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The aim of defining diagnoses in order to reduce over-diagnosis is important and highly laudable. However it should not be based on personal opinion but on careful evidence of what benefits patients . Unless this is done, sooner of later there will be allegations that it is being done for the benefit of GPs (eg reduced workloads) and financial motives and not for the benefit of patients.
1. Llewelyn H. The scope and conventions of evidence based medicine need to be widened to deal with ‘too much medicine’. J Eval Clin Prac, 2018, 1–7. https://doi.org/10.1111/jep.12981
No competing interests
12 April 2019
Honorary Fellow in Mathematics. General Physician and Endocrinologist