DAVID H. SPODICK, M.D., D.SC.
To the editor: The editorial by Goldberg and associates in the January issue (1) is a masterly condensation of the state of the art of intracoronary thrombolysis. As is almost de rigeuer, there is a final call for "carefully designed multicenter randomized trials." I am certain that these authors are quite sincere. One wonders, however, as too often in the past, whether the genie is out of the bottle. Catheterization laboratories are picking up this approach everywhere and on pseudoethical grounds they will once again "not be able to deny" their patients a treatment that they "know" works.
DAVID H. SPODICK. Trials of New Methods. Ann Intern Med. 1982;96:377. doi: 10.7326/0003-4819-96-3-377_1
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Published: Ann Intern Med. 1982;96(3):377.
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