RICHARD N. LIND, M.D.
To the editor: Shapiro and Greenfield (1) would have us believe that the complete blood count is not a useful screening procedure in general medical practice. This study sponsored by Blue Cross and Blue Shield raises serious questions. The article's inferences are broad but it is based on studies that quite possibly were done with the same financial motive shared by third-party payers. How many of the patients in Elwood and associates' (2) study without "serious illness" causing their anemia had treatable conditions that went unidentified because of inadequate further work-up? How many patients with stools negative for occult blood
LIND RN. Complete Blood Counts. Ann Intern Med. ;106:775–776. doi: 10.7326/0003-4819-106-5-775_3
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Published: Ann Intern Med. 1987;106(5):775-776.
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