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March 31, 2025
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Recommendations of the Spanish Society of Endocrinology and Nutrition (SEEN) on "what not to do" in clinical practice

Publicated to: Endocrinologia Diabetes y Nutricion. 72 (3): 101531- - 2025-03-01 72(3), DOI: 10.1016/j.endien.2025.101531

Authors:

Díez, JJ; Anda, E; Bretón, I; González-Blanco, C; Miguélez, M; Zugasti, A; Fernández, A
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Affiliations

Fdn Jimenez Diaz, Serv Endocrinol & Nutr, Madrid, Spain - Author
Hosp Gen Univ Gregorio Maranon, Serv Endocrinol, Madrid, Spain - Author
Hosp Gen Univ Valencia, Serv Endocrinol & Nutr, Valencia, Spain - Author
Hosp Univ Mostoles, Serv Endocrinol & Nutr, Madrid, Spain - Author
Hosp Univ Navarra, Serv Endocrinol & Nutr, Pamplona, Spain - Author
Univ Autonoma Madrid, Hosp Univ Puerta Hierro Majadahonda, Dept Med, Inst Invest Sanitaria Puerta Hierro Segovia Arana,, Madrid, Spain - Author
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Abstract

Quality healthcare should be grounded on clinical practice with the highest benefitrisk ratio and cost-effectiveness according to the available scientific evidence. The overuse of unproven diagnostic or therapeutic procedures is common in our setting and leads to increased healthcare spending and even iatrogenic harm. Previous cost-effectiveness initiatives have proposed identifying diagnostic and therapeutic measures that are better 'not done' in certain clinical contexts under the lens of the available scientific evidence. In this regard, the Spanish Society of Endocrinology and Nutrition (SEEN) has compiled a series of 'not-to-do' recommendations from its various working groups. These recommendations cover common clinical situations classified into the following thematic areas: diabetes, nutrition, pituitary gland, neuroendocrine tumors, thyroid, and hormone replacement therapy in postmenopausal women. (c) 2024 SEEN and SED. Published by Elsevier Espana, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
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Keywords

American associationBariatric surgeryBioidentical hormoneBioidentical hormonesCarcinoma diferenciado de tiroidesChromogranin aCost-effectivenessCoste-efectividadCromogranina aCushing syndromeCushings-syndromeDeficiencia de hormona de crecimientoDiabetes gestacionalDiabetes mellitusDiagnosiDifferentiated thyroid carcinomaGestational diabetesGrowth hormone deficiencyGrowth-hormone deficiencyHipercortisolismoHiperprolactinemiaHipoglucemiaHormonas bioidénticasHormone replacement therapyHypercortisolismHyperprolactinemiaHypoglycemiaIatrogenicIncidentaloma hipofisarioManagementMenopauseMenopausiaMetforminMetforminaNeuroendocrine tumorsNódulo tiroideoObesidadObesityOverdiagnosisPancreatic neuroendocrine tumourPituitary incidentalomaPituitary-adenomasPrediabetesShort statureSíndrome de cushingSobrediagnósticoTalla bajaTerapia hormonal sustitutivaTherapyThyroid association guidelinesThyroid noduleThyroid stimulating hormone suppressionTratamiento hormonal supresorTumor neuroendocrino pancreáticoTumores neuroendocrinosYatrogenia

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Endocrinologia Diabetes y Nutricion, and although the journal is classified in the quartile Q3 (Agencia WoS (JCR)), its regional focus and specialization in Nutrition & Dietetics, give it significant recognition in a specific niche of scientific knowledge at an international level.

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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-05:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 5.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 5 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 2 (Altmetric).
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Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Diez, Juan Jose) .

the author responsible for correspondence tasks has been Diez, Juan Jose.

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