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BMJ 2003;327 (15 November), doi:10.1136/bmj.327.7424.0-b
Many clinical tests used in respiratory medicine are not supported by strong evidence of their quality. Borrill and colleagues (p 1136) analysed diagnostic or confirmatory tests, and trials of therapy, in 90 consecutive patients referred to a respiratory clinic. The tests were graded according to a scale from the Centre for Evidence Based Medicine. The authors found that only 50% of diagnostic tests and 20% of tests used to monitor a known condition were supported by a strong level of evidence.
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Credit: SHEILA TERRY/SPL
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