Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
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.
Lyons JS. Quality of Care in Profit vs Not-For-Profit Dialysis CentersQuality of Care in Profit vs Not-For-Profit Dialysis Centers. JAMA. 2003;289(23):3087-3088. doi:10.1001/jama.289.23.3087