Better pre-surgery care to help patients lose weight, stop smoking, and control blood sugar
Combining Policy and Implementation Science to Optimize Clinical Practice
This project combines payment incentives and clinic workflow changes so surgeons and hospitals support patients in improving weight, smoking, and blood sugar control before elective surgery.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | University of Michigan at Ann Arbor NIH-funded |
| Lab location | 1 site (Ann Arbor, United States) |
| Project ID | NIH-11296930 on NIH RePORTER |
What this research studies
From a patient perspective, the team will work with surgeons and hospitals to make it easier for patients to follow recommended steps like weight loss, smoking cessation, and diabetes control before an operation. They plan to pair financial incentives for clinicians with practical changes in how clinics are organized so those recommendations are actually followed. The project will study how these combined approaches change clinician behavior and patient preparation, and measure effects on surgical complications and recovery. The work focuses on elective surgeries where preoperative optimization is possible and feasible.
Who could benefit from this research
Good fit: Ideal candidates are people scheduled for elective surgery who would benefit from preoperative weight loss, smoking cessation, or better blood sugar control.
Not a fit: Patients needing emergency surgery or those who cannot safely delay their operation are unlikely to benefit from preoperative optimization strategies.
Why it matters
Potential benefit: If successful, this approach could lower surgical complications and help patients recover faster after elective operations.
How similar studies have performed: Previous work shows preoperative optimization can cut complications substantially and financial incentives or implementation efforts can help change practice, but combining both approaches in this way is relatively new.
Where this research is happening
Ann Arbor, United States
- University of Michigan at Ann Arbor — Ann Arbor, United States (Active)
Researchers
- Principal investigator: Telem, Dana Alexa — University of Michigan at Ann Arbor
- Study coordinator: Telem, Dana Alexa
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.