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      Overtreatment in threshold and developed countries.

      1
      Archives of disease in childhood
      BMJ

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          Abstract

          In acute paediatrics, overtreatment and overdiagnosis is encountered in threshold and developed countries. The reason for overtreatment may be similar in the two settings, namely the mere availability of invasive procedures, which may lead to their inappropriate use. Physiological healing processes should be integrated into treatment plans and whenever possible natural organ function should be maintained (eg, enteral instead of parenteral nutrition). Standards and guidelines may assist the paediatrician in weighing up the benefits and risks of available invasive diagnostic and therapeutic procedures. Safe and simple methods, successfully introduced in countries with limited resources, are equally useful in the industrialised world, as they have the potential to reduce the application of risky invasive therapies.

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          Author and article information

          Journal
          Arch. Dis. Child.
          Archives of disease in childhood
          BMJ
          1468-2044
          0003-9888
          Mar 2008
          : 93
          : 3
          Affiliations
          [1 ] Department of Intensive Care and Neonatology, University Children's Hospital, CH-8032 Zurich, Switzerland. Bernhard.Frey@kispi.uzh.ch
          Article
          adc.2007.124479
          10.1136/adc.2007.124479
          17872940
          10c1939e-bb42-420b-b97a-d4001756c634
          History

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