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Chlamydia & PIDFrom: DoctorJoe@aol.comMon Jun 3 08:33:42 1996
Just putting this on for Kevin Ault... He's in the process of moving to Iowa. ++++++++++++++++++++++++++++++++++++++++++++ From: kault@tyrell.net To: DoctorJoe@aol.com Could you please cross post this reply to the list? Here's why I think the NEJM article is important. I think that we need to really justify routine tests that we do. In the HMO setting of this study it made good economic and medical sense to screen women for Chlamydia. Dr. Wasserheit of the CDC was interviewed on NPR and she said that a Chlamydia test is something that every young women in her teens and twenties should be offered. In Missouri, Medicaid and Medicare are becoming HMO's. Their initial decision was to test for Chlamydia only if the woman was sympomatic. Of course this misses 60-70% of Chlamydia and will lead to more PID, ectopics, etc. I think that "outcomes" based research such as the NEJM article is the way to go to educate the people holding the pursestrings. - Kevin Ault, MD University of Kansas Medical Center Kansas City KS ++++++++++++++++++++++++++++++++++++++++++++++++
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