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.
Kellermann AL. Carotid Artery Stenosis: Although Military Physicians Operate Less, They Achieve Better Outcomes. JAMA Surg. 2017;152(12):1182–1183. doi:10.1001/jamasurg.2017.2862
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