[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100587913":3},{"organization":4,"armGroups":7,"interventions":34,"overallOfficials":41,"centralContacts":47,"locations":57,"responsibleParty":77,"collaborators":80,"id":86,"slug":87,"hasResults":88,"nctId":89,"briefTitle":90,"officialTitle":90,"acronym":40,"eligibilityCriteria":91,"healthyVolunteers":88,"sex":92,"minAge":93,"maxAge":40,"enrollmentInfo":94,"targetDuration":40,"studyType":97,"phases":98,"briefSummary":100,"conditions":101,"keywords":105,"overallStatus":60,"whyStopped":40,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":111,"completionDateStruct":113,"leadSponsor":115,"locationsCount":116},{"fullName":5,"class":6},"University of Michigan","OTHER",[8,14,18,22,26,30],{"label":9,"type":10,"description":11,"interventionNames":12},"Wave 1","EXPERIMENTAL","Each wave will include usual care, preparation (8 weeks before intervention), active de-implementation interventions, and sustainment phases.\n\nIntervention is Year 1 Quarter 2",[13],"Behavioral: Active de-Implementation",{"label":15,"type":10,"description":16,"interventionNames":17},"Wave 2","Each wave will include usual care, preparation (8 weeks before intervention), active de-implementation interventions, and sustainment phases.\n\nIntervention is Year 1 Quarter 3",[13],{"label":19,"type":10,"description":20,"interventionNames":21},"Wave 3","Each wave will include usual care, preparation (8 weeks before intervention), active de-implementation interventions, and sustainment phases.\n\nIntervention is Year 1 Quarter 4",[13],{"label":23,"type":10,"description":24,"interventionNames":25},"Wave 4","Each wave will include usual care, preparation (8 weeks before intervention), active de-implementation interventions, and sustainment phases.\n\nIntervention is Year 2 Quarter 1",[13],{"label":27,"type":10,"description":28,"interventionNames":29},"Wave 5","Each wave will include usual care, preparation (8 weeks before intervention), active de-implementation interventions, and sustainment phases.\n\nIntervention is Year 2 Quarter 2",[13],{"label":31,"type":10,"description":32,"interventionNames":33},"Wave 6","Each wave will include usual care, preparation (8 weeks before intervention), active de-implementation interventions, and sustainment phases.\n\nIntervention is Year 2 Quarter 3",[13],[35],{"type":36,"name":37,"description":38,"armGroupLabels":39,"otherNames":40},"BEHAVIORAL","Active de-Implementation","During active de-implementation (3 months), the local team will distribute the strategy components (i.e., clinician education, decision support, evaluation, consensus building around perioperative testing pathways, facility-specific feedback, and a pay-for-performance incentive) at the local site.",[9,15,19,23,27,31],null,[42,45],{"name":43,"affiliation":5,"role":44},"Lesly Dossett, MD, MPH","PRINCIPAL_INVESTIGATOR",{"name":46,"affiliation":5,"role":44},"Hari Nathan, PhD",[48,53],{"name":49,"role":50,"phone":51,"phoneExt":40,"email":52},"Dana Greene Jr., MPH","CONTACT","(313)-670-0408","greenejr@med.umich.edu",{"name":54,"role":50,"phone":55,"phoneExt":40,"email":56},"Valerie Gavrila","734-232-9961","gavrilva@umich.edu",[58],{"facility":59,"status":60,"city":61,"state":62,"zip":63,"country":64,"countryCode":65,"cosmosGeoPoint":66,"geoPoint":71,"contacts":72},"University of Michigan and other Michigan Surgical Quality Collaborative sites","RECRUITING","Ann Arbor","Michigan","48109","United States","US",{"type":67,"coordinates":68},"Point",[69,70],-83.74088,42.27756,{"lat":70,"lon":69},[73,74,75],{"name":49,"role":50,"phone":51,"phoneExt":40,"email":52},{"name":43,"role":44,"phone":40,"phoneExt":40,"email":40},{"name":46,"role":76,"phone":40,"phoneExt":40,"email":40},"SUB_INVESTIGATOR",{"type":44,"investigatorFullName":78,"investigatorTitle":79,"investigatorAffiliation":5,"oldNameTitle":40,"oldOrganization":40},"Hari Nathan","Associate Professor of Surgery",[81,84],{"name":82,"class":83},"Agency for Healthcare Research and Quality (AHRQ)","FED",{"name":85,"class":6},"Blue Cross Blue Shield of Michigan Foundation","100587913","de-implementation-of-low-value-testing-in-patients-undergoing-low-risk-surgery-100587913",false,"NCT06934564","De-Implementation of Low-value Testing in Patients Undergoing Low-Risk Surgery","Site\n\nInclusion Criteria:\n\n* Over 30% of testing rates on at least one of the three index procedures (breast lumpectomy, laparoscopic cholecystectomy, and inguinal hernia repair)\n\nExclusion Criteria:\n\n* none\n\nSurgical participants must be over 18 years old.","ALL","18 Years",{"count":95,"type":96},16,"ESTIMATED","INTERVENTIONAL",[99],"NA","This trial aims to evaluate the effectiveness of a multi-level, multi-component de-implementation strategy to reduce unnecessary preoperative testing. Sixteen Michigan Value Collaborative (MVC)\u002FMichigan Surgical Quality Collaborative (MSQC) sites in Michigan will implement several tools that have been proven to reduce unnecessary testing at a single site, including clinician education, a decision aid, audit and feedback on performance, and a pay-for-performance incentive. The researchers believe that, through the use of these strategies, there will be a significant reduction in unnecessary preoperative testing during the intervention.",[102,103,104],"Breast Lumpectomy","Laparoscopic Cholecystectomy","Inguinal Hernia Repair",[106],"Preoperative testing","2026-05-05",{"date":109,"type":110},"2026-05-08","ACTUAL",{"date":112,"type":110},"2025-04-01",{"date":114,"type":96},"2026-12",{"name":5,"class":6},1]