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To the Editor: I was disappointed at the lack of explanation of the acronym PREMIER.¹ According to the International Committee of Medical Journal Editors,² every acronym should be defined when first used.

Tsung O. Cheng, MD
George Washington University Medical Center
Washington, DC

1. Working Group of the PREMIER Collaborative Research Group. Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. JAMA. 2003;289:2083-2093. FREE FULL TEXT 2. International Committee of Medical Journal Editors. Uniform requirements for manuscripts submitted to biomedical journals. N Engl J Med. 1997;336:309-315. FREE FULL TEXT

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290:886.

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