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September 23/30, 1998

Diagnosis, Treatment, and Prevention of Lyme Disease—Reply

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor


Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

JAMA. 1998;280(12):1049-1051. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-12-jbk0923

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.

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