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Comment & Response
August 2017

Discrepant Expectations About Benefits and Harms

Author Affiliations
  • 1Department of Philosophy, King’s College London, London, United Kingdom
  • 2Department of Psychiatry, Pontificia Universidad Católica de Chile, Santiago, Chile
  • 3Faculty of Medicine, University of Toronto, Toronto, Canada
JAMA Intern Med. 2017;177(8):1226. doi:10.1001/jamainternmed.2017.2383

To the Editor We appreciate the systematic review by Hoffmann and Del Mar1 in a recent issue of JAMA Internal Medicine estimating the accuracy of physicians’ expectations of benefits and harms and worry with them that inaccuracies may lead to suboptimal medical care. Nonetheless, we are concerned that their approach might obscure rather than illuminate the measurement of physicians’ predictive accuracy and its implications.

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