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Editor's Correspondence |

Rhetorical Techniques in Contexts Other Than Cardiac Resynchronization Therapy—Reply

John Wilson, MD
Arch Intern Med. 2012;172(4):372-373. doi:10.1001/archinternmed.2011.1411.
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Jolobe suggests an interesting parallel between the adoption of laparoscopic cholecystectomy and the adoption of cardiac resynchronization therapy (CRT). The proposed common thread is a rush to adopt a new therapy without a full appreciation of risks leading to increased procedural complications.

There are clear similarities between how the 2 techniques have been adopted. There are also similarities in outcomes. Jolobe cites a surge in claims linked to cholecystectomy complications following the increasing use of laparoscopic cholecystectomy.1 Reynolds et al2 noted a higher than expected device complication rate in Medicare patients following the wider adoption of CRT and defibrillator therapy.

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February 27, 2012
Oscar M. P. Jolobe, MRCP(UK)
Arch Intern Med. 2012;172(4):372-373. doi:10.1001/archinternmed.2011.770.
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