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
2022
Joint longitudinal trajectories of pain intensity and opioid prescription in veterans with back pain
Buta E, Gordon KS, Gueorguieva R, Becker WC, Heapy A, Bathulapalli H, Zeng Q, Redd D, Brandt C, Goulet J. Joint longitudinal trajectories of pain intensity and opioid prescription in veterans with back pain. Pharmacoepidemiology And Drug Safety 2022, 31: 1262-1271. PMID: 35996825, DOI: 10.1002/pds.5531.Peer-Reviewed Original ResearchConceptsBack painOpioid prescriptionsPain/Pain intensityRetrospective cohort studyTrajectories of painElectronic health record dataMental health diagnosesHealth record dataHigh opioidCohort studyClinical predictorsHigher oddsPainLatent class growth analysisOpioidsPain classesHealth diagnosisRecord dataVeteransLongitudinal trajectoriesPrescriptionOddsTrajectory classesDistinct patterns
2021
Pain intensity and pain medication prescription patterns in Veterans with heart failure and back pain
Cavanagh CE, Rosman L, Chui PW, DeRycke E, Bathulapalli H, Gandhi P, Bastian LA, Burg MM, Brandt C, Goulet JL. Pain intensity and pain medication prescription patterns in Veterans with heart failure and back pain. Heart & Lung 2021, 50: 770-774. PMID: 34225088, DOI: 10.1016/j.hrtlng.2021.04.016.Peer-Reviewed Original ResearchConceptsComorbid heart failureHeart failureBack painPain intensityMedication prescription patternsPain medication prescriptionsHigher likelihoodGabapentin prescriptionsNSAID prescriptionsPrescription patternsSevere painPain conditionsMedication prescriptionsClinical managementPainMusculoskeletal disordersDisorder cohortLower likelihoodVeteransFurther studiesPrescriptionFailureOpioidsCardiovascularCohortICD-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
2018
Relationships Between Temporomandibular Disorders, MSD Conditions, and Mental Health Comorbidities: Findings from the Veterans Musculoskeletal Disorders Cohort
Fenton BT, Goulet JL, Bair MJ, Cowley T, Kerns RD. Relationships Between Temporomandibular Disorders, MSD Conditions, and Mental Health Comorbidities: Findings from the Veterans Musculoskeletal Disorders Cohort. Pain Medicine 2018, 19: s61-s68. PMID: 30203016, DOI: 10.1093/pm/pny145.Peer-Reviewed Original ResearchConceptsMental health comorbiditiesTemporomandibular disordersRace/ethnicityHealth comorbiditiesTMD casesAssociation of TMDNational Veterans Health AdministrationNonwhite race/ethnicityNontraumatic joint disordersChronic painful conditionsVeterans Health AdministrationChi-square testCross-sectional analysisObservational cohortBack painPainful conditionsJoint disordersComorbidity patternsMood disordersHispanic ethnicityHispanic womenMale veteransComorbiditiesHealth AdministrationDisorder cohort
2017
Interactive Voice Response–Based Self-management for Chronic Back Pain: The COPES Noninferiority Randomized Trial
Heapy AA, Higgins DM, Goulet JL, LaChappelle KM, Driscoll MA, Czlapinski RA, Buta E, Piette JD, Krein SL, Kerns RD. Interactive Voice Response–Based Self-management for Chronic Back Pain: The COPES Noninferiority Randomized Trial. JAMA Internal Medicine 2017, 177: 765-773. PMID: 28384682, PMCID: PMC5818820, DOI: 10.1001/jamainternmed.2017.0223.Peer-Reviewed Original ResearchConceptsPerson cognitive-behavioural therapyChronic back painNumeric rating scaleCognitive behavioral therapyBack painChronic painPrimary outcomeSleep qualityVeterans Affairs Health Care SystemPrespecified noninferiority marginAverage pain intensityNonpharmacologic treatment optionsPain-related interferenceChronic pain treatmentSelf-management trialCognitive behavioral therapy deliveryIndividual CBT sessionsEvidence-based treatmentsQuality of lifeSelf-help manualHealth care systemIVR monitoringNonpharmacologic interventionsSecondary outcomesStandard therapyTrends in diagnosis of painful neck and back conditions, 2002 to 2011
Sinnott PL, Dally SK, Trafton J, Goulet JL, Wagner TH. Trends in diagnosis of painful neck and back conditions, 2002 to 2011. Medicine 2017, 96: e6691. PMID: 28514286, PMCID: PMC5440123, DOI: 10.1097/md.0000000000006691.Peer-Reviewed Original ResearchConceptsBack painPain problemsPainful neckLarge national healthcare systemRetrospective observational cohort studyEffective care systemNeck pain conditionsObservational cohort studyPrevalence of diagnosesBack conditionsBack pain problemsDiagnosis of neckCohort studyPain conditionsCalendar year 2002Incident casesRevision codesNational cohortNational healthcare systemIncidence ratePrevalent casesPrevalence ratesInternational ClassificationPainAverage duration
2016
Cooperative pain education and self-management (COPES): study design and protocol of a randomized non-inferiority trial of an interactive voice response-based self-management intervention for chronic low back pain
Heapy AA, Higgins DM, LaChappelle KM, Kirlin J, Goulet JL, Czlapinski RA, Buta E, Piette JD, Krein SL, Richardson CR, Kerns RD. Cooperative pain education and self-management (COPES): study design and protocol of a randomized non-inferiority trial of an interactive voice response-based self-management intervention for chronic low back pain. BMC Musculoskeletal Disorders 2016, 17: 85. PMID: 26879051, PMCID: PMC4754867, DOI: 10.1186/s12891-016-0924-z.Peer-Reviewed Original ResearchConceptsChronic low back painLow back painNon-inferiority trialRandomized non-inferiority trialCognitive behavioral therapyPerson cognitive-behavioural therapyBack painClinical outcomesChronic pain conditionsNumeric rating scalePain-related interferencePatient-reported informationSelf-management interventionsEvidence-based treatmentsQuality of lifeUS military veteransStatewide health systemBackgroundThe InstituteIVR monitoringSecondary outcomesMore patientsPain conditionsPain intensityPrimary outcomeChronic pain
2014
Use of Department of Veterans Affairs Administrative Data to Identify Veterans With Acute Low Back Pain
Lisi AJ, Burgo-Black AL, Kawecki T, Brandt CA, Goulet JL. Use of Department of Veterans Affairs Administrative Data to Identify Veterans With Acute Low Back Pain. Spine 2014, 39: 1151-1156. PMID: 24732845, DOI: 10.1097/brs.0000000000000350.Peer-Reviewed Original ResearchConceptsLow back painICD-9 codesChart reviewLBP casesBack painAcute casesAdministrative dataVA primary care servicesAcute low back painVeterans Affairs administrative dataAdministrative data variablesStructured chart reviewLumbar magnetic resonanceVeterans Affairs databasePrimary care servicesVA administrative dataChart review findingsElectronic medical recordsLogistic regression modelsAdministrative data modelsAcute LBPNonacute casesTramadol prescriptionsRetrospective reviewTherapy orders