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Comment & Response
December 2017

Carotid Artery Stenosis: Although Military Physicians Operate Less, They Achieve Better Outcomes

Author Affiliations
  • 1F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland
JAMA Surg. 2017;152(12):1182-1183. doi:10.1001/jamasurg.2017.2862

To the Editor In their article titled “Provider-Induced Demand in the Treatment of Carotid Artery Stenosis: Variation in Treatment Decisions Between Private Sector Fee-For-Service vs Salary-Based Military Physicians,” Nguyen et al1 used the Department of Defense Military Health System (MHS) Data Repository to assess whether MHS beneficiaries with carotid artery stenosis (n = 10 579) were more likely to undergo a major procedure, such as carotid endarterectomy or stent placement, if they were treated by private fee-for-service (FFS) physicians vs salaried military physicians. Unfortunately, in the parlance of journalists, they buried the lede.