Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
In Reply.—We fully agree with Dr Bransfield that patients' welfare is the primary responsibility of all physicians. However, our study did not evaluate the cost of treating early-stage LD. We did address the cost of noncontributory tests and treatment of unproven benefit, and since we did not intend to perform a cost-benefit analysis, we did not assess the cost of illness. Physicians certainly must safeguard their patients' welfare, and cost and benefit cannot be the only measures of appropriate managements. However, unnecessary testing and treatment never benefit patients.
Fix AD, Strickland GT. Diagnosis, Treatment, and Prevention of Lyme Disease—Reply. JAMA. 1998;280(12):1049-1051. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-12-jbk0923