People with genital warts may do better if they treat themselves rather than attending a genitourinary clinic. For 358 immunocompetent adults participating in a randomised controlled trial of self applied podophyllotoxin 0.5% solution or 0.15% cream, compared with clinic treatment with 25% podophyllin, self treatment worked best. The 0.5% solution was most cost effective, but warts reoccurred in more than 40% of participants, equally across the three groups (Sexually Transmitted Infections 2003; 79: 270-5

Clinics, on the other hand, may be better for anticoagulation than are family doctors. The authors of a study inCMAJ (2003;169: 293-8) say it shows that both models of care …