{"id":342,"date":"2013-06-10T16:57:06","date_gmt":"2013-06-10T14:57:06","guid":{"rendered":"http:\/\/surmedicalisation.fr\/?page_id=342"},"modified":"2013-09-13T14:34:31","modified_gmt":"2013-09-13T12:34:31","slug":"atelier-n4","status":"publish","type":"page","link":"https:\/\/surmedicalisation.fr\/?page_id=342","title":{"rendered":"Atelier N\u00b04 &#8211; Colloque 2012"},"content":{"rendered":"<p><script type=\"text\/javascript\">\/\/ <![CDATA[\n(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){\n  (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),\n  m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)\n  })(window,document,'script','\/\/www.google-analytics.com\/analytics.js','ga');\n\n  ga('create', 'UA-40453293-1', 'surmedicalisation.fr');\n  ga('send', 'pageview');\n\/\/ ]]><\/script><\/p>\n<h2><span style=\"color: #000000;\">\u00a027 avril, apr\u00e8s midi.<br \/>\n<\/span><\/h2>\n<h1 style=\"text-align: center;\"><span style=\"color: #0000ff;\">Surtraitements non li\u00e9s aux surdiagnostics.<\/span><\/h1>\n<h3 style=\"text-align: center;\"><strong>Mod\u00e9rateur : Fran\u00e7ois Pesty<\/strong><\/h3>\n<p><a href=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/270420121916.jpg\"><img loading=\"lazy\" class=\"aligncenter size-medium wp-image-483\" alt=\"270420121916\" src=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/270420121916-300x225.jpg\" width=\"300\" height=\"225\" srcset=\"https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/270420121916-300x225.jpg 300w, https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/270420121916-1024x768.jpg 1024w, https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/270420121916.jpg 1600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<h3><span style=\"text-decoration: underline;\">Pr\u00e9sentation de l&rsquo;atelier N\u00b04<\/span> :<\/h3>\n<h4 style=\"text-align: justify;\">Surtraiter, \u00e0 partir d&rsquo;un diagnostic pos\u00e9, consiste \u00e0 initier un traitement surdimensionn\u00e9 ou inappropri\u00e9, alors qu&rsquo;une alternative th\u00e9rapeutique moins lourde, pouvant aller jusqu&rsquo;\u00e0 l&rsquo;abstention ou faisant appel \u00e0 des soins palliatifs, \u00e9tait possible, moins d\u00e9l\u00e9t\u00e8re, moins traumatisante, voire moins co\u00fbteuse ou sans fausses promesses :<\/h4>\n<ul>\n<li>\n<h5>Op\u00e9rations chirurgicales, radiations, prescriptions, m\u00e9dicaments inutiles ( ou futiles )<\/h5>\n<\/li>\n<li>\n<h5>Ex\u00e9r\u00e8ses, irradiations ou doses de m\u00e9dicaments trop importantes<\/h5>\n<\/li>\n<li>\n<h5>Recours \u00e0 un traitement non \u00e9prouv\u00e9, voir non autoris\u00e9 ( ex : hors AMM ) et sans b\u00e9n\u00e9fice clinique clairement d\u00e9montr\u00e9 ( effet uniquement sur des crit\u00e8res interm\u00e9diaires ), alors que d&rsquo;autres le sont;<\/h5>\n<\/li>\n<li>combinaison ( surench\u00e8re ) de moyens th\u00e9rapeutiques telles que des associations m\u00e9dicamenteuses futiles, la chimioth\u00e9rapie combin\u00e9e \u00e0 la radioth\u00e9rapie;<\/li>\n<\/ul>\n<h4 style=\"text-align: justify;\">Nous illustrerons les surtraitements, par des exemples et tenterons ensemble d&rsquo;en analyser les causes et les moyens de les \u00e9viter, ou tout au moins de les limiter&#8230;.<\/h4>\n<h3 style=\"text-align: center;\"><strong>Fran\u00e7ois Pesty<\/strong><\/h3>\n<h3 style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><span style=\"color: #808080;\"><em>Surtraitements non li\u00e9s aux surdiagnostics<\/em><\/span><\/span><\/h3>\n<p style=\"text-align: center;\"><span style=\"font-size: small; color: #008000;\">Cliquer sur l&rsquo;image pour ouvrir la pr\u00e9sentation<\/span><\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/CR-atelier-4PW-diapo-Pesty-pdf.pdf\" target=\"_blank\"><img loading=\"lazy\" class=\"aligncenter size-medium wp-image-648\" style=\"border: 2px solid black;\" alt=\"CR atelier fran\u00e7ois Pesty\" src=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/CR-atelier-fran\u00e7ois-Pesty-300x216.jpg\" width=\"300\" height=\"216\" srcset=\"https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/CR-atelier-fran\u00e7ois-Pesty-300x216.jpg 300w, https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/CR-atelier-fran\u00e7ois-Pesty-1024x737.jpg 1024w, https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/CR-atelier-fran\u00e7ois-Pesty.jpg 1250w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<h3 style=\"text-align: center;\"><strong><span style=\"color: #000000;\">Marie-France Legoaziou<\/span><\/strong><\/h3>\n<h3 style=\"text-align: center;\"><span style=\"color: #808080;\"><em><span style=\"text-decoration: underline;\">Surm\u00e9dicalisation\u00a0: A propos de deux situations qui m\u2019ont interrog\u00e9es<\/span> : <\/em><\/span><\/h3>\n<h3 style=\"text-align: center;\"><span style=\"color: #808080;\"><em>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <a title=\"Plusieurs situations de surm\u00e9dicalisation\" href=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/Le-Goaziou-MF-contribution-\u00e9crite-Atelier-4.pdf\" target=\"_blank\">cliquer sur lien<\/a><\/em><\/span><\/h3>\n<hr \/>\n<h3 style=\"text-align: center;\"><strong><span style=\"color: #000000;\">Xavier Briffault<\/span><\/strong><\/h3>\n<h3 style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><span style=\"color: #808080;\"><em>AMM et RBP, \u00ab\u00a0substituts pratiques\u00a0\u00bb au raisonnement EBM .<\/em><\/span><\/span><\/h3>\n<p style=\"text-align: center;\"><span style=\"color: #008000; font-size: small;\">Cliquer sur l&rsquo;image pour ouvrir la pr\u00e9sentation<\/span><\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/Briffault-surm\u00e9dicalisation-2012.ppsx\"><img loading=\"lazy\" class=\"aligncenter size-medium wp-image-630\" alt=\"Xavier Briffault\" src=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/Xavier-Briffault-300x224.jpg\" width=\"300\" height=\"224\" srcset=\"https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/Xavier-Briffault-300x224.jpg 300w, https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/Xavier-Briffault-1024x764.jpg 1024w, https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/Xavier-Briffault.jpg 1205w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p style=\"text-align: center;\">R\u00e9sum\u00e9 du diaporama de Xavier Briffault : <a title=\"Evidence Based M\u00e9decine\" href=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/R\u00e9sum\u00e9-Xavier-Briffault-diapo.pdf\" target=\"_blank\">cliquer sur le lien<\/a><\/p>\n<h3 style=\"text-align: center;\"><strong><span style=\"color: #000000;\">Bertrand Guillonneau<\/span><\/strong><\/h3>\n<h3 style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><em><span style=\"color: #808080; text-decoration: underline;\">R\u00e9flexions sur le(s) Cancer(s) de la Prostate<\/span><\/em><\/span><\/h3>\n<p style=\"text-align: center;\"><span style=\"font-size: small; color: #008000;\">Cliquer sur l&rsquo;image pour ouvrir la pr\u00e9sentation<\/span><\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/Guilloneau-Bernard-contributions-atelier-4.pdf\" target=\"_blank\"><img loading=\"lazy\" class=\"aligncenter size-medium wp-image-641\" style=\"border: 2px solid black;\" alt=\"cancer de la prostate guillonneau\" src=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/cancer-de-la-prostate-guillonneau-300x205.jpg\" width=\"300\" height=\"205\" srcset=\"https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/cancer-de-la-prostate-guillonneau-300x205.jpg 300w, https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/cancer-de-la-prostate-guillonneau-1024x702.jpg 1024w, https:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/cancer-de-la-prostate-guillonneau.jpg 1305w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<h3 style=\"text-align: left;\">Compte rendu de l&rsquo;atelier N\u00b04 : <a href=\"http:\/\/surmedicalisation.fr\/blog\/WordPress3\/wp-content\/uploads\/2013\/05\/CR-atelier-4.pdf\" target=\"_blank\">cliquer sur le lien<\/a><\/h3>\n<h3><\/h3>\n","protected":false},"excerpt":{"rendered":"<p>\u00a027 avril, apr\u00e8s midi. Surtraitements non li\u00e9s aux surdiagnostics. Mod\u00e9rateur : Fran\u00e7ois Pesty Pr\u00e9sentation de l&rsquo;atelier N\u00b04 : Surtraiter, \u00e0 partir d&rsquo;un diagnostic pos\u00e9, consiste \u00e0 initier un traitement surdimensionn\u00e9 ou inappropri\u00e9, alors qu&rsquo;une alternative th\u00e9rapeutique moins lourde, pouvant aller &hellip; <a href=\"https:\/\/surmedicalisation.fr\/?page_id=342\">Continuer la lecture <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":9,"featured_media":0,"parent":120,"menu_order":4,"comment_status":"open","ping_status":"open","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/surmedicalisation.fr\/index.php?rest_route=\/wp\/v2\/pages\/342"}],"collection":[{"href":"https:\/\/surmedicalisation.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/surmedicalisation.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/surmedicalisation.fr\/index.php?rest_route=\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/surmedicalisation.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=342"}],"version-history":[{"count":54,"href":"https:\/\/surmedicalisation.fr\/index.php?rest_route=\/wp\/v2\/pages\/342\/revisions"}],"predecessor-version":[{"id":2607,"href":"https:\/\/surmedicalisation.fr\/index.php?rest_route=\/wp\/v2\/pages\/342\/revisions\/2607"}],"up":[{"embeddable":true,"href":"https:\/\/surmedicalisation.fr\/index.php?rest_route=\/wp\/v2\/pages\/120"}],"wp:attachment":[{"href":"https:\/\/surmedicalisation.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}