Quality of Care in Patients with Diabetes
- Rhoda H. Cobin, MD; and
- Helena W. Rodbard, MD
- American Association of Clinical Endocrinologists, Jacksonville, FL 32204 (Cobin) American College of Endocrinology, Jacksonville, FL 32204 (Rodbard)
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TO THE EDITOR:
The Board of Directors of the American Association of Clinical Endocrinologists (AACE) and the Trustees of the American College of Endocrinology (ACE) express their unanimous concern about conclusions reached by, and generalizations stemming from, the study by Greenfield and colleagues on profiling care by different groups of physicians (1). Their findings are of indeterminate validity because of multiple methodologic flaws. Although we applaud the authors for their enhanced statistical approach to assessing the quality of medical care received by persons with diabetes, they may have inadvertently introduced enough noise into the data to bias their results.
We are further disappointed that Annals of Internal Medicine distributed a Summary for Patients (2) that uncritically accepted the conclusions of the paper; assumed that these conclusions may be extrapolated to physician practices in general; and distributed the findings as oversimplified “facts” to patients, payers, and the medical community at large. High stakes …
This 100-word excerpt has been provided in the absence of an abstract.
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