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Letters

Indiscriminate investigations have adverse effects

BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7385.393 (Published 15 February 2003) Cite this as: BMJ 2003;326:393
  1. Julian H Barth (j.h.barth@leeds.ac.uk), consultant in chemical pathology and metabolic medicine,
  2. Richard G Jones, senior lecturer and honorary consultant in chemical pathology
  1. Department of Clinical Biochemistry and Immunology, Leeds Teaching Hospitals NHS Trust, Leeds General Infirmary, Leeds LS1 3EX

    EDITOR—The application of evidence based medicine is leading to better treatments by thorough evaluation of treatments based on analyses of risks and benefits. These balance the beneficial clinical gains against the adverse pharmacological and medical effects, using information derived from randomised controlled trials and cost effectiveness studies. In contrast, no such critical approach has been taken for diagnostic tests nor have the consequences and adverse effects of inappropriate investigations been explored. The …

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