Patient Participation in Multidisciplinary High-Risk Surgery Discussions: A Pilot Study.

Our medical center implemented a multidisciplinary team to improve surgical decision making for high-risk older adults. To make this a patient-centric process, a pilot program included the patient and their family/caregiver(s) in these conversations. Our hypothesis is that multidisciplinary team discussions can improve difficult surgical decision making.

Perspectives of VA healthcare from rural women veterans not enrolled in or using VA healthcare.

Purpose: Women Veterans have unique healthcare needs and often experience comorbid health conditions. Despite this, many women Veterans are not enrolled in the Veterans Health Administration (VHA) and do not use VHA services. Underutilization of VHA services may be particularly prevalent among rural women Veterans, who may experience unique barriers to using VHA care.

BMI Trends for Veterans Up to 10 Years After VA Enrollment Following Military Discharge.

Background: Obesity (body mass index [BMI]≥30kg/m) among US adults has tripled over the past 45 years, but it is unclear how this population-level weight change has occurred.

Objective: We sought to identify distinct long-term BMI trajectories and examined associations with demographic and clinical characteristics.

Design: The design was latent trajectory modeling over 10 years of a retrospective cohort.

Implementation of appropriate use criteria for cardiology tests and procedures: a systematic review and meta-analysis.

Aims: The American College of Cardiology appropriate use criteria (AUC) provide clinicians with evidence-informed recommendations for cardiac care. Adopting AUC into clinical workflows may present challenges, and there may be specific implementation strategies that are effective in promoting effective use of AUC. We sought to assess the effect of implementing AUC in clinical practice.