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Robert H. Fletcher, M.D.

TitleProfessor of Ambulatory Care and Prevention, Emeritus
InstitutionHarvard Pilgrim Healthcare
DepartmentEmeritus
AddressAmbulatory Care and Prevention
HMS/HPHC 6th Fl
133 Brookline Ave
Boston MA 02215
Phone617/509-9899
Fax617/859-8112

 Bibliographic 
 selected publications
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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  1. Fletcher RH. Annual or biennial FOBT screening reduced colorectal cancer mortality, but not all-cause mortality, at 30 years. Ann Intern Med. 2014 Jan 21; 160(2):JC2.
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  2. Eldridge RC, Doubeni CA, Fletcher RH, Zauber AG, Corley DA, Doria-Rose VP, Goodman M. Uncontrolled confounding in studies of screening effectiveness: an example of colonoscopy. J Med Screen. 2013; 20(4):198-207.
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  3. Fletcher RH. Automated reminders and increasing intense support increased uptake of colorectal cancer screening. Ann Intern Med. 2013 Jun 18; 158(12):JC8.
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  4. Fletcher RH. The risk of taking ascorbic Acid. JAMA Intern Med. 2013 Mar 11; 173(5):375-94.
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  5. Doubeni CA, Weinmann S, Adams K, Kamineni A, Buist DS, Ash AS, Rutter CM, Doria-Rose VP, Corley DA, Greenlee RT, Chubak J, Williams A, Kroll-Desrosiers AR, Johnson E, Webster J, Richert-Boe K, Levin TR, Fletcher RH, Weiss NS. Screening colonoscopy and risk for incident late-stage colorectal cancer diagnosis in average-risk adults: a nested case-control study. Ann Intern Med. 2013 Mar 5; 158(5 Pt 1):312-20.
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  6. Ferris LE, Fletcher RH. Conflict of interest in Peer-Reviewed medical journals: the World Association of Medical Editors (WAME) position on a challenging problem. Cardiovasc Diagn Ther. 2012 Sep; 2(3):188-91.
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  7. Doubeni CA, Jambaulikar GD, Fouayzi H, Robinson SB, Gunter MJ, Field TS, Roblin DW, Fletcher RH. Neighborhood socioeconomic status and use of colonoscopy in an insured population--a retrospective cohort study. PLoS One. 2012; 7(5):e36392.
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  8. Fletcher RH. ACP Journal Club. Immunochemical FOBT was accurate for detecting colorectal cancer but less so for other GI lesions. Ann Intern Med. 2012 Feb 21; 156(4):JC2-10.
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  9. Freeman E, Fletcher R, Collins CE, Morgan PJ, Burrows T, Callister R. Preventing and treating childhood obesity: time to target fathers. Int J Obes (Lond). 2012 Jan; 36(1):12-5.
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  10. Fletcher RH. Screening under scrutiny. Am J Epidemiol. 2011 Jul 15; 174(2):127-8.
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  11. Lasser KE, Murillo J, Lisboa S, Casimir AN, Valley-Shah L, Emmons KM, Fletcher RH, Ayanian JZ. Colorectal cancer screening among ethnically diverse, low-income patients: a randomized controlled trial. Arch Intern Med. 2011 May 23; 171(10):906-12.
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  12. Fletcher RH, Nadel MR, Allen JI, Dominitz JA, Faigel DO, Johnson DA, Lane DS, Lieberman D, Pope JB, Potter MB, Robin DP, Schroy PC, Smith RA. The quality of colonoscopy services--responsibilities of referring clinicians: a consensus statement of the Quality Assurance Task Group, National Colorectal Cancer Roundtable. J Gen Intern Med. 2010 Nov; 25(11):1230-4.
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  13. Morgan PJ, Lubans DR, Callister R, Okely AD, Burrows TL, Fletcher R, Collins CE. The 'Healthy Dads, Healthy Kids' randomized controlled trial: efficacy of a healthy lifestyle program for overweight fathers and their children. Int J Obes (Lond). 2011 Mar; 35(3):436-47.
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  14. Doubeni CA, Laiyemo AO, Young AC, Klabunde CN, Reed G, Field TS, Fletcher RH. Primary care, economic barriers to health care, and use of colorectal cancer screening tests among Medicare enrollees over time. Ann Fam Med. 2010 Jul-Aug; 8(4):299-307.
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  15. Fletcher RH. ACP Journal Club. Immunochemical FOBT had higher participation and detection rates than guaiac-based FOBT for colorectal cancer screening. Ann Intern Med. 2010 Jun 15; 152(12):JC6-2.
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  16. Ferris LE, Fletcher RH. Conflict of interest in peer-reviewed medical journals: the World Association of Medical Editors (WAME) position on a challenging problem. J Prim Health Care. 2010 Jun; 2(2):171-3.
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  17. Ferris LE, Fletcher RH. Conflict of interest in peer-reviewed medical journals: The world association of medical editors position on a challenging problem. Pharmacogn Mag. 2010 Apr; 6(22):71-3.
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  18. Ferris LE, Fletcher RH. Conflict of interest in peer-reviewed medical journals: the World Association of Medical Editors' position on a challenging problem. Acad Med. 2010 May; 85(5):739-41.
    View in: PubMed
  19. Ferris LE, Fletcher RH. Conflict of interest in peer-reviewed medical journals: the World Association of Medical Editors (WAME) position on a challenging problem. Int J Occup Environ Med. 2010 Apr; 1(2):55-9.
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  20. Ferris LE, Fletcher RH. Conflict of interest in peer-reviewed medical journals: the world association of medical editors position on a challenging problem. J Young Pharm. 2010 Apr; 2(2):113-5.
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  21. Ferris LE, Fletcher RH. Conflict of interest in peer-reviewed medical journals: the World Association of Medical Editors (WAME) position on a challenging problem. Neurosurgery. 2010 Apr; 66(4):629-30.
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  22. Fisher DA, Zullig LL, Grambow SC, Abbott DH, Sandler RS, Fletcher RH, El-Serag HB, Provenzale D. Determinants of medical system delay in the diagnosis of colorectal cancer within the Veteran Affairs Health System. Dig Dis Sci. 2010 May; 55(5):1434-41.
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  23. Kahn KL, Adams JL, Weeks JC, Chrischilles EA, Schrag D, Ayanian JZ, Kiefe CI, Ganz PA, Bhoopalam N, Potosky AL, Harrington DP, Fletcher RH. Adjuvant chemotherapy use and adverse events among older patients with stage III colon cancer. JAMA. 2010 Mar 17; 303(11):1037-45.
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  24. Ferris LE, Fletcher RH. Conflict of interest in peer-reviewed medical journals: the World Association of Medical Editors (WAME) position on a challenging problem. Natl Med J India. 2010 Mar-Apr; 23(2):65-8.
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  25. Rogers SO, Gray SW, Landrum MB, Klabunde CN, Kahn KL, Fletcher RH, Clauser S, Tisnado D, Doucette W, Keating NL. Variations in surgeon treatment recommendations for lobectomy in early-stage non-small-cell lung cancer by patient age and comorbidity. Ann Surg Oncol. 2010 Jun; 17(6):1581-8.
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  26. Simon SR, Zhang F, Soumerai SB, Ensroth A, Bernstein L, Fletcher RH, Ross-Degnan D. Failure of automated telephone outreach with speech recognition to improve colorectal cancer screening: a randomized controlled trial. Arch Intern Med. 2010 Feb 8; 170(3):264-70.
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  27. Doubeni CA, Laiyemo AO, Klabunde CN, Young AC, Field TS, Fletcher RH. Racial and ethnic trends of colorectal cancer screening among Medicare enrollees. Am J Prev Med. 2010 Feb; 38(2):184-91.
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  28. Chrischilles EA, Pendergast JF, Kahn KL, Wallace RB, Moga DC, Harrington DP, Kiefe CI, Weeks JC, West DW, Zafar SY, Fletcher RH. Adverse events among the elderly receiving chemotherapy for advanced non-small-cell lung cancer. J Clin Oncol. 2010 Feb 1; 28(4):620-7.
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  29. Fletcher RH. ACP Journal Club: Capsule endoscopy had low sensitivity for detecting colonic lesions and high specificity for large lesions. Ann Intern Med. 2009 Nov 17; 151(10):JC5-11.
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  30. Doubeni CA, Laiyemo AO, Reed G, Field TS, Fletcher RH. Socioeconomic and racial patterns of colorectal cancer screening among Medicare enrollees in 2000 to 2005. Cancer Epidemiol Biomarkers Prev. 2009 Aug; 18(8):2170-5.
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  31. Fletcher RH. Colorectal cancer screening: for prevention or cure? J Epidemiol Community Health. 2009 Jul; 63(7):505-6.
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  32. Lasser KE, Murillo J, Medlin E, Lisboa S, Valley-Shah L, Fletcher RH, Emmons KM, Ayanian JZ. A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot study. BMC Fam Pract. 2009; 10:37.
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  33. Fletcher RH. ACP Journal Club. Review: Newer screening tests have varied sensitivity and moderate-to-high specificity for detecting colorectal cancer. Ann Intern Med. 2009 Apr 21; 150(8):JC4-15.
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  34. Fletcher RH. The diagnosis of colorectal cancer in patients with symptoms: finding a needle in a haystack. BMC Med. 2009; 7:18.
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  35. Sequist TD, Zaslavsky AM, Marshall R, Fletcher RH, Ayanian JZ. Patient and physician reminders to promote colorectal cancer screening: a randomized controlled trial. Arch Intern Med. 2009 Feb 23; 169(4):364-71.
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  36. Fletcher RH. Colorectal cancer screening on stronger footing. N Engl J Med. 2008 Sep 18; 359(12):1285-7.
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  37. Fletcher RH, Sabin JE, Dorsey J. Is patient cost-sharing the best way to protect the medical commons? Ann Intern Med. 2008 Sep 16; 149(6):435; author reply 435-6.
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  38. Fletcher RH. Personalized screening for colorectal cancer. Med Care. 2008 Sep; 46(9 Suppl 1):S5-9.
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  39. Keating NL, Landrum MB, Klabunde CN, Fletcher RH, Rogers SO, Doucette WR, Tisnado D, Clauser S, Kahn KL. Adjuvant chemotherapy for stage III colon cancer: do physicians agree about the importance of patient age and comorbidity? J Clin Oncol. 2008 May 20; 26(15):2532-7.
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  40. Awasthi S, Peto R, Pande VK, Fletcher RH, Read S, Bundy DA. Effects of deworming on malnourished preschool children in India: an open-labelled, cluster-randomized trial. PLoS Negl Trop Dis. 2008; 2(4):e223.
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  41. Fletcher RH, Pignone M. Extracolonic findings with computed tomographic colonography: asset or liability? Arch Intern Med. 2008 Apr 14; 168(7):685-6.
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  42. Fletcher RH. A personalized mailed brochure was cost-effective for promoting colonoscopy in asymptomatic patients referred for screening. ACP J Club. 2008 Mar-Apr; 148(2):52.
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  43. Lasser KE, Ayanian JZ, Fletcher RH, Good MJ. Barriers to colorectal cancer screening in community health centers: a qualitative study. BMC Fam Pract. 2008; 9:15.
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  44. Fletcher RH, Black B. "Spin" in scientific writing: scientific mischief and legal jeopardy. Med Law. 2007 Sep; 26(3):511-25.
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  45. Fletcher RH. Review: Periodic health examination increases delivery of some clinical preventive services and reduces patient worry. Evid Based Med. 2007 Aug; 12(4):118.
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  46. Palmer RC, Emmons KM, Fletcher RH, Lobb R, Miroshnik I, Kemp JA, Bauer M. Familial risk and colorectal cancer screening health beliefs and attitudes in an insured population. Prev Med. 2007 Nov; 45(5):336-41.
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  47. Fletcher RH. Review: periodic health examination increases delivery of some clinical preventive services and reduces patient worry. ACP J Club. 2007 Jul-Aug; 147(1):6.
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  48. Bennett GG, Wolin KY, Askew S, Fletcher R, Emmons KM. Immigration and obesity among lower income blacks. Obesity (Silver Spring). 2007 Jun; 15(6):1391-4.
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  49. Earle CC, Neville BA, Fletcher R. Mental health service utilization among long-term cancer survivors. J Cancer Surviv. 2007 Jun; 1(2):156-60.
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  50. Klabunde CN, Lanier D, Breslau ES, Zapka JG, Fletcher RH, Ransohoff DF, Winawer SJ. Improving colorectal cancer screening in primary care practice: innovative strategies and future directions. J Gen Intern Med. 2007 Aug; 22(8):1195-205.
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  51. Lieberman D, Nadel M, Smith RA, Atkin W, Duggirala SB, Fletcher R, Glick SN, Johnson CD, Levin TR, Pope JB, Potter MB, Ransohoff D, Rex D, Schoen R, Schroy P, Winawer S. Standardized colonoscopy reporting and data system: report of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable. Gastrointest Endosc. 2007 May; 65(6):757-66.
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  52. Fletcher RH, Ransohoff DF, Imperiale TF. Comparison of a brush-sampling fecal immunochemical test for hemoglobin with a sensitive guaiac-based fecal occult blood test in detection of colorectal neoplasia. Cancer. 2007 May 1; 109(9):1925-6; author reply 1926.
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  53. Fletcher RH, Fletcher SW. Biomarkers for prediction of cardiovascular events. N Engl J Med. 2007 Apr 5; 356(14):1473; author reply 1474-5.
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  54. Fletcher RH, Lobb R, Bauer MR, Kemp JA, Palmer RC, Kleinman KP, Miroshnik I, Emmons KM. Screening patients with a family history of colorectal cancer. J Gen Intern Med. 2007 Apr; 22(4):508-13.
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  55. Kaphingst KA, Lobb R, Fay ME, Hunt MK, Suarez EG, Fletcher RH, Emmons KM. Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients. Am J Health Promot. 2007 Mar-Apr; 21(4):262-6.
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  56. Tugwell P, Fletcher R, Fletcher S, Goldsmith C, Rahbar M, Robinson V, Runyan D, Sadowski L. International Clinical Epidemiology Network: an opportunity for SGIM international cooperation. J Gen Intern Med. 2006 Jul; 21(7):792-5.
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  57. Fletcher RH. Calcium plus vitamin D did not prevent hip fracture or colorectal cancer in postmenopausal women. ACP J Club. 2006 Jul-Aug; 145(1):4-5.
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  58. Rex DK, Kahi CJ, Levin B, Smith RA, Bond JH, Brooks D, Burt RW, Byers T, Fletcher RH, Hyman N, Johnson D, Kirk L, Lieberman DA, Levin TR, O'Brien MJ, Simmang C, Thorson AG, Winawer SJ. Guidelines for colonoscopy surveillance after cancer resection: a consensus update by the American Cancer Society and the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2006 May; 130(6):1865-71.
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  59. Winawer SJ, Zauber AG, Fletcher RH, Stillman JS, O'brien MJ, Levin B, Smith RA, Lieberman DA, Burt RW, Levin TR, Bond JH, Brooks D, Byers T, Hyman N, Kirk L, Thorson A, Simmang C, Johnson D, Rex DK. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. CA Cancer J Clin. 2006 May-Jun; 56(3):143-59; quiz 184-5.
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  60. Winawer SJ, Zauber AG, Fletcher RH, Stillman JS, O'Brien MJ, Levin B, Smith RA, Lieberman DA, Burt RW, Levin TR, Bond JH, Brooks D, Byers T, Hyman N, Kirk L, Thorson A, Simmang C, Johnson D, Rex DK. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. Gastroenterology. 2006 May; 130(6):1872-85.
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  61. Rex DK, Kahi CJ, Levin B, Smith RA, Bond JH, Brooks D, Burt RW, Byers T, Fletcher RH, Hyman N, Johnson D, Kirk L, Lieberman DA, Levin TR, O'Brien MJ, Simmang C, Thorson AG, Winawer SJ. Guidelines for colonoscopy surveillance after cancer resection: a consensus update by the American Cancer Society and US Multi-Society Task Force on Colorectal Cancer. CA Cancer J Clin. 2006 May-Jun; 56(3):160-7; quiz 185-6.
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  62. Emmons KM, Stoddard AM, Fletcher R, Gutheil C, Suarez EG, Lobb R, Weeks J, Bigby JA. Cancer prevention among working class, multiethnic adults: results of the healthy directions-health centers study. Am J Public Health. 2005 Jul; 95(7):1200-5.
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  63. Emmons KM, McBride CM, Puleo E, Pollak KI, Clipp E, Kuntz K, Marcus BH, Napolitano M, Onken J, Farraye F, Fletcher R. Project PREVENT: a randomized trial to reduce multiple behavioral risk factors for colon cancer. Cancer Epidemiol Biomarkers Prev. 2005 Jun; 14(6):1453-9.
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  64. Emmons KM, McBride CM, Puleo E, Pollak KI, Marcus BH, Napolitano M, Clipp E, Onken J, Farraye FA, Fletcher R. Prevalence and predictors of multiple behavioral risk factors for colon cancer. Prev Med. 2005 May; 40(5):527-34.
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  65. Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005 Feb 15; 142(4):260-73.
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  66. Fletcher RH. Review: antioxidant supplementation does not reduce gastrointestinal cancer. ACP J Club. 2005 Jan-Feb; 142(1):20.
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  67. Peters AS, Schnaidt KN, Seward SJ, Rubin RM, Feins A, Fletcher RH. Teaching care management in a longitudinal primary care clerkship. Teach Learn Med. 2005; 17(4):322-7.
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  68. Ayanian JZ, Chrischilles EA, Fletcher RH, Fouad MN, Harrington DP, Kahn KL, Kiefe CI, Lipscomb J, Malin JL, Potosky AL, Provenzale DT, Sandler RS, van Ryn M, Wallace RB, Weeks JC, West DW. Understanding cancer treatment and outcomes: the Cancer Care Outcomes Research and Surveillance Consortium. J Clin Oncol. 2004 Aug 1; 22(15):2992-6.
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  69. Fletcher RH. Virtual colonoscopy detected colorectal polyps in asymptomatic patients with average risk for colorectal neoplasia. ACP J Club. 2004 Jul-Aug; 141(1):22-3.
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  70. Fletcher RH. Virtual colonoscopy performed poorly in detecting colorectal neoplasia. ACP J Club. 2004 Jul-Aug; 141(1):23.
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  71. Lobb R, Gonzalez Suarez E, Fay ME, Gutheil CM, Hunt MK, Fletcher RH, Emmons KM. Implementation of a cancer prevention program for working class, multiethnic populations. Prev Med. 2004 Jun; 38(6):766-76.
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  72. Emmons KM, Wong M, Puleo E, Weinstein N, Fletcher R, Colditz G. Tailored computer-based cancer risk communication: correcting colorectal cancer risk perception. J Health Commun. 2004 Mar-Apr; 9(2):127-41.
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  73. Farraye FA, Wong M, Hurwitz S, Puleo E, Emmons K, Wallace MB, Fletcher RH. Barriers to endoscopic colorectal cancer screening: are women different from men? Am J Gastroenterol. 2004 Feb; 99(2):341-9.
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  74. Schattner A, Fletcher RH. Pearls and pitfalls in patient care: need to revive traditional clinical values. Am J Med Sci. 2004 Feb; 327(2):79-85.
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  75. Ladden MD, Peters AS, Kotch JB, Fletcher RH. Preparing faculty to teach managing care competencies: lessons learned from a national faculty development program. Fam Med. 2004 Jan; 36 Suppl:S115-20.
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  76. Weinstein ND, Atwood K, Puleo E, Fletcher R, Colditz G, Emmons K. Colon cancer: risk perceptions and risk communication. J Health Commun. 2004 Jan-Feb; 9(1):53-65.
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  77. Emmons KM, Stoddard AM, Gutheil C, Suarez EG, Lobb R, Fletcher R. Cancer prevention for working class, multi-ethnic populations through health centers: the healthy directions study. Cancer Causes Control. 2003 Oct; 14(8):727-37.
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  78. Simon SR, Davis D, Peters AS, Skeff KM, Fletcher RH. How do precepting physicians select patients for teaching medical students in the ambulatory primary care setting? J Gen Intern Med. 2003 Sep; 18(9):730-5.
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  79. Fletcher RH. Screening sigmoidoscopy-- how often and how good? JAMA. 2003 Jul 2; 290(1):106-8.
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  80. Winawer S, Fletcher R, Rex D, Bond J, Burt R, Ferrucci J, Ganiats T, Levin T, Woolf S, Johnson D, Kirk L, Litin S, Simmang C. Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence. Gastroenterology. 2003 Feb; 124(2):544-60.
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  81. Fletcher RH. Adverts in medical journals: caveat lector. Lancet. 2003 Jan 4; 361(9351):10-1.
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  82. Schattner A, Fletcher RH. Research evidence and the individual patient. QJM. 2003 Jan; 96(1):1-5.
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  83. Fletcher RH. Evaluation of interventions. J Clin Epidemiol. 2002 Dec; 55(12):1183-90.
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  84. Peters AS, Ladden MD, Kotch JB, Fletcher RH. Evaluation of a faculty development program in managing care. Acad Med. 2002 Nov; 77(11):1121-7.
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  85. Levin B, Smith RA, Feldman GE, Colditz GA, Fletcher RH, Nadel M, Rothenberger DA, Schroy PS, Vernon SW, Wender R. Promoting early detection tests for colorectal carcinoma and adenomatous polyps: a framework for action: the strategic plan of the National Colorectal Cancer Roundtable. Cancer. 2002 Oct 15; 95(8):1618-28.
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  86. Fletcher RH, Fairfield KM. Vitamins for chronic disease prevention in adults: clinical applications. JAMA. 2002 Jun 19; 287(23):3127-9.
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  87. Fairfield KM, Fletcher RH. Vitamins for chronic disease prevention in adults: scientific review. JAMA. 2002 Jun 19; 287(23):3116-26.
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  88. Fletcher RH, Colditz GA, Pawlson LG, Richman H, Rosenthal D, Salber PR. Screening for colorectal cancer: the business case. Am J Manag Care. 2002 Jun; 8(6):531-8.
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  89. Fletcher R. Review: hemoccult screening reduces death from colorectal cancer in average-risk patients > 50 years of age. ACP J Club. 2002 May-Jun; 136(3):91.
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  90. Fletcher RH. Rationale for combining different screening strategies. Gastrointest Endosc Clin N Am. 2002 Jan; 12(1):53-63.
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  91. Fletcher RH. Successful colorectal cancer screening starts with primary care. Rev Gastroenterol Disord. 2002; 2 Suppl 1:S27-34.
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  92. Fletcher RH. Alvan Feinstein, the father of clinical epidemiology, 1925-2001. J Clin Epidemiol. 2001 Dec; 54(12):1188-90.
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  93. Barton MB, Dayhoff DA, Soumerai SB, Rosenbach ML, Fletcher RH. Measuring access to effective care among elderly medicare enrollees in managed and Fee-for-Service care: a retrospective cohort study. BMC Health Serv Res. 2001; 1:11.
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  94. Fletcher RH. Diet for fecal occult blood test screening: help or harm? Eff Clin Pract. 2001 Jul-Aug; 4(4):180-2.
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  95. Peters AS, Feins A, Rubin R, Seward S, Schnaidt K, Fletcher RH. The longitudinal primary care clerkship at Harvard Medical School. Acad Med. 2001 May; 76(5):484-8.
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  96. Fletcher RH. The uses of error: missed opportunities. Lancet. 2001 Mar 3; 357(9257):703.
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  97. Bialkowska-Hobrzanska H, Bowles L, Bukala B, Joseph MG, Fletcher R, Razvi H. Comparison of human telomerase reverse transcriptase messenger RNA and telomerase activity as urine markers for diagnosis of bladder carcinoma. Mol Diagn. 2000 Dec; 5(4):267-77.
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  98. Purdy S, Plasso A, Finkelstein JA, Fletcher RH, Christiansen CL, Inui TS. Enrollees' perceptions of participating in the education of medical students at an academically affiliated HMO. Acad Med. 2000 Oct; 75(10):1003-9.
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  99. Simon SR, Peters AS, Christiansen CL, Fletcher RH. The effect of medical student teaching on patient satisfaction in a managed care setting. J Gen Intern Med. 2000 Jul; 15(7):457-61.
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  100. Purdy S, Finkelstein JA, Fletcher R, Christiansen C, Inui TS. Patient participation in research in the managed care environment: key perceptions of members in an HMO. J Gen Intern Med. 2000 Jul; 15(7):492-5.
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  101. Fletcher RH. The end of barium enemas? N Engl J Med. 2000 Jun 15; 342(24):1823-4.
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  102. Fletcher RH. Screening colonoscopy: option or preference? Gastrointest Endosc. 2000 May; 51(5):624-7.
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  103. Fletcher RH. Interpretation of diagnostic tests. Indian J Pediatr. 2000 Jan; 67(1):49-53.
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  104. Awasthi S, Pande VK, Fletcher RH. Effectiveness and cost-effectiveness of albendazole in improving nutritional status of pre-school children in urban slums. Indian Pediatr. 2000 Jan; 37(1):19-29.
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  105. Fletcher RH. The fairness and effectiveness of stroke care in health maintenance organizations. Med Care. 1999 Dec; 37(12):1183-5.
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  106. Simon SR, Shaneyfelt TM, Collins MM, Cook EF, Fletcher RH. Faculty training in general internal medicine: a survey of graduates from a research-intensive fellowship program. Acad Med. 1999 Nov; 74(11):1253-5.
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  107. Majumdar SR, Fletcher RH, Evans AT. How does colorectal cancer present? Symptoms, duration, and clues to location. Am J Gastroenterol. 1999 Oct; 94(10):3039-45.
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  108. Fletcher RH, Farraye FA. Screening flexible sigmoidoscopy: effectiveness is not enough. Gastroenterology. 1999 Aug; 117(2):486-8.
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  109. Fletcher RH. Who is responsible for the common good in a competitive market? JAMA. 1999 Mar 24-31; 281(12):1127-8.
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  110. Fletcher SW, Fletcher RH. Medical editors, journal owners, and the sacking of George Lundberg. J Gen Intern Med. 1999 Mar; 14(3):200-2.
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  111. Fletcher SW, Fletcher RH. Development of clinical guidelines. Lancet. 1998 Dec 12; 352(9144):1876.
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  112. Fletcher RH. Practice guidelines and the practice of medicine: is it the end of clinical judgment and expertise? Schweiz Med Wochenschr. 1998 Nov 28; 128(48):1883-8.
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  113. Fletcher RH, Fletcher SW. The future of medical journals in the western world. Lancet. 1998 Oct; 352 Suppl 2:SII30-3.
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  114. Song L, Fletcher R. Breast cancer rescreening in low-income women. Am J Prev Med. 1998 Aug; 15(2):128-33.
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  115. Fletcher RH. Should all people over the age of 50 have regular fecal occult-blood tests? If it works, why not do it? N Engl J Med. 1998 Apr 16; 338(16):1153-4; discussion 1154-5.
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  116. Fletcher RH. Cases and controls from different settings: ideals and practicalities. Cancer Epidemiol Biomarkers Prev. 1997 Aug; 6(8):555-6.
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  117. McNaughton Collins M, Fletcher RH. Research questions concerning prostate cancer screening. Cancer Causes Control. 1997 Jul; 8(4):668-71.
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  118. Brainsky A, Fletcher RH, Glick HA, Lanken PN, Williams SV, Kundel HL. Routine portable chest radiographs in the medical intensive care unit: effects and costs. Crit Care Med. 1997 May; 25(5):801-5.
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  119. Fletcher RH, Fletcher SW. Evidence-based approach to the medical literature. J Gen Intern Med. 1997 Apr; 12 Suppl 2:S5-14.
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  120. Winawer SJ, Fletcher RH, Miller L, Godlee F, Stolar MH, Mulrow CD, Woolf SH, Glick SN, Ganiats TG, Bond JH, Rosen L, Zapka JG, Olsen SJ, Giardiello FM, Sisk JE, Van Antwerp R, Brown-Davis C, Marciniak DA, Mayer RJ. Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology. 1997 Feb; 112(2):594-642.
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  121. Fletcher RH, Fletcher SW. Managed care and medical education. Lancet. 1996 Oct 12; 348(9033):1003-4.
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  122. Awasthi S, Glick HA, Fletcher RH, Ahmed N. Ambient air pollution & respiratory symptoms complex in preschool children. Indian J Med Res. 1996 Oct; 104:257-62.
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  123. Awasthi S, Glick HA, Fletcher RH. Effect of cooking fuels on respiratory diseases in preschool children in Lucknow, India. Am J Trop Med Hyg. 1996 Jul; 55(1):48-51.
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  124. Carson P, Johnson G, Fletcher R, Cohn J. Mild systolic dysfunction in heart failure (left ventricular ejection fraction >35%): baseline characteristics, prognosis and response to therapy in the Vasodilator in Heart Failure Trials (V-HeFT) J Am Coll Cardiol. 1996 Mar 1; 27(3):642-9.
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  125. Fletcher RH, Fletcher SW. General internal medicine. JAMA. 1995 Jun 7; 273(21):1681-2.
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  126. Fletcher R. Prostate cancer screening and men's health. Aust J Public Health. 1994 Dec; 18(4):449-51.
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  127. Fletcher RH, Fletcher SW. Glutathione and ageing: ideas and evidence. Lancet. 1994 Nov 19; 344(8934):1379-80.
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  128. Fletcher RH, Moore GT. The physician work force: does the marketplace set national policy? Ann Intern Med. 1994 Nov 1; 121(9):712-3.
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  129. Goldstein S, Pearson TA, Colwill JM, Faxon DP, Fletcher RH, Moodie DS. Task Force 4: The relationship between cardiovascular specialists and generalists. J Am Coll Cardiol. 1994 Aug; 24(2):304-12.
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  130. Justice AC, Berlin JA, Fletcher SW, Fletcher RH, Goodman SN. Do readers and peer reviewers agree on manuscript quality? JAMA. 1994 Jul 13; 272(2):117-9.
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  131. Roberts JC, Fletcher RH, Fletcher SW. Effects of peer review and editing on the readability of articles published in Annals of Internal Medicine. JAMA. 1994 Jul 13; 272(2):119-21.
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  132. Kalet A, Roberts JC, Fletcher R. How do physicians talk with their patients about risks? J Gen Intern Med. 1994 Jul; 9(7):402-4.
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  133. Goodman SN, Berlin J, Fletcher SW, Fletcher RH. Manuscript quality before and after peer review and editing at Annals of Internal Medicine. Ann Intern Med. 1994 Jul 1; 121(1):11-21.
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  134. Fletcher SW, Fletcher RH. Peer review and medical journals: how to make a good thing better. Natl Med J India. 1994 May-Jun; 7(3):103-5.
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  135. Fletcher RH, Fletcher SW. What is the future of internal medicine? Ann Intern Med. 1993 Dec 1; 119(11):1144-5.
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  136. Fletcher RH, Fletcher SW. Here come the couples. Ann Intern Med. 1993 Oct 1; 119(7 Pt 1):628-30.
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  137. Fletcher RH. CEA monitoring after surgery for colorectal cancer. When is the evidence sufficient? JAMA. 1993 Aug 25; 270(8):987-8.
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  138. Evans AT, McNutt RA, Fletcher SW, Fletcher RH. The characteristics of peer reviewers who produce good-quality reviews. J Gen Intern Med. 1993 Aug; 8(8):422-8.
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  139. Cohn JN, Johnson GR, Shabetai R, Loeb H, Tristani F, Rector T, Smith R, Fletcher R. Ejection fraction, peak exercise oxygen consumption, cardiothoracic ratio, ventricular arrhythmias, and plasma norepinephrine as determinants of prognosis in heart failure. The V-HeFT VA Cooperative Studies Group. Circulation. 1993 Jun; 87(6 Suppl):VI5-16.
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  140. Fletcher RH, Fletcher SW. Who's responsible? Ann Intern Med. 1993 Apr 15; 118(8):645-6.
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  141. Fletcher SW, Fletcher RH. The breast is close to the heart. Ann Intern Med. 1992 Dec 1; 117(11):969-71.
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  142. Fletcher RH, Fletcher SW. Has medicine outgrown physical diagnosis? Ann Intern Med. 1992 Nov 1; 117(9):786-7.
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  143. Etzel RA, Pattishall EN, Haley NJ, Fletcher RH, Henderson FW. Passive smoking and middle ear effusion among children in day care. Pediatrics. 1992 Aug; 90(2 Pt 1):228-32.
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  144. Fletcher RH, Fletcher SW. Teaching preventive medicine and health maintenance. Ann Intern Med. 1992 Jun 15; 116(12 Pt 2):1094-8.
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  145. Fletcher RH, Fletcher SW. Pharmaceutical advertisements in medical journals. Ann Intern Med. 1992 Jun 1; 116(11):951-2.
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  146. Roeback JR, Hla KM, Chambless LE, Fletcher RH. Effects of chromium supplementation on serum high-density lipoprotein cholesterol levels in men taking beta-blockers. A randomized, controlled trial. Ann Intern Med. 1991 Dec 15; 115(12):917-24.
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  147. Fletcher RH, Fletcher SW. Internal medicine: whole or in pieces? Ann Intern Med. 1991 Dec 15; 115(12):978-9.
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  148. Fletcher SW, Fletcher RH. Early release of research results. Ann Intern Med. 1991 Apr 15; 114(8):698-700.
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  149. Fletcher RH, Fletcher SW. Clinical practice guidelines. Ann Intern Med. 1990 Nov 1; 113(9):645-6.
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  150. Allard P, Yankaskas BC, Fletcher RH, Parker LA, Halvorsen RA. Sensitivity and specificity of computed tomography for the detection of adrenal metastatic lesions among 91 autopsied lung cancer patients. Cancer. 1990 Aug 1; 66(3):457-62.
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  151. Fletcher RH, Fletcher SW. A transition. Ann Intern Med. 1990 Jul 1; 113(1):6-8.
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  152. McNutt RA, Evans AT, Fletcher RH, Fletcher SW. The effects of blinding on the quality of peer review. A randomized trial. JAMA. 1990 Mar 9; 263(10):1371-6.
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  153. Fletcher RH. Three ways of knowing in clinical medicine. South Med J. 1990 Mar; 83(3):308-12.
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  154. Sawyer JA, Earp J, Fletcher RH, Daye FF, Wynn TM. Pap tests of rural black women. J Gen Intern Med. 1990 Mar-Apr; 5(2):115-9.
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  155. Fletcher SW, Fletcher RH. Changing of the guard. J Gen Intern Med. 1989 Nov-Dec; 4(6):559-60.
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  156. Fletcher RH. The costs of clinical trials. JAMA. 1989 Oct 6; 262(13):1842.
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  157. Sawyer JA, Earp JA, Fletcher RH, Daye FF, Wynn TM. Accuracy of women's self-report of their last Pap smear. Am J Public Health. 1989 Aug; 79(8):1036-7.
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  158. Fletcher RH, Fletcher SW. Shifting or expanding medical paradigm? J Gen Intern Med. 1989 Jul-Aug; 4(4):357-8.
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  159. Engel W, Freund DA, Stein JS, Fletcher RH. The treatment of patients with asthma by specialists and generalists. Med Care. 1989 Mar; 27(3):306-14.
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  160. Fletcher RH. Writing an abstract. J Gen Intern Med. 1988 Nov-Dec; 3(6):607-9.
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  161. Fletcher SW, Fletcher RH. Storm warnings. J Gen Intern Med. 1988 Mar-Apr; 3(2):205-6.
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  162. Fletcher SW, Fletcher RH. Negative trials. J Gen Intern Med. 1987 Jul-Aug; 2(4):285-7.
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  163. Retchin SM, Waugh RA, Fletcher RH. The impact of echocardiographic results on treatment decisions for patients suspected of mitral valve prolapse. Med Care. 1987 Jul; 25(7):652-7.
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  164. Carey TS, Fletcher SW, Fletcher R, Earp J. Social Security disability determinations. Knowledge and attitudes of consultative physicians. Med Care. 1987 Apr; 25(4):267-75.
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  165. Fletcher RH, Fletcher SW. Health promotion/disease prevention: a categorical approach? J Gen Intern Med. 1986 Sep-Oct; 1(5):340-2.
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  166. Fletcher RH, Burack RC, Larson EB, Lewis CE, Noren JJ, Rabin DL, Stokes J, Scatarige CS, Reid Y. Interrelationships of general internal medicine and preventive/community medicine. Am J Prev Med. 1986 Sep-Oct; 2(5):285-9.
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  167. Fletcher RH. Faculty training and fellowships in research in general medicine. J Gen Intern Med. 1986 Jul-Aug; 1(4 Suppl):S50-5.
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  168. Retchin SM, Fletcher RH, Earp J, Lamson N, Waugh RA. Mitral valve prolapse. Disease or illness? Arch Intern Med. 1986 Jun; 146(6):1081-4.
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  169. Fletcher RH, Fletcher SW. Clinical research: boundaries and standards. J Gen Intern Med. 1986 May-Jun; 1(3):203-4.
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  170. Fletcher RH. Carcinoembryonic antigen. Ann Intern Med. 1986 Jan; 104(1):66-73.
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  171. Retchin SM, Fletcher RH, Buescher PC, Waugh RA, Battaglini SW. The application of official policy. Prophylaxis recommendations for patients with mitral valve prolapse. Med Care. 1985 Oct; 23(10):1156-62.
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  172. Siscovick DS, Weiss NS, Fletcher RH, Lasky T. The incidence of primary cardiac arrest during vigorous exercise. N Engl J Med. 1984 Oct 4; 311(14):874-7.
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  173. Wielgosz AT, Fletcher RH, McCants CB, McKinnis RA, Haney TL, Williams RB. Unimproved chest pain in patients with minimal or no coronary disease: a behavioral phenomenon. Am Heart J. 1984 Jul; 108(1):67-72.
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  174. Fletcher RH, O'Malley MS, Fletcher SW, Earp JA, Alexander JP. Measuring the continuity and coordination of medical care in a system involving multiple providers. Med Care. 1984 May; 22(5):403-11.
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  175. Davidson RA, Fletcher RH, Chapman LE. Risk factors for strongyloidiasis. A case-control study. Arch Intern Med. 1984 Feb; 144(2):321-4.
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  176. Earp JA, Fletcher SW, O'Malley MS, Fletcher RH. Attitudes of internal medicine subspecialty fellows toward primary care. Arch Intern Med. 1984 Feb; 144(2):329-33.
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  177. Siscovick DS, Weiss NS, Fletcher RH, Schoenbach VJ, Wagner EH. Habitual vigorous exercise and primary cardiac arrest: effect of other risk factors on the relationship. J Chronic Dis. 1984; 37(8):625-31.
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  178. Fletcher RH, Fletcher SW. Clinical epidemiology: a new discipline for an old art. Ann Intern Med. 1983 Sep; 99(3):401-3.
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  179. Fletcher RH, O'Malley MS, Earp JA, Littleton TA, Fletcher SW, Greganti MA, Davidson RA, Taylor J. Patients' priorities for medical care. Med Care. 1983 Feb; 21(2):234-42.
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  180. Fletcher RH, Fletcher SW. Multi-class health care. N Engl J Med. 1982 Dec 9; 307(24):1530-1.
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  181. Cohn JN, Franciosa JA, Francis GS, Archibald D, Tristani F, Fletcher R, Montero A, Cintron G, Clarke J, Hager D, Saunders R, Cobb F, Smith R, Loeb H, Settle H. Effect of short-term infusion of sodium nitroprusside on mortality rate in acute myocardial infarction complicated by left ventricular failure: results of a Veterans Administration cooperative study. N Engl J Med. 1982 May 13; 306(19):1129-35.
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  182. Greganti MA, Fletcher SW, Fletcher RH, Earp JA, Hyde AT. Primary health care: perspective of the faculty of a department of medicine. Arch Intern Med. 1982 Feb; 142(2):325-9.
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  183. Fletcher RH, Fletcher SW. Clinical research in general medical journals: a 30-year perspective. N Engl J Med. 1979 Jul 26; 301(4):180-3.
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  184. Fletcher SW, Fletcher RH, Pappius EM, Rudd R. A teaching hospital medical clinic: secondary rather than primary care. J Med Educ. 1979 May; 54(5):384-91.
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  185. Fletcher SW, Fletcher RH, Thomas DC, Hamann C. Patients' understanding of prescribed drugs. J Community Health. 1979; 4(3):183-9.
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  186. Fletcher SW, Sourkes M, Rabzel M, Fletcher RH. Multiphasic screening. Case-finding tool in a Teaching Hospital Medical Clinic. JAMA. 1977 Feb 28; 237(9):887-91.
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  187. Fletcher RH. Auditing problem-oriented records and traditional records. A controlled comparison of speed, accuracy and identification of errors in medical care. N Engl J Med. 1974 Apr 11; 290(15):829-33.
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