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Lung Cancer Screening at Any Price?
Victor R. Grann, MD, MPH;
Alfred I. Neugut, MD, PhD
JAMA. 2003;289:357-358.
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Most biomedical research focuses on the quest to discover new methods for reducing morbidity and mortality from serious illnesses. Once these interventions are created and developed, the next steps in science are directed toward confirmation of the efficacy and effectiveness of these interventions and then estimating their potential impact. On some level, for most investigators, this represents the be-all and end-all of research.
The last decade of medical practice and the changes that have occurred have led to a dramatic alteration in how clinicians perceive the utility of these interventions. No longer is it sufficient that a medication or procedure prolong life or even cure the patient. Today, medical costs also play a role in assessments and judgments of what interventions to use and under what circumstances to use them. In an era of limited resources, these judgments enable physicians . . . [Full Text of this Article]
Author Affiliations: Department of Medicine and Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
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