0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Do Physicians Have an Obligation to Disclose the Uncertainty About Harms or Just the Harms?—Reply

Tanner J. Caverly, MD, MPH1,2; Allan V. Prochazka, MD, MSc1,2; Chad Stickrath, MD1,2
[+] Author Affiliations
1Division of General Internal Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora
2Denver Veterans Affairs Medical Center, Denver, Colorado
JAMA Intern Med. 2013;173(18):1752. doi:10.1001/jamainternmed.2013.8462.
Text Size: A A A
Published online

Extract

In Reply We appreciate Dr Jha’s thoughtful response to our article.1 We agree that there is significant uncertainty and disagreement among experts about estimating the exact cancer risk associated with the ionizing radiation from computed tomographic (CT) imaging; informing patients about this uncertainty is a difficult task.

However, the case for an increased incidence of cancer among those exposed to the levels of radiation found in typical CT scans does not rely on modeling, as Jha suggests. Recent large-scale epidemiologic studies have quantified a small but seemingly real and dose-dependent cancer risk associated with CT scans among children and adolescents after only 10 years of follow-up.2,3 This evidence adds to earlier epidemiologic evidence that identified an increased incidence of cancer among atomic bomb survivors of all ages whose mean level of exposure to ionizing radiation was equivalent to 2 to 3 CT scans.4

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

October 14, 2013
Saurabh Jha, MD, MS
1Department of Radiology, Hospital of University of Pennsylvania, Philadelphia
JAMA Intern Med. 2013;173(18):1751-1752. doi:10.1001/jamainternmed.2013.8471.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Related Collections
Jobs
brightcove.createExperiences();