Costs were overestimated

doi:10.1136/bmj.311.7016.1372

From trainee to consultant, BMJ Group offers doctors around the world tailored information, special events, learning resources and recruitment services at every step along their career path.

... by doctors, for doctors, for patients
We are open for entries!

Online learning

BMJ Learning

High-quality CME / CPD for doctors and other healthcare professionals. BMJ Learning features hundreds of accredited, peer-reviewed learning modules in text, video, and audio formats. Find out more

Courses and Qualifications

BMJ Masterclasses

BMJ Masterclasses, led by experts, help clinicians to use the latest evidence and recent guidelines in practice and meet their CPD/CME requirements. Find out more

Exam Preparation

The leading provider of online exam preparation, helping over 167,000 healthcare professionals to pass their exams. Find out more

onExamination

Search all BMJ comment articles:

From

Limit by

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

T M Reynolds

Consultant chemical pathologist Clinical Chemistry Department, Burton Hospitals NHS Trust, Burton upon Trent, Staffordshire DE13 0RB

EDITOR,--J Fletcher and colleagues' paper on using decision analysis to evaluate screening for Down's syndrome is valuable, but several extra factors need to be considered.1 The authors state that screening causes anxiety but fail to mention the reassurance that it gives to many women. In addition, they based their study on use of the triple test despite the considerable body of evidence showing that a double test is as effective.2 3 Indeed, the national external quality assurance scheme's reports on Down's …