PAtient-centered mUltidiSciplinary Care for vEterans Undergoing Surgery (PAUSE)
Running, not enrolling · Not applicable
Conditions studied: Frailty
In brief
The PAUSE Trial is a pragmatic, randomized clinical trial for Veterans scheduled for elective surgery at 3 large VA facilities (Palo Alto, Houston, and Nashville). The PAUSE Trial focuses on cooperation between providers of various disciplines in order to provide better care. Veterans identified as frail upon standardized will be referred to a multidisciplinary "PAUSE Board" comprised of members from surgery, anesthesia, geriatrics, palliative care, case management, rehabilitation, and nutrition. Diverse specialists will come together in a team environment to discuss care options, scientific evidence, and patient goals and expectations, creating individual patient recommendations. The investigators hypothesize that the PAUSE Board model will improve quality and outcomes by promoting guidelines and evidence-based care recommendations as well as constructive team-based discussions to align care with patient goals and expectations.
Key facts
- Study ID
- NCT05037292
- Run by
- VA Office of Research and Development
- People needed
- 35015
- Starts
- 2021-10-26
- Expected to finish
- 2026-09-30
- Last updated by the study team
- 2026-03-17
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Chart/Database Review:
- Patient must have elective surgery within the intervention period
- Surgery must be with a qualifying specialty (general, vascular, orthopedics, cardio-thoracic, urology, neurosurgery, and others [e.g., Plastics/ENT])
- Surgery must be at either the VA Palo Alto, VA Houston, or VA Nashville
- VA Providers:
- Service and Section Chief Interviews:
- Must be the Surgery Service Line chief (or appointed designee).
- Must be Section Chief (or appointed designee) of a qualifying surgical specialty (general, vascular, orthopedics, cardio-thoracic, urology, neurosurgery, and others [e.g., Plastics/ENT]).
- Must serve at the VA Palo Alto, VA Houston, or VA Nashville.
- Focus Groups:
- Must be a healthcare provider at VA Palo Alto, VA Houston, or VA Nashville.
- Must have planned or prior experience participating in PAUSE Board meetings.
- Referral Frequency Interviews:
- Must be a member of the surgical team with one of the qualifying surgical specialties (general, vascular, orthopedics, cardio-thoracic, urology, neurosurgery, and others [e.g., Plastics/ENT]).
- Must be one of the high- or low-referring providers to the PAUSE Board.
You may not qualify if…
- Chart/Database Review:
- Non-Veteran (USA)
- VA Providers:
- Refusal or inability to participate during site visits.
Where it is running
- VA Palo Alto Health Care System, Palo Alto, CA — Palo Alto, California, United States
- Tennessee Valley Healthcare System Nashville Campus, Nashville, TN — Nashville, Tennessee, United States
- Michael E. DeBakey VA Medical Center, Houston, TX — Houston, Texas, United States
Full record on ClinicalTrials.gov
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