Optimizing the Screening and Management of Preoperative Anemia Prior to Gynecologic Oncology Surgery (OPRA): A Quality Improvement Study

Optimizing the Screening and Management of Preoperative Anemia Prior to Gynecologic Oncology Surgery (OPRA): A Quality Improvement Study

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    Allison Brown 22 June 2021

    Great job Dr. Spenard et al! I really appreciate your use of figures and tables to summarize this initiative and the outcomes. I notice a huge increase in the treatment rate for anemia screening after the third and fourth intervention that were introduced simultaneously, can you share any insight regarding whether or not you have a sense of what was most impactful at that time when treatment rates started to decline - educating providers and patients or creating a process that is triggered for patients who meet the criteria? I know education and training staff about a new intervention can be very helpful to increase uptake in the short-term but can be tricky in sustaining individual behaviour changes in the long term without having an intervention that targets the system. Again, well done!

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    genevieve.bouchard-fortier@uhn.ca 29 June 2021

    Congratulations Dr. Spenard et al. for the OPRA study! Your data is well presented and within a few months, you have already improved rate of preoperative anemia treatment and reduced perioperative transfusion. It would be interesting to know what % of preoperative anemia you are hoping to reach with your interventions. Also, I would like to know the impact of your interventions on postoperative complications such as VTE, SSI, length of stay. Good work!

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