Megan R Haymart1, Louise Davies2,3,4. 1. 1 Department of Medicine, Division of Endocrinology, University of Michigan , Ann Arbor, Michigan. 2. 2 VA Outcomes Group, Department of Veterans Affairs Medical Center , White River Junction, Vermont. 3. 3 Section of Otolaryngology, Geisel School of Medicine at Dartmouth, Dartmouth College , Lebanon , New Hampshire. 4. 4 The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College , Lebanon , New Hampshire.