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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: In their meta-analysis, Dr Devereaux and colleagues¹ concluded that hemodialysis care in private not-for-profit centers was associated with a lower risk of mortality compared with care in private for-profit centers.

From more than 7045 citations, the authors selected only 8 to use in their analyses. Of these, 1 involved patients in a single state from 1973 to 1981²; 3 were from dissertations that have never been peer reviewed or published^3-5; and 1 was a letter to the editor.⁶ The article by Garg et al⁷ was previously critiqued.^8-9 The study of McClellan et al¹⁰ showed no differences in mortality between for-profit and not-for-profit dialysis facilities, and the study by Irvin¹¹ was an analysis of US Renal Data System (USRDS) data that found only a small (1%-2%) higher probability of dying in a for-profit dialysis unit.

The authors excluded 12 studies. Several of these analyzed USRDS data . . . [Full Text of this Article]

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