2025
Cannabis Legalization and Opioid Use Disorder in Veterans Health Administration Patients
Mannes Z, Wall M, Alschuler D, Malte C, Olfson M, Livne O, Fink D, Keyhani S, Keyes K, Martins S, Cerdá M, Sacco D, Gutkind S, Maynard C, Sherman S, Saxon A, Hasin D. Cannabis Legalization and Opioid Use Disorder in Veterans Health Administration Patients. JAMA Health Forum 2025, 6: e251369. PMID: 40512510, PMCID: PMC12166489, DOI: 10.1001/jamahealthforum.2025.1369.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationVeterans Health Administration patientsMedical cannabis lawsOpioid use disorderPrevalence of opioid use disorderClassification of diseasesRecreational cannabis lawsChronic painVeterans Health Administration electronic health recordClinical ModificationConsistent with overall findingsState medical cannabis lawsInternational Statistical Classification of DiseasesReceipt of prescription opioidsStatistical Classification of DiseasesElectronic health recordsInternational Classification of DiseasesNon-Hispanic whitesOpioid use disorder diagnosisOpioid use disorder prevalenceInternational Statistical ClassificationDifference-in-differences analysisCannabis lawsUse disorderBurden of opioid use disorderUtility of Candidate Genes From an Algorithm Designed to Predict Genetic Risk for Opioid Use Disorder
Davis C, Jinwala Z, Hatoum A, Toikumo S, Agrawal A, Rentsch C, Edenberg H, Baurley J, Hartwell E, Crist R, Gray J, Justice A, Gelernter J, Kember R, Kranzler H, Muralidhar S, Moser J, Deen J, Tsao P, Gaziano J, Hauser E, Kilbourne A, Matheny M, Oslin D, Churby L, Whitbourne S, Brewer J, Shayan S, Selva L, Pyarajan S, Cho K, DuVall S, Brophy M, Stephens B, Connor T, Argyres D, Assimes T, Hung A, Kranzler H, Aguayo S, Ahuja S, Alexander K, Androulakis X, Balasubramanian P, Ballas Z, Beckham J, Bhushan S, Boyko E, Cohen D, Dellitalia L, Faulk L, Fayad J, Fujii D, Gappy S, Gesek F, Greco J, Godschalk M, Gress T, Gupta S, Gutierrez S, Harley J, Hamner M, Hurley R, Iruvanti P, Jacono F, Jhala D, Kinlay S, Landry M, Liang P, Liangpunsakul S, Lichy J, Mahan C, Marrache R, Mastorides S, Mattocks K, Meyer P, Moorman J, Morgan T, Murdoch M, Norton J, Okusaga O, Oursler K, Poon S, Rauchman M, Servatius R, Sharma S, Smith R, Sriram P, Strollo P, Tandon N, Villareal G, Walsh J, Wells J, Whittle J, Whooley M, Wilson P, Xu J, Yeh S, Bast E, Dryden G, Hogan D, Joshi S, Lo T, Morales P, Naik E, Ong M, Petrakis I, Rai A, Yen A. Utility of Candidate Genes From an Algorithm Designed to Predict Genetic Risk for Opioid Use Disorder. JAMA Network Open 2025, 8: e2453913. PMID: 39786773, PMCID: PMC11718552, DOI: 10.1001/jamanetworkopen.2024.53913.Peer-Reviewed Original ResearchConceptsOpioid use disorder riskElectronic health record dataHealth record dataInternational Classification of DiseasesOpioid use disorderClassification of diseasesGenetic variantsInternational ClassificationGenetic riskRecord dataRisk of opioid use disorderMillion Veteran ProgramOpioid use disorder diagnosisUse disorderCase-control studyVeteran ProgramMain OutcomesDiagnostic codesClinical careOpioid exposurePharmacy recordsLogistic regressionRisk allelesNagelkerke R2Clinically useful model
2024
Trends in Opioid Use Disorder in the Veterans Health Administration, 2005-2022
Gorfinkel L, Malte C, Fink D, Mannes Z, Wall M, Olfson M, Livne O, Keyhani S, Keyes K, Martins S, Cerdá M, Gutkind S, Maynard C, Saxon A, Simpson T, Gonsalves G, Lu H, McDowell Y, Hasin D. Trends in Opioid Use Disorder in the Veterans Health Administration, 2005-2022. JAMA Network Open 2024, 7: e2451821. PMID: 39705031, PMCID: PMC11662256, DOI: 10.1001/jamanetworkopen.2024.51821.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationOpioid use disorder diagnosisNon-Hispanic white patientsOpioid use disorderPrevalence of opioid use disorderCross-sectional studyHealth AdministrationVHA Corporate Data WarehouseVeterans Health Administration facilitiesElectronic health record dataNational Veterans Health AdministrationVeterans Health Administration patientsRecord dataNon-Hispanic black patientsElectronic medical record dataContinued public health effortsWhite patientsHealth record dataPublic health effortsCorporate Data WarehouseMedical record dataMultivariate logistic regression modelUse disorderLogistic regression modelsBurden of opioid use disorder
2020
Validity of Incident Opioid Use Disorder (OUD) Diagnoses in Administrative Data: a Chart Verification Study
Howell BA, Abel EA, Park D, Edmond SN, Leisch LJ, Becker WC. Validity of Incident Opioid Use Disorder (OUD) Diagnoses in Administrative Data: a Chart Verification Study. Journal Of General Internal Medicine 2020, 36: 1264-1270. PMID: 33179145, PMCID: PMC8131432, DOI: 10.1007/s11606-020-06339-3.Peer-Reviewed Original ResearchConceptsOpioid use disorderOUD diagnosisInaccurate diagnosisDiagnosis of OUDVeterans Health Administration medical centersOpioid use disorder diagnosisClinical settingClinical errorsOpioid overdose epidemicHealth system responseHealth services researchAdministrative dataIndex encounterChart reviewClinical characteristicsLaboratory valuesCare settingsMedical CenterElevated riskOverdose epidemicUse disordersAvailable chart dataGroup visitsConclusionsOur studyBivariate analysis
2016
Non‐medical use of prescription opioids is associated with heroin initiation among US veterans: a prospective cohort study
Banerjee G, Edelman EJ, Barry DT, Becker WC, Cerdá M, Crystal S, Gaither JR, Gordon AJ, Gordon KS, Kerns RD, Martins SS, Fiellin DA, Marshall BD. Non‐medical use of prescription opioids is associated with heroin initiation among US veterans: a prospective cohort study. Addiction 2016, 111: 2021-2031. PMID: 27552496, PMCID: PMC5056813, DOI: 10.1111/add.13491.Peer-Reviewed Original ResearchConceptsMultivariable Cox regression modelsNon-medical useCox regression modelHeroin initiationPrescription opioidsHeroin useCohort studyUS veteransOpioid use disorder diagnosisVeterans Aging Cohort StudyProspective cohort studyAging Cohort StudyIllicit opioid usePrimary care clinicsPrimary outcome measureStrong risk factorPost-traumatic stress disorderUninfected veteransUninfected patientsOpioid useRegression modelsCare clinicsPain interferencePrior diagnosisPrimary exposurePast year non-medical opioid use and abuse and PTSD diagnosis: Interactions with sex and associations with symptom clusters
Smith KZ, Smith PH, Cercone SA, McKee SA, Homish GG. Past year non-medical opioid use and abuse and PTSD diagnosis: Interactions with sex and associations with symptom clusters. Addictive Behaviors 2016, 58: 167-174. PMID: 26946448, PMCID: PMC4808454, DOI: 10.1016/j.addbeh.2016.02.019.Peer-Reviewed Original ResearchConceptsOpioid use disorder diagnosisNon-medical opioid usePosttraumatic stress disorderHigher oddsSymptom clustersPTSD diagnosisDisorder diagnosisOpioid useAvoidance symptom clustersAverage monthly frequencyNon-institutionalized adultsNational Epidemiologic SurveyIndividual symptom clustersHigh rateSex differencesSpecific symptom clustersImportant sex differencesPTSD symptom clustersReactivity clustersAdjusted modelGeneral U.S.Epidemiologic SurveyRelated conditionsStress disorderDiagnosis
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