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DR STIEHM is to be commended for his steady supervision of the state of pediatric research over the last decade. However, several caveats need to be considered before inferences can be drawn. First, the dollar amounts reported are total dollars, direct and indirect costs included. Because data regarding rates of indirect costs over the decade were not provided, the increase in pediatric funding from $53 million in 1983 to $164 million in 1993 may reflect, at least in part, an upward spiral in indirect costs rather than an increase solely to individual investigators' programs. Second, as the author notes, data in his Tables 1 through 4 exclude dollars and grants awarded to a few large pediatric hospitals, where the award is made to the hospital rather than to the medical school. Thus, of the 775 grants awarded (Tables 4 and 8), only 608 are cited in Tables 1 through 3;
Hostetter MK. Steadfast in the 'Steady State'. Arch Pediatr Adolesc Med. 1996;150(9):897-898. doi:10.1001/archpedi.1996.02170340011002