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医学实践中干预偏见的案例。

The case for intervention bias in the practice of medicine.

机构信息

Penn State Hershey Medical Center, Hershey, Pennsylvania 17033, USA.

出版信息

Yale J Biol Med. 2013 Jun 13;86(2):271-80. Print 2013 Jun.

PMID:23766747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3670446/
Abstract

Bias is an inclination to present or hold a partial perspective at the expense of possibly equal or more valid alternatives. In this paper, we present a series of conditional arguments to prove that intervention bias exists in the practice of medicine. We then explore its potential causes, consequences, and criticisms. We use the term to describe the bias on the part of physicians and the medical community to intervene, whether it is with drugs, diagnostic tests, non-invasive procedures, or surgeries, when not intervening would be a reasonable alternative. The recognition of intervention bias in medicine is critically important given today's emphasis on providing high-value care and reducing unnecessary and potentially harmful interventions.

摘要

偏见是指以牺牲可能同样有效或更有效的替代方案为代价,呈现或持有片面观点的倾向。在本文中,我们提出了一系列有条件的论点,以证明医学实践中存在干预偏见。然后,我们探讨了其潜在的原因、后果和批评。我们使用“干预偏见”一词来描述医生和医疗界的偏见,即当不进行干预是合理的替代方案时,他们却倾向于进行干预,无论是使用药物、诊断测试、非侵入性程序还是手术。鉴于当今强调提供高价值的医疗服务和减少不必要的和潜在有害的干预措施,认识医学中的干预偏见至关重要。

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Preoperative magnetic resonance imaging in breast cancer: meta-analysis of surgical outcomes.术前磁共振成像在乳腺癌中的应用:手术结局的荟萃分析。
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Trends in antihypertensive medication use and blood pressure control among United States adults with hypertension: the National Health And Nutrition Examination Survey, 2001 to 2010.美国高血压成年人降压药物使用和血压控制趋势:2001 至 2010 年国家健康和营养调查。
Circulation. 2012 Oct 23;126(17):2105-14. doi: 10.1161/CIRCULATIONAHA.112.096156.
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Nonrecommended breast and colorectal cancer screening for young women: a vignette-based survey.不推荐对年轻女性进行乳腺癌和结直肠癌筛查:基于情景的调查。
Am J Prev Med. 2012 Sep;43(3):231-9. doi: 10.1016/j.amepre.2012.05.022.
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Pharmacotherapy for mild hypertension.轻度高血压的药物治疗。
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Arch Intern Med. 2012 Mar 12;172(5):405-11. doi: 10.1001/archinternmed.2011.1662. Epub 2012 Feb 13.