Author Contributions: Dr Soylemez Wiener had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Soylemez Wiener, D. Wiener, Larson.
Acquisition of data: Soylemez Wiener, D. Wiener.
Analysis and interpretation of data: Soylemez Wiener, D. Wiener, Larson.
Drafting of the manuscript: Soylemez Wiener, D. Wiener, Larson.
Critical revision of the manuscript for important intellectual content: Soylemez Wiener, D. Wiener, Larson.
Statistical analysis: Soylemez Wiener, Larson.
Study supervision: Larson.
Financial Disclosures: None reported.
Funding/Support: This study was supported by Dartmouth Medical School (Dr Soylemez Wiener); Dartmouth-Hitchcock Medical Center (Dr D. Wiener); and the US Department of Veterans Affairs (Dr Larson).
Role of the Sponsor: The funding organizations had no role in the design and conduct of the study; in the collection, management, analysis, and interpretation of the data; or in the preparation, review, or approval of the manuscript.
Disclaimer: The views expressed herein do not necessarily represent the views of the US Department of Veterans Affairs or the US government.
Additional Contributions: We thank Samuel R. G. Finlayson, MD, MPH, and Paul S. Wright, MPH, for voluntary assistance with translation of articles. We also thank H. Gilbert Welch, MD, MPH, for his uncompensated critique of this article. Dr Finlayson, Mr Wright, and Dr Welch are all affiliated with the Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School. Finally, we would like to recognize the contribution of our colleagues in the VA Outcomes Group, whose voluntary feedback enhanced both our thinking and the presentation of our results.