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Rev Med Inst Mex Seguro Soc. 2017 Jul-Aug;55(4):512-516.

[Persists the controversy concerning the rutinary use of diagnostic tests in asymptomatic persons].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

Unidad de Investigación en Enfermedades Endocrinas, Diabetes y Metabolismo, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.


in English, Spanish

Currently, in medicine there is an environment replete with controversy and debate, partially due to the popular concept Evidence-Based Medicine, and to the development of technological advances and, apparently, better therapeutic resources. This has led to the establishment of an over-diagnosis epidemic and to an excess of therapeutic interventions, which do not necessarily lead to a longer life expectancy. Some medical controversies, which have called the attention of physicians and even of common people are those related with dislipoproteinemias, pre-diabetes and detection of cancer in asymptomatic persons. The debate and the controversy will surely continue and that is why it is very important to emphasize that clinical practice should be personalized, taking into account risks and implied benefits.


Asymptomatic diseases; Differential diagnosis; Multimodal treatment; Routine diagnostic tests

[Indexed for MEDLINE]

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