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Previous Volume 346:1247-1248 April 18, 2002 Number 16 Next

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To the Editor: Goodwin et al. (Dec. 13 issue)¹ report that support groups do not improve survival among women with metastatic breast cancer. We applaud this work but would like to raise several issues regarding its goals and conclusions. The investigators' main objective was to replicate a previous study, by Spiegel et al.² This is not possible. As Spiegel's accompanying editorial³ suggests, breast cancer was a silent disease during the period in which the earlier study was conducted; women who received the diagnosis often felt isolated and without resources.⁴ This is no longer true. Support groups are now one of . . . [Full Text of this Article]

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