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Cost-Effectiveness of Pharyngitis Management and Prevention of Rheumatic Fever

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Robert Wood Johnson Clinical Scholar, Departments of Pediatrics and Medicine, Stanford University School of Medicine; Stanford, California

Ann Intern Med. 1977;86(4):497-499. doi:10.7326/0003-4819-86-4-497
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Sore throat is the fourth most common symptom seen in medical practice (1). New management recommendations, such as those suggested by Tompkins, Burnes, and Cable in this issue (p. 481), as the result of a cost-effectiveness analysis, can have widespread impact and demand careful evaluation. This kind of analytic approach is being used increasingly to make both medical and policy decisions, but one must recognize the number of inputs subject to the frailties of existing data and value judgments.

Few physicians would disagree with treating all patients with pharyngitis during a rheumatic fever epidemic. Criteria for recognizing and managing epidemics


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