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Previous Volume 330:1748-1749 June 16, 1994 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In this issue of the Journal, Gabriel and colleagues report that they were unable to find an increased risk of certain disorders -- principally connective-tissue diseases -- in women who had breast implants¹. Until now there has been almost no reliable evidence bearing on the subject². Yet, despite the paucity of evidence, much of the public believes that breast implants cause connective-tissue diseases, and judges and juries have awarded large settlements to women in this belief. Why has the hypothesis that breast implants cause these diseases been so readily accepted with so little evidence to support it? And . . . [Full Text of this Article]

References

Related Letters:

Science in the Courtroom
Kovarsky J., Frank G. I., Angell M.
Extract | Full Text  
N Engl J Med 1994; 331:1099, Oct 20, 1994. Correspondence

Breast Implants and Connective-Tissue Diseases
Solomon G., Espinoza L., Silverman S., Royce P. C., Naim J. O., Lanzafame R. J., van Oss C. J., Spiera R. F., Gibofsky A., Spiera H., Wallace D. J., Schwartz E., Wong O., Levine A. M., Gabriel S. E., O'Fallon W. M., Kurland L. T., Luce E. A.
Extract | Full Text  
N Engl J Med 1994; 331:1231-1235, Nov 3, 1994. Correspondence

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• Angell, M. (1996). Evaluating the Health Risks of Breast Implants: The Interplay of Medical Science, the Law, and Public Opinion. NEJM 334: 1513-1518 [Full Text]  
• Sanchez-Guerrero, J., Colditz, G. A., Karlson, E. W., Hunter, D. J., Speizer, F. E., Liang, M. H. (1995). Silicone Breast Implants and the Risk of Connective-Tissue Diseases and Symptoms. NEJM 332: 1666-1670 [Abstract] [Full Text]  
• Solomon, G., Espinoza, L., Silverman, S., Royce, P. C., Naim, J. O., Lanzafame, R. J., van Oss, C. J., Spiera, R. F., Gibofsky, A., Spiera, H., Wallace, D. J., Schwartz, E., Wong, O., Levine, A. M., Gabriel, S. E., O'Fallon, W. M., Kurland, L. T., Luce, E. A. (1994). Breast Implants and Connective-Tissue Diseases. NEJM 331: 1231-1235 [Full Text]  
• Kovarsky, J., Frank, G. I., Angell, M. (1994). Science in the Courtroom. NEJM 331: 1099-1099 [Full Text]  
• Sanchez-Guerrero, J, Liang, M H (1994). Silicone breast implants and connective tissue diseases. BMJ 309: 822-823 [Full Text]