August 26, 2025
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’s recent article, “Association of Discharge Against Medical Advice with Surgical Outcomes and Healthcare Cost.” 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.