PAtient-centered mUltidiSciplinary Care for vEterans Undergoing Surgery (PAUSE)
NCT05037292 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 35015
Last updated 2026-03-17
Summary
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.
Conditions
Interventions
- OTHER
-
PAUSE Intervention
Standardized frailty screening and utilization of a frailty review board (PAUSE Board)
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Shipra Arya, MD · VA Palo Alto Health Care System, Palo Alto, CA
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-10-26
- Primary Completion
- 2026-01-13
- Completion
- 2026-09-30
Countries
- United States
Study Locations
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