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

doi:10.1056/NEJM199205213262112

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 journal › Letter › peer-review

1 Scopus citations

Abstract

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 language	English
Pages (from-to)	1431-1433
Number of pages	3
Journal	New England Journal of Medicine
Volume	326
Issue number	21
DOIs	https://doi.org/10.1056/NEJM199205213262112
State	Published - 21 May 1992
Externally published	Yes

Access to Document

10.1056/NEJM199205213262112

Cite this

@article{857f823a30e14ebc97bf6cfcdbd1faeb,

title = "Clinical Problem-Solving: Trapped by an Incidental Finding",

abstract = "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…",

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

year = "1992",

month = may,

day = "21",

doi = "10.1056/NEJM199205213262112",

language = "English",

volume = "326",

pages = "1431--1433",

journal = "New England Journal of Medicine",

issn = "0028-4793",

publisher = "Massachussetts Medical Society",

number = "21",

}

TY - JOUR

T1 - Clinical Problem-Solving

T2 - Trapped by an Incidental Finding

AU - Cass, Roger M.

AU - Phillips, Lawrence H.

AU - Newman, Thomas B.

AU - Retan, J. Walden

AU - Ferrucci, Joseph T.

AU - Conklin, J. W.

AU - Herzlich, Barry C.

AU - Schiano, Thomas D.

AU - Brunner, Norman

AU - Van Kooy, Mark A.

AU - Pauker, Stephen G.

AU - Kopelman, Richard I.

PY - 1992/5/21

Y1 - 1992/5/21

N2 - 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…

AB - 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…

UR - http://www.scopus.com/inward/record.url?scp=0027124632&partnerID=8YFLogxK

U2 - 10.1056/NEJM199205213262112

DO - 10.1056/NEJM199205213262112

M3 - Letter

C2 - 1520369

AN - SCOPUS:0027124632

SN - 0028-4793

VL - 326

SP - 1431

EP - 1433

JO - New England Journal of Medicine

JF - New England Journal of Medicine

IS - 21

ER -

Clinical Problem-Solving: Trapped by an Incidental Finding

Abstract

Access to Document

Fingerprint

Cite this