Dear List

    Many thanks to Juan for sharing this eye-opening systematic review. It is interesting that the authors' 2015 systematic review, assessing the same research question among patients, found similar problem ( https://www.ncbi.nlm.nih.gov/pubmed/25531451) . The authors conclude that "Clinicians should discuss accurate and balanced information about intervention benefits and harms with patients, providing the opportunity to develop realistic expectations and make informed decisions.". The authors' current systematic review among clinicians tells us that clinicians themselves underestimates the harm and over estimate the benefits. My question: What should be done for solving this :

BOTH patients and clinicians have SIMILAR problem: Overestimating of benefits & Underestimating of the harms. How clinicians can solve the problem of patients while they have same problem?  What are you suggestions?

I am looking forward to receive your ideas. I hope this list will have a good discussion about these two systematic reviews.

Best regards, Mohammad

Mohammad Zakaria Pezeshki, M.D.
Associate Professor
Department of Community Medicine,
Tabriz Medical School, Golgasht Avenue, Tabriz, Iran,
Tel:  ++ 98 413  336 46 73
Fax: ++ 98 413 336 46 68


On Wed, Jan 18, 2017 at 1:49 PM, Juan Gérvas <[log in to unmask]> wrote:
Los médicos clínicos suelen sobre-esperar beneficios y sobre-ignorar daños de tratamientos/cribados/pruebas.
Clinicians’ Expectations of the Benefits and Harms of Treatments, Screening, and Tests. Clinicians more often underestimated rather than overestimated harms and overestimated rather than underestimated benefits.
http://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2596010
-un saludo juan gérvas