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What Do You Think Overdiagnosis Means? A Qualitave Analysis Of Responses From A National Community Survey Of Australians?, Ray Moynihan, Brooke Nickel, Jolyn Hersch, Jenny Doust, Alexandra Barratt, Elaine Beller, Kirsten Mccaffery Jul 2015

What Do You Think Overdiagnosis Means? A Qualitave Analysis Of Responses From A National Community Survey Of Australians?, Ray Moynihan, Brooke Nickel, Jolyn Hersch, Jenny Doust, Alexandra Barratt, Elaine Beller, Kirsten Mccaffery

Elaine Beller

Objective: Overdiagnosis occurs when someone is diagnosed with a disease that will not harm them. Against a backdrop of growing evidence and concern about the risk of overdiagnosis associated with certain screening activities, and recognition of the need to better inform the public about it, we aimed to ask what the Australian community understood overdiagnosis to mean. Design, setting and participants: Content analysis of verbatim responses from a randomly sampled community telephone survey of 500 Australian adults, between January and February 2014. Data were analysed independently by two researchers. Main outcome measures: Analysis of themes arising from community responses to …


What Is The Effect Of A Formalised Trauma Tertiary Survey Procedure On A Missed Injury Rates In Multi-Trauma Patients? Study Protocol For A Randomised Controlled Trial, Gerben Keijzers, Chris Del Mar, Leo M.G. Geeraedts Jr., Josh Byrnes, Elaine Beller Jun 2015

What Is The Effect Of A Formalised Trauma Tertiary Survey Procedure On A Missed Injury Rates In Multi-Trauma Patients? Study Protocol For A Randomised Controlled Trial, Gerben Keijzers, Chris Del Mar, Leo M.G. Geeraedts Jr., Josh Byrnes, Elaine Beller

Elaine Beller

Background Missed injury is commonly used as a quality indicator in trauma care. The trauma tertiary survey (TTS) has been proposed to reduce missed injuries. However a systematic review assessing the effect of the TTS on missed injury rates in trauma patients found only observational studies, only suggesting a possible increase in early detection and reduction in missed injuries, with significant potential biases. Therefore, more robust methods are necessary to test whether implementation of a formal TTS will increase early in-hospital injury detection, decrease delayed diagnosis and decrease missed injuries after hospital discharge. Methods/Design We propose a cluster-randomised, controlled trial …


Public Opinions About Overdiagnosis: A National Community Survey, Ray Moynihan, Brooke Nickel, Jolyn Hersch, Elaine Beller, Jenny Doust, Shane Compton, Alexandra Barratt, Lisa Bero, Kirsten Mccaffery Jun 2015

Public Opinions About Overdiagnosis: A National Community Survey, Ray Moynihan, Brooke Nickel, Jolyn Hersch, Elaine Beller, Jenny Doust, Shane Compton, Alexandra Barratt, Lisa Bero, Kirsten Mccaffery

Elaine Beller

Background Despite evidence about the "modern epidemic" of overdiagnosis, and expanding disease definitions that medicalize more people, data are lacking on public views about these issues. Our objective was to measure public perceptions about overdiagnosis and views about financial ties of panels setting disease definitions. Methods We conducted a 15 minute Computer Assisted Telephone Interview with a randomly selected community sample of 500 Australians in January 2014. We iteratively developed and piloted a questionnaire, with a convenience sample (n=20), then with participants recruited by a research company (n=20). Questions included whether respondents had been informed about overdiagnosis; opinions on informing …