2023
Association between early nonpharmacological management and follow-up for low back pain in the veterans health administration
Coleman B, Lisi A, Abel E, Runels T, Goulet J. Association between early nonpharmacological management and follow-up for low back pain in the veterans health administration. North American Spine Society Journal (NASSJ) 2023, 14: 100233. PMID: 37440983, PMCID: PMC10333712, DOI: 10.1016/j.xnsj.2023.100233.Peer-Reviewed Original ResearchLow back painNonpharmacologic managementBack painVeterans Health Administration patientsFirst yearCommon reasons individualsObservational cohort studyProportional hazards regressionElectronic health record dataVeterans Health AdministrationPositive clinical outcomesHealth record dataDay of entryClinical covariablesCohort studyClinical outcomesNonpharmacological managementHazards regressionHealth cohortPatient groupPrimary interventionStudy populationBackground LowHealth AdministrationPatients
2021
ICD-10 Coding of Musculoskeletal Conditions in the Veterans Health Administration
Coleman BC, Goulet JL, Higgins DM, Bathulapalli H, Kawecki T, Ruser CB, Bastian LA, Martino S, Piette JD, Edmond SN, Heapy AA. ICD-10 Coding of Musculoskeletal Conditions in the Veterans Health Administration. Pain Medicine 2021, 22: 2597-2603. PMID: 33944953, PMCID: PMC8783617, DOI: 10.1093/pm/pnab161.Peer-Reviewed Original ResearchConceptsSpecialty care settingsVeterans Health AdministrationCare settingsDiagnosis codesMusculoskeletal diagnosesMusculoskeletal conditionsHealth AdministrationVeterans Health Administration (VHA) careLow back painLongitudinal cohort studyICD-10 codingVisit diagnosesCohort studyDiagnosis cohortBack painCommon diagnosisUnique patientsNumber of visitsInternational ClassificationMusculoskeletal carePotential diagnosisSecondary analysisPatientsDiagnosisMusculoskeletal system
2020
A Prototype Application to Identify LGBT Patients in Clinical Notes
Workman T, Goulet J, Brandt C, Skanderson M, Wang R, Warren A, Eleazer J, Gordon K, Zeng-Treitler Q. A Prototype Application to Identify LGBT Patients in Clinical Notes. 2020, 00: 4270-4275. DOI: 10.1109/bigdata50022.2020.9378109.Peer-Reviewed Original ResearchElectronic health record notesPrototype applicationLGBT patientsRule-based patternLarge data sourcesBinary classification taskRecord notesData scientistsMachine learningClassification taskPositive predictive valueData researchData sourcesTest setClinical relevancePredictive valueHealthcare providersPatientsClinical notesHealth disparitiesLittle workDisproportional burdenApplicationsTaskLearningUsing Explainable Deep Learning and Logistic Regression to Evaluate Complementary and Integrative Health Treatments in Patients with Musculoskeletal Disorders
Redd D, Goulet J, Zeng-Treitler Q. Using Explainable Deep Learning and Logistic Regression to Evaluate Complementary and Integrative Health Treatments in Patients with Musculoskeletal Disorders. 2016 49th Hawaii International Conference On System Sciences (HICSS) 2020 DOI: 10.24251/hicss.2020.398.Peer-Reviewed Original Research
2018
Patterns of Alcohol Use Among Patients Living With HIV in Urban, Large Rural, and Small Rural Areas
Bensley KM, McGinnis KA, Fortney J, Chan KCG, Dombrowski JC, Ornelas I, Edelman EJ, Goulet JL, Satre DD, Justice AC, Fiellin DA, Williams EC. Patterns of Alcohol Use Among Patients Living With HIV in Urban, Large Rural, and Small Rural Areas. The Journal Of Rural Health 2018, 35: 330-340. PMID: 30339740, PMCID: PMC6502702, DOI: 10.1111/jrh.12326.Peer-Reviewed Original ResearchConceptsSmall rural areasAlcohol useAUDIT-C alcoholElectronic health record dataHealth record dataAlcohol-related interventionsPrevalence of AUDAlcohol use outcomesHeavy episodic drinkingPLWHRural areasReporting useHIVUse outcomesRecord dataEpisodic drinkingPatientsPrevalenceRegression modelsDrinkingRuralityAUDUnique challenges
2017
Erratum to: Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV
Becker WC, Gordon K, Edelman EJ, Kerns RD, Crystal S, Dziura JD, Fiellin LE, Gordon AJ, Goulet JL, Justice AC, Fiellin DA. Erratum to: Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV. AIDS And Behavior 2017, 21: 1228-1228. PMID: 28188459, DOI: 10.1007/s10461-017-1725-6.Peer-Reviewed Case Reports and Technical NotesHIVPatients
2016
The Effect of Substance Use Disorders on the Association Between Guideline-concordant Long-term Opioid Therapy and All-cause Mortality
Gaither JR, Goulet JL, Becker WC, Crystal S, Edelman EJ, Gordon K, Kerns RD, Rimland D, Skanderson M, Justice AC, Fiellin DA. The Effect of Substance Use Disorders on the Association Between Guideline-concordant Long-term Opioid Therapy and All-cause Mortality. Journal Of Addiction Medicine 2016, 10: 418-428. PMID: 27610580, PMCID: PMC5083184, DOI: 10.1097/adm.0000000000000255.Peer-Reviewed Original ResearchConceptsSubstance use disordersLong-term opioid therapyCause mortalityOpioid therapySUD treatmentUse disordersLower mortalityTime-updated Cox regressionUntreated substance use disordersVeterans Aging Cohort StudyOpioid-prescribing guidelinesGuideline-concordant careSUD statusAging Cohort StudyClinical practice guidelinesSUD treatment servicesOverall sampleHIV patientsCohort studyCox regressionPractice guidelinesPatientsTreatment servicesHigh mortalityMortality
2015
Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV
Becker WC, Gordon K, Jennifer Edelman E, Kerns RD, Crystal S, Dziura JD, Fiellin LE, Gordon AJ, Goulet JL, Justice AC, Fiellin DA. Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV. AIDS And Behavior 2015, 20: 679-686. PMID: 26384973, PMCID: PMC5006945, DOI: 10.1007/s10461-015-1197-5.Peer-Reviewed Original ResearchLong-term Prescription of Opioids and/or Benzodiazepines and Mortality Among HIV-Infected and Uninfected Patients
Weisberg DF, Gordon KS, Barry DT, Becker WC, Crystal S, Edelman EJ, Gaither J, Gordon AJ, Goulet J, Kerns RD, Moore BA, Tate J, Justice AC, Fiellin DA. Long-term Prescription of Opioids and/or Benzodiazepines and Mortality Among HIV-Infected and Uninfected Patients. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2015, 69: 223-233. PMID: 26009831, PMCID: PMC4446730, DOI: 10.1097/qai.0000000000000591.Peer-Reviewed Original ResearchConceptsLong-term opioidsMorphine equivalent daily doseOpioid receiptRisk of deathLong-term prescriptionUninfected patientsOpioid dosesAntiretroviral therapyHazard ratioDaily dosePropensity scoreHigher opioid dosesCause mortalityHIV statusAvailable patientsMortality riskOpioidsHIVPatientsProspective analysisMortalityBenzodiazepinesDosesDeathRisk(143) Variation in pain NRS screening scores by patient and facility characteristics in a national system of care
Goulet J, Carroll C, Buta E, Kerns R, Brandt C. (143) Variation in pain NRS screening scores by patient and facility characteristics in a national system of care. Journal Of Pain 2015, 16: s11. DOI: 10.1016/j.jpain.2015.01.057.Peer-Reviewed Original Research
2014
Using Multiple Daily Pain Ratings to Improve Reliability and Assay Sensitivity: How Many Is Enough?
Heapy A, Dziura J, Buta E, Goulet J, Kulas JF, Kerns RD. Using Multiple Daily Pain Ratings to Improve Reliability and Assay Sensitivity: How Many Is Enough? Journal Of Pain 2014, 15: 1360-1365. PMID: 25283469, DOI: 10.1016/j.jpain.2014.09.012.Peer-Reviewed Original ResearchConceptsPain intensity ratingsPain treatment trialsPain ratingsTreatment trialsIntensity ratingsDaily pain ratingsMedical Center patientsIMMPACT recommendationsBaseline measurement periodCenter patientsPain assessmentBland-Altman analysisClinical trialsSecondary data analysisDaily callsDaily ratingsTrialsMeaningful differencesAssay sensitivityMeasure reliabilityAdequate reliabilitySpecific recommendationsPatientsSmall subsetBaselineGuideline-Concordant Management of Opioid Therapy Among Human Immunodeficiency Virus (HIV)-Infected and Uninfected Veterans
Gaither JR, Goulet JL, Becker WC, Crystal S, Edelman EJ, Gordon K, Kerns RD, Rimland D, Skanderson M, Weisberg DF, Justice AC, Fiellin DA. Guideline-Concordant Management of Opioid Therapy Among Human Immunodeficiency Virus (HIV)-Infected and Uninfected Veterans. Journal Of Pain 2014, 15: 1130-1140. PMID: 25152300, PMCID: PMC4253900, DOI: 10.1016/j.jpain.2014.08.004.Peer-Reviewed Original ResearchConceptsCurrent substance use disorderGuideline-concordant careOpioid therapyUrine drug testsHuman immunodeficiency virusSubstance use disordersUninfected patientsImmunodeficiency virusUse disordersPatient/provider characteristicsPrimary care provider visitsVeterans Affairs/DepartmentGuideline-concordant managementDrug testsCare concordantGuideline concordanceUninfected veteransProvider visitsPatient characteristicsPatient groupPrimary careClinical guidelinesPain medicineProvider characteristicsPatients
2011
Hepatic Safety and Antiretroviral Effectiveness in HIV‐Infected Patients Receiving Naltrexone
Tetrault JM, Tate JP, McGinnis KA, Goulet JL, Sullivan LE, Bryant K, Justice AC, Fiellin DA, Team F. Hepatic Safety and Antiretroviral Effectiveness in HIV‐Infected Patients Receiving Naltrexone. Alcohol Clinical And Experimental Research 2011, 36: 318-324. PMID: 21797892, PMCID: PMC3221963, DOI: 10.1111/j.1530-0277.2011.01601.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAlanine TransaminaseAlcoholismAntiretroviral Therapy, Highly ActiveAspartate AminotransferasesCD4 Lymphocyte CountChemical and Drug Induced Liver InjuryCohort StudiesDatabases, FactualDrug InteractionsDrug-Related Side Effects and Adverse ReactionsFemaleHIV InfectionsHumansLiverLiver Function TestsMaleMiddle AgedNaltrexoneNarcotic AntagonistsOpioid-Related DisordersRNA, ViralVeteransConceptsNaltrexone prescriptionAlanine aminotransferaseOpioid dependenceVeterans Aging Cohort Study Virtual CohortAspartate aminotransferaseImpact of naltrexoneSignificant alanine aminotransferaseLiver enzyme elevationMean CD4 countHIV-infected individualsAST changesHepatic safetyHIV biomarkersOral naltrexoneCD4 countHIV RNAMedian durationEnzyme elevationMedian ageAST levelsNaltrexone useHepatic enzymesAntiretroviral effectivenessHIVPatientsAlcohol consumption and depressive symptoms over time: A longitudinal study of patients with and without HIV infection
Sullivan LE, Goulet JL, Justice AC, Fiellin DA. Alcohol consumption and depressive symptoms over time: A longitudinal study of patients with and without HIV infection. Drug And Alcohol Dependence 2011, 117: 158-163. PMID: 21345624, PMCID: PMC3113463, DOI: 10.1016/j.drugalcdep.2011.01.014.Peer-Reviewed Original ResearchConceptsVeterans Aging Cohort StudyNon-hazardous drinkersDepressive symptomsAlcohol consumptionAlcohol abuseCohort studyHIV infectionBinge drinkersBinge drinkingNon-hazardous drinkingAging Cohort StudyPatient Health QuestionnaireUnhealthy alcohol consumptionCurrent alcohol useHIV statusHealth QuestionnaireTime-varying outcomeHazardous drinkersPatientsHIVHazardous drinkingAlcohol dependenceSymptomsAlcohol useSimilar alterations
2010
The need for validation of large administrative databases: Veterans Health Administration ICD-9CM coding of exudative age-related macular degeneration and ranibizumab usage
Latkany P, Duggal M, Goulet J, Paek H, Rambo M, Palmisano P, Levin W, Erdos J, Justice A, Brandt C. The need for validation of large administrative databases: Veterans Health Administration ICD-9CM coding of exudative age-related macular degeneration and ranibizumab usage. Journal Of Ocular Biology, Diseases, And Informatics 2010, 3: 30-34. PMID: 21139706, PMCID: PMC2956455, DOI: 10.1007/s12177-010-9052-4.Peer-Reviewed Original ResearchExudative age-related macular degenerationAge-related macular degenerationExcellent positive predictive valuePositive predictive valuePredictive valueMacular degenerationLarge electronic medical record systemsClinical Modification codingLarge administrative databaseNegative predictive valueElectronic medical record systemVA ConnecticutMedical record systemChart reviewNinth RevisionOphthalmology clinicAdministrative databasesClinical informationInternational ClassificationDistinct patientsTherapy policyRanibizumabPatientsRecord systemDegeneration
2009
Impact of cigarette smoking on mortality in HIV-positive and HIV-negative veterans.
Crothers K, Goulet JL, Rodriguez-Barradas MC, Gibert CL, Oursler KA, Goetz MB, Crystal S, Leaf DA, Butt AA, Braithwaite RS, Peck R, Justice AC. Impact of cigarette smoking on mortality in HIV-positive and HIV-negative veterans. AIDS Education And Prevention 2009, 21: 40-53. PMID: 19537953, PMCID: PMC3118467, DOI: 10.1521/aeap.2009.21.3_supp.40.Peer-Reviewed Original ResearchConceptsHIV-negative veteransIncidence rate ratiosSmoking statusHIV-negative patientsSimilar mortality riskHIV-positive veteransComorbid diseasesCurrent smokingOverall mortalityCigarette smokingPoor outcomeMortality riskHIVPoisson regressionMortalitySmokingRate ratioVeteransDiseaseStudy of mechanismsLow levelsStatusSmokersPatientsCessation
2008
Quantifying the Decrement in Utility from Perceived Side Effects of Combination Antiretroviral Therapies in Patients with HIV
Braithwaite RS, Goulet J, Kudel I, Tsevat J, Justice AC. Quantifying the Decrement in Utility from Perceived Side Effects of Combination Antiretroviral Therapies in Patients with HIV. Value In Health 2008, 11: 975-979. PMID: 18225989, PMCID: PMC3121315, DOI: 10.1111/j.1524-4733.2007.00315.x.Peer-Reviewed Original ResearchConceptsCombination antiretroviral therapyBothersome symptomsSF-6D utilitiesAntiretroviral therapyCD4 countSide effectsVeterans Aging Cohort StudyAging Cohort StudySF-12 scoresAfrican American raceHazardous alcohol consumptionQuality of lifeRecent drug useCART initiationMild anginaCohort studyMultivariable analysisCigarette smokingUnivariate analysisAmerican raceAlcohol consumptionDrug useUtility decrementsPatientsClinical decision
2007
Measuring Performance Directly Using the Veterans Health Administration Electronic Medical Record
Goulet JL, Erdos J, Kancir S, Levin FL, Wright SM, Daniels SM, Nilan L, Justice AC. Measuring Performance Directly Using the Veterans Health Administration Electronic Medical Record. Medical Care 2007, 45: 73-79. PMID: 17279023, PMCID: PMC3460379, DOI: 10.1097/01.mlr.0000244510.09001.e5.Peer-Reviewed Original ResearchConceptsExternal Peer Review ProgramElectronic medical record systemChart reviewVeterans Health Administration electronic medical recordsEMR dataExtensive chart reviewCross-sectional studySite of careElectronic medical recordsClinical performance measuresMedical record systemMost patientsMedical recordsAnalyzable dataPatientsPeer review programCut pointsRecord systemReview programCareLittle evidenceLarge proportionReviewMeasures
2005
Differences between Infectious Diseases—Certified Physicians and General Medicine—Certified Physicians in the Level of Comfort with Providing Primary Care to Patients
Fultz SL, Goulet JL, Weissman S, Rimland D, Leaf D, Gibert C, Rodriguez-Barradas MC, Justice AC. Differences between Infectious Diseases—Certified Physicians and General Medicine—Certified Physicians in the Level of Comfort with Providing Primary Care to Patients. Clinical Infectious Diseases 2005, 41: 738-743. PMID: 16080098, DOI: 10.1086/432621.Peer-Reviewed Original ResearchConceptsID clinicComorbid conditionsActive antiretroviral therapyInfectious disease clinicCommon comorbid conditionsHuman immunodeficiency virusGeneral medical clinicLevel of comfortAntiretroviral therapyComorbid diseasesDisease clinicSuch patientsSelf-reported comfortImmunodeficiency virusPrimary careHIV medicinePrescribing medicationsSubstantial prevalencePatientsPhysician levelClinicMedical clinicsGeneralist physiciansHypertensionHyperlipidemia
2003
Medical Residents' Perceptions of End-of-Life Care Training in a Large Urban Teaching Hospital
Schwartz CE, Goulet JL, Gorski V, Selwyn PA. Medical Residents' Perceptions of End-of-Life Care Training in a Large Urban Teaching Hospital. Journal Of Palliative Medicine 2003, 6: 37-44. PMID: 12710574, DOI: 10.1089/10966210360510109.Peer-Reviewed Original ResearchConceptsPalliative care trainingMedical residents' perceptionsLarge urban teaching hospitalUrban teaching hospitalCare trainingTeaching hospitalMontefiore Medical CenterPalliative care educationLife care trainingClinical rotationsThird-year residentsBrief telephone surveyEnd of lifeMedical CenterAmbulatory carePhysician educationNonhospital settingsPatientsInternal medicineSocial pediatricsCare educationYears of trainingMajority of residentsTelephone surveyFamily medicine