Authors' reply

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7035.910 (Published 06 April 1996) Cite this as: BMJ 1996;312:910
  1. H S Cuckle,
  2. G A Richardson,
  3. T A Sheldon,
  4. P Quirke
  1. Professor of reproductive epidemiology Centre for Reproduction, Growth, and Development, Research School of Medicine, University of Leeds, Leeds LS2 9LN
  2. Research fellow Centre for Health Economics, University of York, York YO1 5DD
  3. Director NHS Centre for Reviews and Dissemination, University of York, York YO1 5DD
  4. Reader Molecular Oncology, Centre for Cancer Research, University of Leeds, Leeds LS2 9JT

    EDITOR,—Counselling is an important component of screening, but unless an appropriate level is adopted the cost will be unsupportable. Therefore in our analysis we used two levels: a low cost option (basic information in a leaflet, which was reinforced by a midwife or general practitioner) for all people who might be screened, and expensive genetic counselling (by a nurse specialist) for carrier couples. Unlike David J H Brock, Joan Morris, and Richard A Doherty and colleagues, we are not convinced that the expensive option is needed for carrier women whose …

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