Clinical Problem-Solving: Trapped by an Incidental Finding

Roger M. Cass, Lawrence H. Phillips, Thomas B. Newman, J. Walden Retan, Joseph T. Ferrucci, J. W. Conklin, Barry C. Herzlich, Thomas D. Schiano, Norman Brunner, Mark A. Van Kooy, Stephen G. Pauker, Richard I. Kopelman

Research output: Contribution to journalLetterpeer-review

1 Scopus citations


To the Editor: Pauker and Kopelman should be congratulated on their excellent first article in the new Clinical Problem-Solving series in the Journal (Jan. 2 issue).* This article dramatically demonstrates one of the reasons our nation's health care costs — even with a substantial proportion of our population uninsured for medical expenses — now consume 14 percent of our gross national product: the diagnostic wild-goose chase. Since the $900 spent on this diagnostic workup did not produce any clinically useful information, did not alleviate the physician's feelings of uncertainty, and was harmful to the patient to the extent that it…

Original languageEnglish
Pages (from-to)1431-1433
Number of pages3
JournalNew England Journal of Medicine
Issue number21
StatePublished - 21 May 1992
Externally publishedYes


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