Lloyd et al. [1] presented the Publication Ranking Score (PRS) as an objective measure of hospital “process” quality that differs significantly from US News and World Report (USNWR) hospital rankings. This contrast is important, the authors suggested, because USNWR rankings may “lean heavily on institutional reputation.” The USNWR reputation survey, however, accounts for only 25% of the overall ranking. In this context, Joseph [2] suggested that “the PRS ranking would be better compared to the process domain (reputation) and not the overall final institutional ranking”. Such an analysis is presented below, revealing that the PRS is significantly associated with reputation in the specialty of pediatric urology.
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