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Previous Volume 361:1316-1317 September 24, 2009 Number 13 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: Although evidence-based, cost-effective medicine is an important concept and a goal to strive for, these concepts must be applied in a way that is cognizant of the needs of real-world patients. The decision by the Centers for Medicare and Medicaid Services (CMS) to deny Medicare beneficiaries access to computed tomographic (CT) colonography, as discussed in the Perspective article by Dhruva et al. (June 25 issue),¹ will adversely affect tens of thousands of America's seniors. Contrary to statements made by the CMS, data that are specific to a population over the age of 65 years exist and show . . . [Full Text of this Article]

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