Margaret A.Winker, MDIndividualAuthorPhil B.FontanarosaMD, Senior EditorsIndividualAuthor
To the Editor: It was gratifying to read the
American Medical Association's statement on the sale of
non–health-related goods from physicians' offices, generally
condemning this practice. However, the sale of certain
"health-related" items should also be scrutinized.
Anecdotally, I have noticed the sale of high-dose vitamin and mineral
supplements from physicians' offices. The excess mortality observed in
the Alpha-Tocopherol Beta Carotene Cancer Prevention Study2
and the Beta-Carotene and Retinol Efficacy Trial3 in groups
receiving vitamin supplementation for chemoprevention should give pause
not only to physicians who recommend supplements in the absence of
demonstrated benefit from well-designed randomized controlled trials
but also to those who peddle these products.
Lyman A. Sale of Goods From Physicians' Offices. JAMA. 1999;281(1):34. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-1-jbk0106