George Hunter Myers, MD
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To the editor: As Friedman and colleagues (1) point out, decision analysis provides answers to questions that cannot or will not be answered by traditional clinical studies. It relies on existing studies and estimates that may be flawed to determine probabilities, but it uses a wide variation of event probabilities to strengthen the conclusions.
At a recent meeting of our medicine housestaff journal club, we reviewed the article by Friedman and colleagues (1) on asymptomatic gallstones in diabetic patients. After struggling with the methodology of a decision analysis and agreeing with the conclusions, one resident asked, "How many diabetic patients
Myers GH. Asymptomatic Gallstones. Ann Intern Med. ;110:573. doi: 10.7326/0003-4819-110-7-573_1
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Published: Ann Intern Med. 1989;110(7):573.
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