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JNCI Journal of the National Cancer Institute 2004 96(3):164-165; doi:10.1093/jnci/djh044
© 2004 by Oxford University Press
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© 2004 Oxford University Press

EDITORIAL

A Model Is a Model: A Decision Analysis for Rectal Cancer

Joel Tepper, David Morris

Affiliations of authors: University of Washington, Seattle, WA (JGE); Dartmouth Medical School, Lebanon, NH (PAC).

Correspondence to: Joann G. Elmore, MD, MPH, University of Washington School of Medicine, Harborview Medical Center, 325 Ninth Ave., Box 359780, Seattle, WA 98104-2499 (e-mail: jelmore@u.washington.edu)

The first 10% of the full text of this article appears below.

Many years ago, when I was a medical intern, I had a patient who presented with a very early stage breast cancer. The resident wished to get a bone scan on the patient. Given the very low risk of a positive test, I inquired whether this was really necessary. His response was, "Well, what if it is positive?" Although not usually stated that blatantly, many of the decisions we as clinicians make are often based on a similar low level of clinical insight into the possible benefits of a procedure. Clinicians are routinely faced with the question of how much should be done to a cancer patient. The question is faced at all phases of patient . . . [Full Text of this Article]


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