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Letters | October 20, 2010

Surgical Care Improvement Project Adherence and Postoperative Infections

Joseph A. Hyder, MD, PhD

JAMA. 2010;304(15):1669-1672. doi:10.1001/jama.2010.1459.

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To the Editor: Dr Stulberg and colleagues¹ examined the association between Surgical Care Improvement Project (SCIP) adherence and postoperative infections. Given differences between the trial data cited and the observational data presented, additional clarification of patient exclusions and modeling may inform study interpretation.

The authors did not present data describing the SCIP composition of S-INF adherent patients (ie, patients with at least 2 recorded SCIP infection-prevention measures), specifically which 2 reported measures were most common. In addition, 30% of all patients lacked data describing at least 2 reported SCIP infection-prevention measures and were excluded from the test of association between S-INF adherence (a composite measure) and postoperative infection. Patient characteristics may have differed between those with vs those without at least 2 reported measures, leading to a spurious result for the association between S-INF and postoperative infection.

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October 20, 2010

Surgical Care Improvement Project Adherence and Postoperative Infections

Martin A. Makary, MD, MPH; Andrew M. Ibrahim, BA

JAMA. 2010;304(15):1669-1672. doi:10.1001/jama.2010.1462.

October 20, 2010

Surgical Care Improvement Project Adherence and Postoperative Infections—Reply

Jonah J. Stulberg, MD, PhD, MPH; Siran M. Koroukian, PhD; Conor P. Delaney, MD, PhD

JAMA. 2010;304(15):1669-1672. doi:10.1001/jama.2010.1463.

October 20, 2010

Surgical Care Improvement Project Adherence and Postoperative Infections

Dale W. Bratzler, DO, MPH; Allen Ma, PhD; Wato Nsa, MD, PhD

JAMA. 2010;304(15):1669-1672. doi:10.1001/jama.2010.1461.

October 20, 2010

Surgical Care Improvement Project Adherence and Postoperative Infections

Jay A. Gold, MD, JD, MPH

JAMA. 2010;304(15):1669-1672. doi:10.1001/jama.2010.1460.

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Hyder JA. Surgical Care Improvement Project Adherence and Postoperative Infections. JAMA. 2010;304(15):1669-1672. doi:10.1001/jama.2010.1459.

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