizen Centered Digital Health and Social Care. vol. 275, IOS Press, Studies in Health Technology and Informatics, vol. 275, pp. 172-176. https://doi.org/10.3233/SHTI200717","raw_type":"info:eu-repo/semantics/publishedVersion"},{"id":"pmh:oai:researchonline.lshtm.ac.uk:4659769","is_oa":false,"landing_page_url":"https://orcid.org/0000-0002-4572-9562>;","pdf_url":null,"source":{"id":"https://openalex.org/S4306402527","display_name":"LSHTM Research Online (London School of Hygiene and Tropical Medicine)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I4210089966","host_organization_name":"London School of Hygiene & Tropical Medicine","host_organization_lineage":["https://openalex.org/I4210089966"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"NonPeerReviewed"}],"best_oa_location":{"id":"doi:10.3233/shti200717","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti200717","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI200717","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"score":0.7099999785423279,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3110071162.pdf","grobid_xml":"https://content.openalex.org/works/W3110071162.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2129274331","https://openalex.org/W2910446025","https://openalex.org/W2988726974","https://openalex.org/W2996440791","https://openalex.org/W4247781752"],"related_works":["https://openalex.org/W2766182566","https://openalex.org/W898102305","https://openalex.org/W2925906333","https://openalex.org/W1995249854","https://openalex.org/W2198740546","https://openalex.org/W2165982719","https://openalex.org/W2567852313","https://openalex.org/W2212163976","https://openalex.org/W2115671371","https://openalex.org/W2616443331"],"abstract_inverted_index":{"Population-level":[0],"studies":[1],"confirm":[2],"the":[3,21,32,53,62,82,89,131,144,153],"existence":[4],"of":[5,8,15,23,34,64,99,113,146,155],"significant":[6],"rates":[7,63,90],"overdiagnosis":[9,93,147],"and":[10,50,94,122,148,158],"overtreatment":[11,95,149],"in":[12,46],"a":[13,43,102,111,127],"number":[14],"conditions,":[16],"particularly":[17],"those":[18],"for":[19],"which":[20],"screening":[22],"asymptomatic":[24],"individuals":[25],"is":[26,30,125,133],"routine.":[27],"The":[28],"implication":[29],"that":[31,86,118],"possibility":[33],"being":[35],"overdiagnosed":[36],"and/or":[37],"overtreated":[38],"must":[39],"be":[40,57,69],"mentioned":[41],"as":[42,96],"possible":[44,77],"harm":[45],"generating":[47],"informed":[48],"consent":[49],"participation":[51],"from":[52,110],"individual":[54,73],"invited":[55],"to":[56,92],"screened.":[58],"But":[59],"how":[60],"should":[61],"such":[65],"preference-insensitive":[66],"population-level":[67],"phenomena":[68],"introduced":[70],"into":[71],"preference-sensitive":[72],"decision":[74,115,139],"making?":[75],"Three":[76],"strategies":[78],"are":[79],"rejected,":[80],"including":[81],"currently":[83],"dominant":[84],"one":[85],"involves":[87],"presenting":[88],"relevant":[91],"discrete":[97],"pieces":[98],"information":[100,124],"about":[101],"single":[103],"criterion":[104],"(typically":[105],"condition-specific":[106],"mortality).":[107],"Extensive":[108],"quotation":[109],"review":[112],"cancer":[114],"aids":[116],"confirms":[117],"processing":[119],"this":[120],"complex":[121],"isolated":[123],"not":[126],"practical":[128],"approach.":[129],"However,":[130],"task":[132],"unnecessary,":[134],"since":[135],"an":[136],"outcome-focused":[137],"multicriteria":[138],"support":[140],"tool":[141],"will":[142],"incorporate":[143],"effects":[145,154],"-":[150],"along":[151],"with":[152],"any":[156],"underdiagnosis":[157],"undertreatment.":[159]},"counts_by_year":[{"year":2022,"cited_by_count":1}],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}
