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Letters Palivizumab

An example of indication creep

BMJ 2009; 339 doi: (Published 06 July 2009) Cite this as: BMJ 2009;339:b2724
  1. David Isaacs, professor of paediatric infectious diseases1
  1. 1Children’s Hospital at Westmead, Westmead, NSW 2145, Australia
  1. davidi{at}

    Teale and colleagues argue for the cost effectiveness of drugs to be considered when making decisions about funding.1 Their example, palivizumab, is a classic illustration of indication creep. An extremely expensive drug that reduces admission for respiratory syncytial virus but has not been shown to …

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