Medical journals and the “real world”

BMJ 2002; 325 doi: http://dx.doi.org/10.1136/bmj.325.7354.0/g (Published 6 July 2002)
Cite this as: BMJ 2002;325:0.8

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

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

Medical journals are often accused of being remote from the real world. They present the results of trials conducted on highly selected patients in ideal circumstances. They view the world from London, Boston, or Chicago unaware that in Peioria or Harrogate patients don't turn up, won't comply with treatments, and scoff at “patient centredness” and that the local hospitals are falling down and run by people who until yesterday were running sewage plants. Well, this issue has a whiff—even a stink—from the real world.

The BMJ has published many studies suggesting that serum screening for Down's syndrome in pregnant women is …

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

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

Article access

Article access for 1 day

Purchase this article for £20 $30 €32*

The PDF version can be downloaded as your personal record

* Prices do not include VAT

THIS WEEK'S POLL