John R. Feussner, MD; David B. Matchar, MD
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To the Editor: We need to reply to several comments in Drs. Gomez and Horenstein's letter (1) in the 15 July issue. We believe that clinical experience, combined with formal training in research methods and analytical techniques such as decision analysis, facilitates critical evaluation of the clinical literature and crafting of recommendations that maximize patient benefit. We believe that two important concepts in our paper (2) were not fully appreciated by Drs. Gomez and Horenstein. First, throughout our analysis we coupled diagnostic decisions to therapeutic actions. Second, we emphasized the need to know information that affects patient management rather than
Feussner JR, Matchar DB. Reply to a Letter on Carotid Endarterectomy. Ann Intern Med. ;111:540–541. doi: 10.7326/0003-4819-111-6-540_2
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Published: Ann Intern Med. 1989;111(6):540-541.
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