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Letters |7 December 1999

Breast Symptoms in a Health Maintenance Organization

Mary Barton, MD, MPP; Suzanne Fletcher, MD, MSc; Joann Elmore, MD, MPH

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • Harvard Pilgrim Health Care; Boston, MA 02215 (Barton)
    Harvard Pilgrim Health Care; Boston, MA 02215 (Fletcher)
    University of Washington; Seattle, WA 98195 (Elmore)
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IN RESPONSE:
Drs. Stefani and Cadore raise two interesting questions. We drew no conclusions regarding the appropriateness of patients presenting to internal medicine departments; our finding that 71% of initial symptoms were brought to clinicians in internal medicine probably reflects a culture wherein the first contact is with an identified primary care provider; this is also seen in countries other than the United States (1). As we noted in our article, rates of presentation of breast symptoms did not differ by ethnic group, although presenting with a breast symptom was more likely in patients with a family history of breast cancer.
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Barton M, Fletcher S, Elmore J. Breast Symptoms in a Health Maintenance Organization. Ann Intern Med. 1999;131:865–866. doi: 10.7326/0003-4819-131-11-199912070-00016

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Published: Ann Intern Med. 1999;131(11):865-866.

DOI: 10.7326/0003-4819-131-11-199912070-00016

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1999 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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