2020
Facility Variation in Troponin Ordering Within the Veterans Health Administration
Chui PW, Esserman D, Bastian LA, Curtis JP, Gandhi PU, Rosman L, Desai N, Hauser RG. Facility Variation in Troponin Ordering Within the Veterans Health Administration. Medical Care 2020, 58: 1098-1104. PMID: 33003051, PMCID: PMC7666100, DOI: 10.1097/mlr.0000000000001424.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeAge FactorsAgedAged, 80 and overComorbidityCross-Sectional StudiesDiagnosis-Related GroupsEmergency Service, HospitalGuideline AdherenceHumansMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Sex FactorsSocioeconomic FactorsTroponinUnited StatesUnited States Department of Veterans AffairsConceptsDownstream resource utilizationVeterans Health AdministrationCase mixHealth AdministrationCurrent United States guidelinesDownstream health care utilizationVeterans Health Administration facilitiesFacility characteristicsAcute coronary syndromeEmergency department visitsPercutaneous coronary interventionHealth care utilizationAcute care facilitiesUnited States guidelinesHigh rateCross-sectional analysisCoronary syndromeCoronary interventionED visitsDepartment visitsCare utilizationHighest quartileCoronary angiogramInpatient admissionsLowest quartileUnderutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing?
Bade BC, DeRycke EC, Skanderson M, Crothers K, Haskell S, Bean-Mayberry B, Cain HC, Brandt C, Bastian LA, Akgün KM. Underutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing? COPD Journal Of Chronic Obstructive Pulmonary Disease 2020, 17: 15-21. PMID: 31948267, DOI: 10.1080/15412555.2019.1711036.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAlcoholismDelayed DiagnosisDisease ProgressionEthnicityFemaleHealth Services MisuseHospitalizationHumansLogistic ModelsMaleMiddle AgedOdds RatioPulmonary Disease, Chronic ObstructiveRespiratory Function TestsRetrospective StudiesRisk FactorsSex FactorsSmokersSmokingSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsChronic obstructive pulmonary diseasePulmonary function testingDrug use disordersCurrent Procedural TerminologyUse disordersFunction testingChronic obstructive pulmonary disease exacerbationsVeterans Affairs Health Care SystemObstructive pulmonary disease exacerbationsLogistic regressionPulmonary disease exacerbationsObstructive pulmonary diseaseHistory of alcoholHealth care systemDisease exacerbationIndex hospitalizationCurrent smokersCOPD hospitalizationsPatient factorsPrimary outcomePulmonary diseaseRetrospective analysisInternational ClassificationMost veteransQuality care
2018
Dual Use of Department of Veterans Affairs and Medicare Benefits on High‐Risk Opioid Prescriptions in Veterans Aged 65 Years and Older: Insights from the VA Musculoskeletal Disorders Cohort
Chui PW, Bastian LA, DeRycke E, Brandt CA, Becker WC, Goulet JL. Dual Use of Department of Veterans Affairs and Medicare Benefits on High‐Risk Opioid Prescriptions in Veterans Aged 65 Years and Older: Insights from the VA Musculoskeletal Disorders Cohort. Health Services Research 2018, 53: 5402-5418. PMID: 30298672, PMCID: PMC6235820, DOI: 10.1111/1475-6773.13060.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationOpioid prescriptionsHigh-risk opioid prescriptionsLong-term opioid therapyLong-term opioid useMultivariable logistic regressionMusculoskeletal disorder diagnosisMSD cohortOpioid therapyClinical characteristicsOpioid useVHA dataRetrospective analysisHealth AdministrationNational MedicareDisorder cohortDual useLogistic regressionDisorder diagnosisMedicareMedicare benefitsVeteransPrescriptionCohortAssociation
2017
Association between length of stay and readmission for COPD.
Rinne ST, Graves MC, Bastian LA, Lindenauer PK, Wong ES, Hebert PL, Liu CF. Association between length of stay and readmission for COPD. The American Journal Of Managed Care 2017, 23: e253-e258. PMID: 29087152, PMCID: PMC6007823.Peer-Reviewed Original ResearchConceptsLonger LOSLength of stayHospital LOSPatient levelHospital levelChronic Obstructive Pulmonary Disease ReadmissionsShorter LOSRisk of readmissionAssociation of patientVeterans Affairs hospitalTransitional care practicesCause readmissionCOPD hospitalizationsCOPD readmissionsOdds ratioObservational studyReadmissionMultivariable regressionHigh riskCare practicesCOPDPatientsStayHospitalAssociation
2014
Association between Women Veterans' Experiences with VA Outpatient Health Care and Designation as a Women's Health Provider in Primary Care Clinics
Bastian LA, Trentalange M, Murphy TE, Brandt C, Bean-Mayberry B, Maisel NC, Wright SM, Gaetano VS, Allore H, Skanderson M, Reyes-Harvey E, Yano EM, Rose D, Haskell S. Association between Women Veterans' Experiences with VA Outpatient Health Care and Designation as a Women's Health Provider in Primary Care Clinics. Women's Health Issues 2014, 24: 605-612. PMID: 25442706, PMCID: PMC4740730, DOI: 10.1016/j.whi.2014.07.005.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAmbulatory CareCross-Sectional StudiesDelivery of Health CareFemaleHealth Care SurveysHospitals, VeteransHumansMaleMiddle AgedMultivariate AnalysisOutpatientsPatient SatisfactionPrimary Health CareQuality of Health CareUnited StatesUnited States Department of Veterans AffairsVeteransWomen's HealthYoung AdultConceptsWomen veterans' experiencesWomen's health providersPrimary care clinicsOutpatient health careHealth providersCare clinicsHealth careWomen veteransVeterans Affairs (VA) health care usersComprehensive women's health careVA primary care clinicsPrimary care providersWomen's health careIndividual provider characteristicsHealth care usersVeterans' experiencesOverall experienceVA SurveyPrimary careMultivariable modelProvider characteristicsCare providersPatient experienceHealthcare providersCare usersHeart Matters: Gender and Racial Differences Cardiovascular Disease Risk Factor Control Among Veterans
Goldstein KM, Melnyk SD, Zullig LL, Stechuchak KM, Oddone E, Bastian LA, Rakley S, Olsen MK, Bosworth HB. Heart Matters: Gender and Racial Differences Cardiovascular Disease Risk Factor Control Among Veterans. Women's Health Issues 2014, 24: 477-483. PMID: 25213741, DOI: 10.1016/j.whi.2014.05.005.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedBlack or African AmericanBlood PressureCardiovascular DiseasesCholesterol, LDLCohort StudiesDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHealth Status DisparitiesHumansHypertensionMaleMiddle AgedNorth CarolinaPrevalenceRisk FactorsSex FactorsSocioeconomic FactorsUnited StatesUnited States Department of Veterans AffairsVeteransVirginiaWhite PeopleConceptsRisk factor controlBlood pressureCardiovascular diseaseAfrican American veteransA1c levelsRisk factorsCardiovascular disease risk factor controlFemale veteransCardiovascular risk factor controlCertain cardiovascular risk factorsMean systolic blood pressureHigh LDL cholesterol levelsLow-density lipoprotein valuesWorse blood pressureCardiovascular risk factorsHemoglobin A1c levelsDiastolic blood pressureHigh-risk veteransSystolic blood pressureHigh blood pressureLDL cholesterol levelsNon-veteran womenFemale veteran populationRacial differencesCause of mortality
2013
Assessment of the Impact of Adjunctive Proactive Telephone Counseling to Promote Smoking Cessation among Lung Cancer Patients' Social Networks
Bastian LA, Fish LJ, Peterson BL, Biddle AK, Garst J, Lyna P, Molner S, Bepler G, Kelley M, Keefe FJ, McBride CM. Assessment of the Impact of Adjunctive Proactive Telephone Counseling to Promote Smoking Cessation among Lung Cancer Patients' Social Networks. American Journal Of Health Promotion 2013, 27: 181-190. PMID: 23286595, DOI: 10.4278/ajhp.101122-quan-387.Peer-Reviewed Original ResearchConceptsProactive telephone counselingCessation ratesPatient's social networkMonths postinterventionTelephone counselingSmoking cessationLung cancerSelf-directed interventionsAdaptive coping skillsCounseling phone callsPoint prevalent abstinenceCoping skillsMotivational interviewing techniquesCurrent smokersCessation effortsCounseling callsIntervention groupWeeks postinterventionArm differencesControl groupClinical sitesPostinterventionSpecial populationsGroup differencesIntervention
2009
Persistent Smoking After a Diagnosis of Lung Cancer Is Associated With Higher Reported Pain Levels
Daniel M, Keefe FJ, Lyna P, Peterson B, Garst J, Kelley M, Bepler G, Bastian LA. Persistent Smoking After a Diagnosis of Lung Cancer Is Associated With Higher Reported Pain Levels. Journal Of Pain 2009, 10: 323-328. PMID: 19254679, PMCID: PMC2684817, DOI: 10.1016/j.jpain.2008.10.006.Peer-Reviewed Original ResearchConceptsUsual pain levelsPersistent smokersLung cancerPain levelsLogistic regression analysisSevere painFormer smokersPersistent smokingSmoking statusUsual painDisease progressionNicotine intakeLate-stage lung cancerMean pain scoreLung cancer symptomsQuality of lifeRegression analysisLung cancer diagnosisPain scoresAdvanced cancerSmoking cessationMean ageCancer symptomsPainSmokers
2007
Physicians' Beliefs about Discussing Obesity: Results from Focus Groups
Alexander SC, Østbye T, Pollak KI, Gradison M, Bastian LA, Brouwer RJ. Physicians' Beliefs about Discussing Obesity: Results from Focus Groups. American Journal Of Health Promotion 2007, 21: 498-500. PMID: 17674636, DOI: 10.4278/0890-1171-21.6.498.Peer-Reviewed Original ResearchConceptsPhysicians' beliefsWeight lossFamily physiciansLimited physician trainingWeight loss counselingDepartment of MedicineMedical Center DepartmentObese patientsEffective careObesity epidemicFocus groupsPatientsObesityPhysician responsesPhysiciansCenter DepartmentPhysician trainingFamily medicineInternistsTarget populationDepartmentMedicineOutcome expectanciesOverweightGroupWho refuses enrollment in cardiac clinical trials?
Sen Biswas M, Newby LK, Bastian LA, Peterson ED, Sugarman J. Who refuses enrollment in cardiac clinical trials? Clinical Trials 2007, 4: 258-263. PMID: 17715252, DOI: 10.1177/1740774507079434.Peer-Reviewed Original ResearchConceptsClinical trialsAcute settingRefusal rateDuke University Medical CenterNon-white patientsUniversity Medical CenterHigh refusal rateInformed consent formLow refusal rateACUITY trialMean ageSingle institutionMeaningful informed consentMedical CenterSociodemographic characteristicsOlder personsClinical researchInformed consentPatientsTrialsConsent formMain reasons peopleLimited dataYoung personEfficiency of recruitment
2002
Behavioral Medicine and Aging
Siegler IC, Bastian LA, Steffens DC, Bosworth HB, Costa PT. Behavioral Medicine and Aging. Journal Of Consulting And Clinical Psychology 2002, 70: 843-851. PMID: 12090387, DOI: 10.1037/0022-006x.70.3.843.Peer-Reviewed Original Research
1998
Benefits and Drawbacks to Hormone Replacement Therapy Among Nursing Home Patients
Bosworth H, Bastian L, Siegler I. Benefits and Drawbacks to Hormone Replacement Therapy Among Nursing Home Patients. Women's Health Issues 1998, 8: 53-59. PMID: 9504039, DOI: 10.1016/s1049-3867(97)00094-7.Peer-Reviewed Original ResearchAge FactorsAgedAged, 80 and overAttitude of Health PersonnelAttitude to HealthBreast NeoplasmsCoronary DiseaseEndometrial NeoplasmsEstrogen Replacement TherapyFemaleHumansLong-Term CareMemory DisordersMiddle AgedNursing HomesOsteoporosis, PostmenopausalPatient AdvocacyPharmacistsPilot ProjectsRisk Factors