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.
Steele SR, Simianu VV, Flum DR. Misclassification of Acceptable Venous Thromboembolism Prophylaxis Leading to Flawed Inferences and Recommendations Regarding Prevention Efforts—Reply. JAMA Surg. 2016;151(2):198-199. doi:10.1001/jamasurg.2015.3428