This drug utilization study uses data from the Veterans Affairs Medical System to evaluate the effect of local infiltration of liposomal bupivacaine on perioperative outcomes in patients undergoing primary total knee arthroplasty.
This national cohort study uses data from the Veterans Affairs National Surgical Quality Improvement Program to report noncardiac postoperative outcomes in the Veterans Affairs health system for the past 15 years.
This randomized clinical trial compares the use of health care services, costs, and cost-effectiveness between patients undergoing open and endovascular repair of abdominal aortic aneurysm.
This study examines 10-year weight change in veterans who underwent Roux-en-Y gastric bypass compared with nonsurgical matches and the 4-year weight change in veterans who underwent Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy.
This cohort study uses Veterans Health Administration data to compare postoperative mortality at 30, 90, and 180 days and at 1 year to determine if 30-day mortality is a valid quality metric.
This observational study analyzes and reports Clostridium difficile infection rates, risk factors, and associations with postoperative outcomes in surgery programs of the Veterans Health Administration.
This study sought to determine whether the presence of a coronary stent affected the timing of colorectal cancer resection and the postoperative outcomes.
This quality improvement project assesses the preferences of veterans with regard to telephone, video, and in-person postoperative visits.
This retrospective review identifies a progressive increase over time in the prevalence of obesity, diabetes, left main coronary artery disease, and advanced New York Heart Association heart failure class among patients undergoing CABG.
The retrospective data analysis indicates that postoperative mortality rates among individuals with HIV who are receiving antiretroviral therapy are low and are influenced as much by hypoalbuminemia and age as by CD4 cell status.
This retrospective review finds that the primary factor for development of a successful TAVR program development is integration of the cardiac team.
This study shows that perioperative mortality determined by the Open Vs Endovascular Repair Veterans Affairs Cooperative trial underestimates the findings after repair of abdominal aortic aneurysms from vascular practice outside the restriction of randomized clinical trials.
This retrospective cohort study reports that implementation of a multidisciplinary hepatopancreaticobiliary surgical program leads to regionalization of care and improved quality of cancer care and surgical outcomes.
This retrospective observational study reports that 30-day readmission rates for surgical procedures performed in the Veterans Health Administration declined between 2001 and 2010.
This study reports that the Veterans Health Administration of surgical patients are less likely to receive either hospice or palliative care in the year prior to death compared with medical patients, yet surgical patients have a longer length of time and increased relative use of these services.
In a retrospective cohort study using national Veterans Affairs patient-level data for operations between 2005 and 2009, Richman et al determine whether adherence to the original or revised Surgical Care Improvement Project perioperative β-blocker continuation measure is associated with decreased adverse events. See the Invited Commentary by Britt.
To evaluate the early experience with transfemoral transcatheter aortic valve replacement (TAVR), Omer et al reviewed the records of all patients who underwent the procedure during the first year of their program. All patients received TAVR with the SAPIEN transcutaneous valve, and outcomes were assessed. See the Invited Commentary by Kelly and Mudy.