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Comment & Response |

Misclassification of Acceptable Venous Thromboembolism Prophylaxis Leading to Flawed Inferences and Recommendations Regarding Prevention Efforts—Reply

Scott R. Steele, MD1; Vlad V. Simianu, MD, MPH2; David R. Flum, MD, MPH2
[+] Author Affiliations
1Department of Colon and Rectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio
2Department of Surgery, University of Washington, Seattle
JAMA Surg. 2016;151(2):198-199. doi:10.1001/jamasurg.2015.3428.
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In Reply We appreciate the letter by Popoola and colleagues regarding their concerns over our recent study.1 They justly point out that one of the limitations of large databases such as the Surgical Care and Outcomes Assessment Program is their inability to distinguish the underlying cause of a particular observation because they often lack information on a granular level. Yet, our analysis provides valuable insights into the evolution of venous thromboembolism (VTE) prophylaxis following colorectal surgery.

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February 1, 2016
Victor O. Popoola, MBBS, MPH, ScM; Brandyn D. Lau, MPH, CPH; Elliott R. Haut, MD, PhD
1Division of Acute Care Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
1Division of Acute Care Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland2Armstrong Institute for Patient Safety, Johns Hopkins Medicine, Baltimore, Maryland3Division of Health Science Informatics, Johns Hopkins University School of Medicine, Baltimore, Maryland4Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
1Division of Acute Care Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland2Armstrong Institute for Patient Safety, Johns Hopkins Medicine, Baltimore, Maryland4Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland5Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland6Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Surg. 2016;151(2):197-198. doi:10.1001/jamasurg.2015.3411.
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