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

Ketil Størdal, Corinne Wyder, Andreas Trobisch, Zachi Grossman, Adamos Hadjipanayis

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

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.

Original languageEnglish
Pages (from-to)1923-1927
Number of pages5
JournalEuropean Journal of Pediatrics
Volume178
Issue number12
DOIs
StatePublished - 1 Dec 2019
Externally publishedYes

Keywords

  • Antibiotics
  • Bronchiolitis
  • Child
  • Overdiagnosis
  • Overtesting
  • Overtreatment

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