Performing hysterectomy in low income women may be easier than educating them

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7108.603 (Published 06 September 1997) Cite this as: BMJ 1997;315:603
  1. John P Bunker, Visiting professora
  1. a Rayne Institute, Cancer Research Campaign Clinical Trials Centre, London SE5 9NU

    Editor—Gianfranco Domenighetti and Antione Casabianca question the results of a study cited by R J Lilford in his editorial on payment for hysterectomy.1 2 The study, which they describe as “seriously flawed,” was of “the physician-patient as an informed consumer of surgical services,” and Brown and I conducted it in Santa Clara, California, some 23 years ago.3 The lifetime probability of hysterectomy for the wives of doctors in this wealthy and highly educated community was 55%, while that reported for the United States as …

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