Abstract
In a recent article in the Journal of Pediatric Surgery, Leonard et al.1 recommend that the VMA test strip be performed during the first seven years of life as a routine screening test for neuroblastoma. A pediatric manual of the Massachusetts General Hospital, 1972, also states on page 3, item 5: "Urine VMA screening dipstick should be done routinely on all infants, and annually on all children under four." Lest pediatricians accept these recommendations without further examination, it would be worthwhile to analyze cost factors before embarking on this "simple" screening program.
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