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We appreciate Dr Boren's comments. It was an oversight that reference was made to the RPR test. This test was excluded from our retrospective analysis, since, as Dr Boren points out, it has essentially no relevance to operative or perioperative management. The test is often included in preoperative panels as a holdover from the time when it was routinely ordered on every admission. As such, it represents general medical screening in a preoperative population, and as we state in our discussion, our study specifically excluded consideration of such testing.However, since completion of the retrospective study, others besides Dr Boren have suggested the value of broadening the scope of studies such as ours to include RPR testing, urinalysis, chest roentgenography, and electrocardiography. In a pilot study to evaluate the use of questionnaires filled out by the patient or the physician to identify indications for testing, we have the
Kaplan EB, Sheiner LB. The Usefulness of the RPR-Reply. JAMA. 1985;254(24):3421. doi:10.1001/jama.1985.03360240033011