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Previous Volume 339:1478-1481 November 12, 1998 Number 20 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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To the Editor: The article by Ayanian and colleagues (June 25 issue),¹ reporting agreement among specialists with respect to indications for cardiac catheterization, provides reassuring data for patients seeking second opinions. These data, however, are based on expert opinions rendered on abstract descriptions of common clinical indications, rather than on specific cases, which may have different combinations of clinical and diagnostic factors. We wish to sound a note of caution about ratings of appropriateness derived in this manner, since our data yielded quite different conclusions.

In the course of a study of the efficacy of cardiac nuclear scanning,^2,3,4 we prepared . . . [Full Text of this Article]

References

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