Intended for healthcare professionals

Letters Overtreatment

Overtreatment can be cured only by education

BMJ 2012; 345 doi: (Published 06 November 2012) Cite this as: BMJ 2012;345:e6867
  1. Huw Llewelyn, general physician and endocrinologist, honorary fellow1
  1. 1Aberystwyth University, Aberystwyth SY23 3BZ, UK
  1. hul2{at}

Overtreatment results from suboptimal selection of patients for treatment during the diagnostic process. Currently, evidence based medicine is mainly concerned with diagnostic screening and therapeutics, especially randomised clinical trials. However, the criteria for diagnosis and treatment, and tests useful in differential diagnosis, are not being chosen in an evidence based way. …

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