Abstract:
:Precision medicine has been announced as a new health revolution. The term precision implies more accuracy in healthcare and prevention of diseases, which could yield substantial cost savings. However, scientific debate about precision medicine is needed to avoid wasting economic resources and hype. In this commentary, we express the reasons why precision medicine cannot be a health revolution for population health. Advocates of precision medicine neglect the limitations of individual-centred, high-risk strategies (reduced population health impact) and the current crisis of evidence-based medicine. Overrated "precision medicine" promises may be serving vested interests, by dictating priorities in the research agenda and justifying the exorbitant healthcare expenditure in our finance-based medicine. If societies aspire to address strong risk factors for non-communicable diseases (such as air pollution, smoking, poor diets, or physical inactivity), they need less medicine and more investment in population prevention strategies.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Rey-López JP,Sá TH,Rezende LFMdoi
10.11606/S1518-8787.2018052000209subject
Has Abstractpub_date
2018-02-05 00:00:00pages
12eissn
0034-8910issn
1518-8787pii
S0034-89102018000100600journal_volume
52pub_type
杂志文章abstract::OBJECTIVE To evaluate the viability of a professional specialist in intra-hospital committees of organ and tissue donation for transplantation.METHODS Epidemiological, retrospective and cross-sectional study (2003-2011 and 2008-2012), which was performed using organ donation for transplants data in the state of Sao Pa...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2015049005770
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To analyze the characteristics, demands and expectations of users of an HIV testing and counseling center. METHODOLOGICAL PROCEDURES:Qualitative research carried out with 32 users of a testing and counseling center in the state of Minas Gerais (southeastern Brazil), from November 2005 to March 2006. The open...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000010
更新日期:2010-06-01 00:00:00
abstract::Vero cells used by distinct measles vaccine control laboratories had their susceptibility to Moraten, Schwarz and Biken CAM-70 vaccine strains assayed. Of a total of 72 lots of measles vaccine whose potency was titrated by microtechnique in two Vero cell samples (Vero IB and Vero INCQS), 25 had been produced with Mora...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101994000300008
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVE:To analyze the reliability and performance of the Portuguese version of questionnaires used to evaluate adherence to hypertensive treatment. METHODS:Hypertensive patients attending a primary healthcare unit in Porto Alegre, Southern Brazil, from January to September 2010, were randomly selected (n = 206). To...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012005000013
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:To study the influence of the distance between infested and non-infested areas in the geographical spread of Aedes aegypti and Aedes albopictuspopulations in the state of S. Paulo. Regional patterns were also studied, considering the determinants related to soil occupation. METHODS:Information related to the...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000600002
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVES:The aim was to carry out a prospective study about the characteristics of the public seen at a psychiatric emergency room and of its service. METHODS:The data were acquired though a protocol developed for this study and applied to all the patients seen during two months. RESULTS:600 protocols were filled o...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000500006
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:To update estimates of sodium intake in Brazil. METHODS:We used data from the Brazilian Household Budget Survey of 2008-2009. Records of food purchases of households were converted into nutrients using food composition tables. Mean sodium availability per person per day and mean adjusted availability for a 2...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047004418
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To assess the prevalence of multimorbidity among Brazilian adults and its association with socioeconomic indicators. METHODS:Cross-sectional study that used data from the Pesquisa Nacional Sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM - Brazilian National Survey on Acce...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054002569
更新日期:2020-12-14 00:00:00
abstract:OBJECTIVE:The study aims to identify children who are not benefited by local health programs, looking for to characterize the excluded segment of the population in order to broaden the access to and use of the main actions provided by local health programs. METHODS:A sample of 465 children aged less than 1 year was st...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000100009
更新日期:2000-02-01 00:00:00
abstract::Considering that in most developing countries there are still no comprehensive lists of addresses for a given geographical area, there has always been a problem in drawing samples from the community, ensuring randomisation in the selection of the subjects. This article discusses the geographical stratification by soci...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101989000600006
更新日期:1989-12-01 00:00:00
abstract:OBJECTIVE:To translate, adapt and validate the contents of the Brazilian version of the Posttraumatic Cognitions Inventory. METHODS:The process of translation and adaptation of the initial instructions and items involved five steps: (1) translation; (2) back translation; (3) correction and semantic adaptation; (4) con...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2013047003474
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:To characterize the polypharmacy in primary health care patients and to identify its associated factors. METHODS:This is a cross-sectional, exploratory, and evaluative study, part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National S...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051007136
更新日期:2017-11-13 00:00:00
abstract::This is a cross-sectional study with a randomized choice of individuals aiming at studying the validity of the Brazilian biological exposure limits applied to lead level in the blood (PbB) and delta-aminolevulinic acid in the urine (ALAU), which are 60 micrograms/dl and 10 mg/g.creat., respectively. For this purpose, ...
journal_title:Revista de saude publica
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1590/s0034-89101996000300007
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVES:No population-based studies have been conducted to show the potential for the use of virological diagnosis of the rabies virus. The objective of the present study was to estimate accuracy parameters for the isolation of the rabies virus in McCoy cells as an alternative method and to compare this with the use...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000200023
更新日期:2004-04-01 00:00:00
abstract::With the purpose of determining the prevalence of vitamin consumption, a survey was conducted in a sample of 894 private university freshmen in São Paulo. It revealed that 30.4% of the students consumed vitamin supplements within the preceding 3 months -23.1% on a regular basis and 6.0% sporadically. Vitamin C and mul...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102002000200021
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of air pollution on hospitalizations for respiratory and cardiovascular diseases in the largest Brazilian metropolis. METHODS:This study was carried out at the Metropolitan Region of São Paulo, Brazil. Environmental data were obtained from the network of monitoring stations of nine mun...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051000223
更新日期:2017-12-04 00:00:00
abstract::The purpose of the study was the identification of risk factors for benign breast diseases (BBD); 257 women with BBD diagnosed through pathological anatomy or cytology and a matched control for each were studied. Subjects were selected at The State University of Campinas Hospital and at a private clinic. To enter the ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101990000500006
更新日期:1990-10-01 00:00:00
abstract::Principal Components Analysis is a multivariate statistical technique for the purpose of examining the interdependence among variables. The main characteristic of this technique is the ability to reduce data, and it is currently used as an adjunct for the development of psychiatric research tools and the classificatio...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101994000400003
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVE:To identify associations of chronic back pain with sociodemographic characteristics, lifestyles, body mass index, self-reported chronic diseases and health assessment, according to sex. METHODS:We analyzed data from the 2013 National Health Survey, estimated the prevalence and their respective 95% confidence...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051000052
更新日期:2017-06-01 00:00:00
abstract::In the Valdivia (Chile) river basin 1,295 inhabitants of 6 riverside districts were examined between March and October 1987 and showed a 1.2% of prevalence by Diphyllobothrium in the districts of Riñihue and Las Huellas. Prevalence of 5.3% and 9.8% respectively were registered in dogs of the districts of Riñihue and M...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101989000100007
更新日期:1989-02-01 00:00:00
abstract:OBJECTIVE:To identify the maternal characteristics and welcoming actions towards mothers of infants aged less than six months associated with early liquid offer. METHODS:Cross-sectional study performed in 2007, with a representative sample of mothers of infants aged less than six months (n=1,057), users of Primary Hea...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000022
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of acute exposure to air pollutants (NO2 and PM10) on hospitalization of adults and older people with cardiovascular diseases in Western São Paulo. METHODS:Daily cardiovascular-related hospitalization data (CID10 - I00 to I99) were acquired by the Department of Informatics of the Braz...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006495
更新日期:2017-03-02 00:00:00
abstract:OBJECTIVE:To examine successful practices of health promotion in health, education, culture, welfare and sport, leisure, identifying the elements of success and challenges in the field. METHODS:A qualitative study with data obtained from in-depth analysis that included participant observation, interviews with managers...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048004596
更新日期:2014-02-01 00:00:00
abstract::The paper discusses the difficulties in judging the quality of scientific manuscripts and describes some common pitfalls that should be avoided when preparing a paper for submission to a peer-reviewed journal. Peer review is an imperfect system, with less than optimal reliability and uncertain validity. However, as it...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000400005
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To examine whether religiousness mediates the relationship between sociodemographic factors, multimorbidity and health-related quality of life of older adults. METHODS:This population-based cross-sectional study is part of the Survey on Health, Well-Being, and Aging (SABE). The sample was composed by 911 old...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2015049005416
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To identify the advantages and disadvantages of using segments compared to a complete address list, for the selection of households in a multistage cluster sampling in slums. METHODOLOGICAL PROCEDURES:A qualitative study was performed in four slums selected by the São Paulo Municipal Health Survey of 2008, a...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011000600012
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVE:To analyze the association between the pictorial graphic health warnings on cigarette packs and their impact on intention to quit smoking among women. METHODS:Population-based cross-sectional study among 265 women daily smokers in the State of Paraná in 2010. The sample size was calculated using cluster samp...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047004782
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To assess (1) the consistency between self-classified and interviewer-classified color/race according to socioeconomic and demographic variables and (2) the magnitude of the ethnic-racial inequalities of income and socioeconomic status using self-classified and interviewer-classified color/race. METHODS:A cr...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000200019
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVE:To examine the association between tooth loss and general and central obesity among adults. METHODS:Population-based cross-sectional study with 1,720 adults aged 20 to 59 years from Florianópolis, Southern Brazil. Home interviews were performed and anthropometric measures were taken. Information on sociodemo...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012000500010
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:To analyze geographic access to hospital childbirth in Brazilian municipalities. METHODS:Information on deaths and births were analyzed in regards to appropriateness for calculating the infant mortality rate during the period 2005 to 2007, for the 5,564 Brazilian municipalities. Indicators of supply and geog...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012005000003
更新日期:2012-02-01 00:00:00