EDITOR,—June M C McArdle and colleagues end their paper by saying that “the failure to reduce morbidity in the combined approach [routine care plus support from a breast care nurse and a voluntary organisation] is difficult to explain.”1 This logic is not supported by the data presented.

An overconcentration on P values at the expense of descriptive trends seems to have led the authors to conclude that “scores were consistently lower in patients offered support from [a] breast care nurse alone compared with the other …