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Correspondence
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Volume 342:58-59 January 6, 2000 Number 1
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Clinical Efficacy of Grass-Pollen Immunotherapy

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 by Durham, S. R.
To the Editor: The study by Durham et al. (Aug. 12 issue)1 of the clinical efficacy of grass-pollen immunotherapy has a complex design. According to the authors, the study is a randomized, double-blind, placebo-controlled study of the discontinuation of immunotherapy in patients with rhinitis. The authors conclude that "immunotherapy for grass-pollen allergy for three to four years induces prolonged clinical remission."

The design of the study has a flaw that we believe invalidates their conclusion: it did not include a randomized group that received placebo to control for the spontaneous course of rhinitis. In 1988, patients were randomly assigned to . . . [Full Text of this Article]

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