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May 25, 1994

Preoperative Prediction of Postoperative Delirium-Reply

Author Affiliations

Brigham and Women's Hospital Boston, Mass

JAMA. 1994;271(20):1574. doi:10.1001/jama.1994.03510440033018

In Reply.  —We disagree strongly with the substantive issues raised by Drs Carson, O'Hara, Kushins, and Rozner and even more strongly with their philosophical undertone. Our article and their letters should stand or fall based on scientific quality and the ensuing objective debate, rather than on the basis of anyone's board-certification status, previous publication record, or institutional affiliation. Our perioperative research project is a joint effort of our departments of medicine, surgery, anesthesiology, and orthopedics. Although our current article did not include one of our anesthesiologic coinvestigators as an author, one anesthesiologist is the principal investigator of a study of the determinants of postoperative pain control and two others are coauthors of a report on the influence of perioperative medications on the incidence of postoperative delirium.1 We deeply resent any disparaging implications regarding our outstanding department of anesthesiology or the collegiality of our research effort, and we trust that

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