Disparities in Preoperative Goals of Care Documentation in Veterans
Adela Wu, Karleen F. Giannitrapani, Ariadna Garcia, Selen Bozkurt, Derek Boothroyd, Alyce S. Adams, Kyung Mi Kim, Shiqi Zhang, Matthew D. McCaa, Arden M. Morris, Scott Shreve, Karl A. Lorenz · 2023
Read Disparities in Preoperative Goals of Care Documentation in Veterans by Adela Wu, Karleen F. Giannitrapani, Ariadna Garcia, Selen Bozkurt, Derek Boothroyd, Alyce S. Adams, Kyung Mi Kim, Shiqi Zhang, Matthew D. McCaa, Arden M. Morris, Scott Shreve, Karl A. Lorenz (2023) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-10731481.txt.
Description
Adela Wu and co-authors study gaps in care-goal records before surgery among veterans. Their 2023 study draws on Veterans Health Administration data for 229,737 patients who had surgery from 2017 to 2022. A goals talk before a major operation helps match care to what the patient values.
Only 5.8 percent of patients had the key life-sustaining treatment note filed before surgery. Rates ran lower for women than for men. Black patients also showed lower filing rates in the early sums. The team weighs patient traits such as race, ethnic group, illness load, and mental health history. Facility traits enter the model too. The gaps point to where record habits need repair before surgery.
Catalog record
| CREATOR | Adela Wu, Karleen F. Giannitrapani, Ariadna Garcia, Selen Bozkurt, Derek Boothroyd, Alyce S. Adams, Kyung Mi Kim, Shiqi Zhang, Matthew D. McCaa, Arden M. Morris, Scott Shreve, Karl A. Lorenz |
|---|---|
| YEAR | 2023 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 28 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |