THE PAUSE TRIAL: LESSONS ABOUT SURGICAL PAUSE FROM AN RCT

Shipra Arya · 2024

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Description

Shipra Arya describes the PAUSE trial in a 2024 conference paper on surgery for frail older veterans. Older patients who are frail face rough recoveries after operations, and care pathways that screen for frailty and act on it are badly needed. The PAUSE trial tests one such pathway across veterans' hospitals.

In the trial, patients set for planned surgery are screened for frailty, and those flagged are referred to a board spanning surgery, anesthesia, geriatrics, palliative care, rehabilitation, nutrition, and case work. Specialties at three large centers switched from usual care to the pathway in random order, step by step. An evaluation framework guided the team in studying what helps or hinders the rollout. Arya draws early lessons on building such boards, from stakeholder champions onward, for centers that want to copy the model.

Catalog record

CREATORShipra Arya
YEAR2024
COLLECTIONPAPERS
FORMATTXT
FILE SIZE2 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC11689914

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