Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
To the Editor.—The data presented by
Drs Cher and Lenert1have had an overly
broad and misleading interpretation, both in the Article and in the news coverage.2,3The press release from THE JOURNAL
claimed, "Managed care physicians may do a better job limiting unnecessary
end-of-life treatment." The study does not show this to be true. The data
would be consistent, for example, with an injudicious 20% cut in all utilization,
which would lead to generally early discharge, thus incurring the 8% excess
mortality in the 100 days after discharge.
Lynn J. Potentially Ineffective Care in Intensive Care. JAMA. 1998;279(9):651–654. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-9-jbk0304
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