Accepted for Publication: May 17, 2013.
Published Online: September 18, 2013. doi:10.1001/jamasurg.2013.3738.
Acquisition of data: Kvasnovsky, Kesmodel, Gragasin, Johnson, Goel, Jain.
Analysis and interpretation of data: Kvasnovsky, Kesmodel, Punnoose, Reddy, Pierson, Jain.
Drafting of the manuscript: Kvasnovsky, Kesmodel, Reddy, Jain.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Kvasnovsky, Gragasin.
Administrative, technical, or material support: Gragasin, Punnoose, Johnson, Goel, Pierson.
Study supervision: Kesmodel, Reddy, Pierson, Jain.
Conflicts of Interest Disclosures: Mss Gragasin and Johnson and Dr Goel are full-time employees of the VHA. Drs Kesmodel, Reddy, Pierson, and Jain have clinical appointments and receive partial salary support through the VHA. Dr Jain receives research support through the VA for work unrelated to this article. No other disclosures were reported.
Previous Presentation: This work was presented in part at the 37th Annual Association of VA Surgeons Surgical Symposium; April 22, 2013; Madison, Wisconsin.
Additional Contributions: Zelda McCormick, RN, MSN, Women Veterans Program Manager, VA Maryland Health Care System, assisted in obtaining enrollment and utilization data for the VA Maryland Health Care System.
Correction: This article was corrected on October 10, 2013, to fix Figure 1.