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Appropriate comparison would be to compare the best of the old treatments with the best of the new

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6982.802d (Published 25 March 1995) Cite this as: BMJ 1995;310:802
  1. Hugh O'Connor,
  2. Anthony Davies,
  3. Adam Magos
  1. Clinical research fellow Clinical research fellow Consultant gynaecologist Minimally Invasive Therapy Unit and Endoscopy Training Centre, University Department of Obstetrics and Gynaecology, Royal Free Hospital, London NW3 2QG

    EDITOR,—S B Pinion and colleagues compared hysterectomy with endometrial ablation in the management of menorrhagia and not just dysfunctional uterine bleeding as suggested in the title of their paper.1 Of the group treated conservatively, 29% had positive findings, mainly fibroids; the percentage with positive findings rose to 34% in those treated by hysterectomy. While there is no evidence that endometrial ablation is appreciably less effective in women with small submucous fibroids,2 the title is nevertheless misleading.

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