Prevención cuaternaria en ancianos

Gérvas, Juan

doi:10.1016/j.regg.2012.07.001

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…Furthermore, this new definition is more in line with the current academic thinking about quaternary prevention. Since Jamoulle’s initial proposal, there has been growing academic debate about this concept that has expanded worldwide [ 15 , 22–24 ]. In more recent publications, Marc Jamoulle himself states that quaternary prevention affects the other three levels of preventive activities [ 25–27 ].…”

Section: Quaternary Prevention: the Need Of A New Definitionmentioning

confidence: 99%

“…In more recent publications, Marc Jamoulle himself states that quaternary prevention affects the other three levels of preventive activities [ 25–27 ]. Another relevant point is the growing consensus among different authors about the close relation among the concept of quaternary prevention and the non-maleficence principle of medical ethics usually mentioned as primum non nocere (first, do no harm) [ 15 , 25 , 28–30 ]. Wagner H states ‘The concept of quaternary prevention is nothing more than the systematization of the concept of “primum non nocere” in our modern medical practice, an ethical approach to practice better clinical care and to protect people of excess of medicine’ [ 30 ].…”

Section: Quaternary Prevention: the Need Of A New Definitionmentioning

confidence: 99%

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Quaternary prevention: reviewing the concept

Martins

Godycki-Cwirko

Heleno

et al. 2018

European Journal of General Practice

118

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Background: According to the Wonca International Dictionary for General/Family Practice Quaternary Prevention is defined as: ‘Action taken to identify patient at risk of overmedicalization, to protect him from new medical invasion, and to suggest to him interventions, which are ethically acceptable.’ The concept of quaternary prevention was initially proposed by Marc Jamoulle and the targets were mainly patients with illness but without a disease. Objectives: The purpose of this opinion article is to open the debate around a new possible definition and a new conceptual model of quaternary prevention based on the belief that quaternary prevention should be present in physicians’ minds for every intervention they suggest to a patient. Discussion: The debate around quaternary prevention is vital in the context of contemporary medicine and has expanded worldwide. The human being may suffer harm from medical interventions from conception, during their childhood, during their entire healthy lifetime as well as during a self-limited disease, a chronic disease, or a terminal disease. The current definition of quaternary prevention has limitations because it excludes patients and medical interventions where a quaternary prevention perspective would be needed and useful to protect patients from harm. In this context, a new definition and conceptual model of quaternary prevention is proposed. Conclusion: In this new proposal, quaternary prevention is defined as an ‘action taken to protect individuals (persons/patients) from medical interventions that are likely to cause more harm than good.’

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Section: Quaternary Prevention: the Need Of A New Definitionmentioning

confidence: 99%

Section: Quaternary Prevention: the Need Of A New Definitionmentioning

confidence: 99%

Quaternary prevention: reviewing the concept

Martins

Godycki-Cwirko

Heleno

et al. 2018

European Journal of General Practice

118

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“…Los exámenes para detección de cáncer en adultos mayores son innecesarios y provocan medicalización de la vida en exceso. 9 Siendo el cáncer una causa frecuente de muerte en esta población, es evidente que cuanto más le busquemos, más le encontraremos. Otro ejemplo icónico de tamizaje innecesario, es el de la búsqueda del cáncer de próstata a través del antígeno prostático específico en sangre (PSA).…”

Section: Tamizaje Innecesariounclassified

¿Overscreening o prevención a escala humana? Tamizaje excesivo

Pizzanelli¹

2015

Rev Bras Med Fam Comunidade

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Cuando se aplica un método de tamizaje de modo excesivo, abusivo o innecesario los daños provocados pueden superar a los beneficios. Para desarrollar el concepto de tamizaje excesivo, fueron consideradas algunas categorías: tamizaje innecesario, sin indicación médica, inducido, obligatorio, por frecuencia inadecuada. Existen sesgos de interpretación que no permiten determinar de forma objetiva el balance daño beneficio de los programas de tamizaje relacionados al exceso de diagnóstico. Evitar el daño producido por tamizajes excesivos (overscreening) requiere llevar recomendaciones y pautas genéricas al terreno de la práctica clínica con casos particulares. La prevención cuaternaria, fundada conceptualmente en los cuidados de salud centrados en la persona, permite considerar las creencias, inquietudes, opciones individuales, haciendo posible llevar a la prevención a una escala humana.

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“…That is to say, although medical intervention is mainly favorable, there is a dynamic balance that requires continuous assessment of the clinical situation as naturally only those health activities that achieve more benefit than harm at the end are justified. [ 3 ] Quaternary prevention is also essential in the phenomenon called disease mongering, which could be translated as commercialization of disease. Encouraging this sort of prevention and halting the consequences of disease mongering requires the development of all the institutional potential for prevention, as well as all the personal willingness for restraint; it involves separating us from the unnecessary auspices of industry, being critical of our work, not being maleficent, respecting the principle of justice as managers of the limited public resources and making ourselves feel responsible for the social cost resulting from medical decisions.…”

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confidence: 99%