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Discharge against Medical Advice Significantly Impacts Surgical Outcomes

August 26, 2025

Discharge against Medical Advice Significantly Impacts Surgical Outcomes

In the latest episode of The Operative Word from JACS podcast, host Dr. Tom Varghese is joined by Dr. Timothy Pawlik to discuss Dr. Pawlik鈥檚 recent article, 鈥�.鈥� Dr. Pawlik and coauthors found that discharge against medical advice (DAMA) among surgical patients is associated with increased 30-day readmission, complication, fragmented care, and higher healthcare cost. DAMA patients were younger, socioeconomically vulnerable, and often had substance use or psychiatric disorders.

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