The Case for Intervention Bias in the Practice of
Medicine |
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Authors: | Andrew J. Foy Edward J. Filippone |
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Affiliation: | aFellow in Cardiology, Penn State Hershey Medical Center, Hershey, Pennsylvania;bClinical Associate Professor of Medicine, Division of Nephrology, Department of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania |
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Abstract: | Bias is an inclination to present or hold a partial perspective at the expense ofpossibly equal or more valid alternatives. In this paper, we present a series ofconditional arguments to prove that intervention bias exists in the practice ofmedicine. We then explore its potential causes, consequences, and criticisms. Weuse the term to describe the bias on the part of physicians and the medicalcommunity to intervene, whether it is with drugs, diagnostic tests, non-invasiveprocedures, or surgeries, when not intervening would be a reasonablealternative. The recognition of intervention bias in medicine is criticallyimportant given today’s emphasis on providing high-value care and reducingunnecessary and potentially harmful interventions. |
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Keywords: | evidence-based medicine contradicted findings medical reversal bias overtreatment positive-outcome bias observational studies basic science randomized controlled trials |
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