Roger M. Cass, MD
To the Editor: Oboler and LaForce ( 1 ), recommend, because of their low diagnostic yield, that various screening maneuvers done in the physical examination be omitted when examining asymptomatic adults, and done instead at specified intervals. We live in an age of tremendous medical anxiety: The patients who come to my office are rarely asymptomatic or without concern, except those who come for examinations mandated by third parties. Friedman and colleagues (2) found that patients who had periodic evaluations had significantly lower mortality from colorectal cancer and hypertension. Hypercholesterolemia is being widely treated, and, as a result, mortality from
Cass RM. The Periodic Physical Examination in Asymptomatic Persons. Ann Intern Med. ;110:941–942. doi: 10.7326/0003-4819-110-11-941
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Published: Ann Intern Med. 1989;110(11):941-942.
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