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June 18, 2003

Quality of Care in Profit vs Not-For-Profit Dialysis CentersQuality of Care in Profit vs Not-For-Profit Dialysis Centers

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(23):3087-3088. doi:10.1001/jama.289.23.3087

To the Editor: I have a number of concerns about the meta-analysis by Dr Devereaux and colleagues.1 First, the authors excluded a number of articles from their synthesis of findings that address the private vs public comparison. The majority of excluded articles found no differences in mortality between private for-profit and not-for profit facilities when public facilities are included. Furthermore, 3 of the 8 studies were doctoral dissertations. In fact, 1 dissertation appears to be included as 2 separate studies. Another study is an article by the author of this dissertation which appears based on the dissertation data. In total, there appear to be only 6 independent studies, one of which was a letter to the editor.

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