2022
Gender differences in social support for diabetes self-management: A qualitative study among veterans
Gray K, Silvestrini M, Ma E, Nelson K, Bastian L, Voils C. Gender differences in social support for diabetes self-management: A qualitative study among veterans. Patient Education And Counseling 2022, 107: 107578. PMID: 36463824, DOI: 10.1016/j.pec.2022.107578.Peer-Reviewed Original ResearchMeSH KeywordsDiabetes Mellitus, Type 2FemaleHumansMaleQualitative ResearchSex FactorsSocial SupportVeteransConceptsSocial supportGender differencesSelf-management programSemi-structured interviewsSelf-management effortsSupport personsInterpersonal barriersNotable gender differencesSalient themesFamily needsThematic analysisQualitative studyVeterans Health Administration health care systemInformational social supportFamily/friendsEmotional supportResponsibilityHealth care systemThemesDiabetesSupportPreferred programCare systemWomenInterviews
2021
Sex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization
Haskell SG, Han L, Abel EA, Bastian L, Driscoll M, Dziura J, Burg MM, Skanderson M, Brandt CA. Sex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization. Journal Of Women's Health 2021, 31: 71-78. PMID: 34388023, DOI: 10.1089/jwh.2021.0103.Peer-Reviewed Original ResearchConceptsPrimary care utilizationCare utilizationWomen veteransCare Assessment Need (CAN) scoreComplex high-risk patientsHigh-risk patientsRisk stratification toolPotential confounding factorsCorporate Data WarehouseSex differencesVA careVisit utilizationCare coordinationHigher oddsReproductive healthConfounding factorsVeterans AffairsPsychosocial variablesStrong associationQuintileWomenNeed scoresMenVeteransGood predictive accuracyBaseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization
Gaffey AE, Burg MM, Rosman L, Portnoy GA, Brandt CA, Cavanagh CE, Skanderson M, Dziura J, Mattocks KM, Bastian LA, Haskell SG. Baseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization. Journal Of Women's Health 2021, 30: 944-955. PMID: 33439756, PMCID: PMC8290312, DOI: 10.1089/jwh.2020.8732.Peer-Reviewed Original ResearchConceptsWomen Veterans Cohort StudyCardiovascular risk factorsVeterans Health AdministrationRisk factorsHealthcare utilizationWomen veteransCohort studyHealth outcomesNontraditional cardiovascular risk factorsTraditional cardiovascular risk factorsUnique healthcareMental healthSingle-site painVHA healthcare systemVHA medical centersVeterans Affairs (VA) careHealth risk factorsOutside health servicesPosttraumatic stress disorder (PTSD) symptomsMultisite painBaseline characteristicsPsychosocial comorbiditiesChronic painCardiovascular diseaseMedical Center
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 quartileIncident Musculoskeletal Conditions Among Men and Women Veterans Returning From Deployment
Haskell SG, Brandt C, Bastian L, Driscoll M, Bathulapalli H, Dziura J. Incident Musculoskeletal Conditions Among Men and Women Veterans Returning From Deployment. Medical Care 2020, 58: 1082-1090. PMID: 32925458, DOI: 10.1097/mlr.0000000000001403.Peer-Reviewed Original ResearchConceptsMSK conditionsAnkle/footVeterans AffairsUpper extremityMen veteransClinical Modification diagnostic codesPercent of womenOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn VeteransMSK diagnosesCohort studyNinth RevisionUnadjusted ratesMusculoskeletal conditionsDiagnostic codesIncidence rateOperation New Dawn veteransFirst visitMusculoskeletal injuriesNew Dawn veteransInternational ClassificationWomen veteransLast deploymentWomenVeteransMenUnderutilization 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
2019
Sex Differences in Veterans Admitted to the Hospital for Chronic Obstructive Pulmonary Disease Exacerbation
Bade BC, DeRycke EC, Ramsey C, Skanderson M, Crothers K, Haskell S, Bean-Mayberry B, Brandt C, Bastian LA, Akgün KM. Sex Differences in Veterans Admitted to the Hospital for Chronic Obstructive Pulmonary Disease Exacerbation. Annals Of The American Thoracic Society 2019, 16: 707-714. PMID: 30822098, PMCID: PMC6543475, DOI: 10.1513/annalsats.201809-615oc.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, InhalationAgedAsthmaBronchodilator AgentsComorbidityDisease ProgressionDrug CombinationsFemaleGlucocorticoidsHospitalizationHumansIntensive Care UnitsLogistic ModelsMaleMental DisordersMiddle AgedMultivariate AnalysisMuscarinic AntagonistsPatient ReadmissionPulmonary Disease, Chronic ObstructiveRespiration, ArtificialRespiratory Function TestsRetrospective StudiesRisk FactorsSex FactorsSmokingSmoking CessationSubstance-Related DisordersTobacco Use Cessation DevicesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPulmonary function testingCOPD exacerbationsSmoking statusReadmission riskFunction testingPsychiatric comorbidityChronic obstructive pulmonary disease exacerbationsChronic obstructive pulmonary disease (COPD) prevalenceObstructive pulmonary disease exacerbationsMultivariate logistic regression modelPulmonary disease exacerbationsNicotine replacement therapyRetrospective observational analysisTreatment of COPDDiagnosis of drugHigh smoking ratesLogistic regression modelsComprehensive case managementAntimuscarinic useDisease exacerbationReadmission ratesPrimary outcomeMedication prescriptionsCorticosteroid inhalersPrimary 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 benefitsVeteransPrescriptionCohortAssociationGender Differences in the Prevalence of Fibromyalgia and in Concomitant Medical and Psychiatric Disorders: A National Veterans Health Administration Study
Arout CA, Sofuoglu M, Bastian LA, Rosenheck RA. Gender Differences in the Prevalence of Fibromyalgia and in Concomitant Medical and Psychiatric Disorders: A National Veterans Health Administration Study. Journal Of Women's Health 2018, 27: 1035-1044. PMID: 29608126, PMCID: PMC6425926, DOI: 10.1089/jwh.2017.6622.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAnalgesics, OpioidComorbidityConnective Tissue DiseasesFemaleFibromyalgiaHeadacheHumansMaleMental DisordersMiddle AgedPatient Acceptance of Health CarePrevalencePsychotropic DrugsSex FactorsUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsConnective tissue diseasePain diagnosisPsychiatric comorbidityClinical epidemiologyMedical conditionsPsychiatric disordersVeterans Health Administration patientsPrevalence of fibromyalgiaPsychotropic prescription fillsComorbid medical conditionsType of painHealth service useDiagnosis of fibromyalgiaMultiple psychiatric comorbiditiesMedical outpatient servicesLogistic regression analysisOlder male samplePain syndromePain conditionsPrescription fillsClinical presentationTissue diseaseRisk ratioCharacteristics of menFibromyalgia
2017
Incident Cardiovascular Risk Factors Among Men and Women Veterans After Return From Deployment
Haskell SG, Brandt C, Burg M, Bastian L, Driscoll M, Goulet J, Mattocks K, Dziura J. Incident Cardiovascular Risk Factors Among Men and Women Veterans After Return From Deployment. Medical Care 2017, 55: 948-955. PMID: 28984707, DOI: 10.1097/mlr.0000000000000801.Peer-Reviewed Original ResearchConceptsCardiovascular risk factorsCV risk factorsRisk factorsImpact of sexWomen veteransClinical Modification diagnostic codesIncident cardiovascular risk factorsPrimary care visitsCoronary artery diseaseElectronic health record dataRisk of obesityVeterans Health AdministrationIncident risk factorsHealth record dataMental health conditionsBlack womenNew International ClassificationCare visitsCohort studyArtery diseaseFemale sexDiagnostic codesIncidence rateProtective effectInternational ClassificationImplementation of guideline-based therapy for chronic obstructive pulmonary disease: Differences between men and women veterans
Rinne ST, Elwy AR, Liu CF, Wiener RS, Thayer L, Gerity A, Bastian LA. Implementation of guideline-based therapy for chronic obstructive pulmonary disease: Differences between men and women veterans. Chronic Respiratory Disease 2017, 14: 385-391. PMID: 28618875, PMCID: PMC5729732, DOI: 10.1177/1479972317702141.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, InhalationAdrenergic beta-AgonistsCross-Sectional StudiesDrug PrescriptionsDrug Therapy, CombinationFemaleGuideline AdherenceHumansInappropriate PrescribingMaleMuscarinic AntagonistsPractice Guidelines as TopicPulmonary Disease, Chronic ObstructiveRetrospective StudiesSex FactorsSteroidsUnited StatesVeteransConceptsChronic obstructive pulmonary diseaseObstructive pulmonary diseaseCOPD medicationsHospital outcomesPulmonary diseaseBeta agonistsMuscarinic antagonistGuideline-based therapyBaseline patient characteristicsMultivariable logistic regressionLength of stayVeterans Affairs hospitalChronic disease managementCross-sectional studyQuality of careCOPD guidelinesCOPD therapyOral steroidsInhaler therapyCOPD managementPatient characteristicsHospital readmissionSame therapyCurrent guidelinesVA hospitalsImpact of Gender on Satisfaction and Confidence in Cholesterol Control Among Veterans at Risk for Cardiovascular Disease
Goldstein KM, Stechuchak KM, Zullig LL, Oddone EZ, Olsen MK, McCant FA, Bastian LA, Batch BC, Bosworth HB. Impact of Gender on Satisfaction and Confidence in Cholesterol Control Among Veterans at Risk for Cardiovascular Disease. Journal Of Women's Health 2017, 26: 806-814. PMID: 28192012, PMCID: PMC5507731, DOI: 10.1089/jwh.2016.5739.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlood PressureCardiovascular DiseasesCholesterol, LDLCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleHealth BehaviorHealth Status DisparitiesHealthcare DisparitiesHumansHyperlipidemiasHypolipidemic AgentsMaleMiddle AgedNorth CarolinaPersonal SatisfactionRisk FactorsSex FactorsSocioeconomic FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsLipid controlCholesterol levelsCardiovascular diseaseLow-density lipoprotein valuesPoor lipid controlHigher health literacyPatient-centered factorsBaseline survey responsesSelf-rated satisfactionSocial supportCholesterol controlLipoprotein valuesLipid levelsHigh riskAdjusted modelHealth literacyTelemedicine studiesTracking medicationsGender-based disparitiesMedication trackingSociodemographic characteristicsMedicationsWomenMean scoreSignificant differences
2015
Impact of Smoking Cessation on Subsequent Pain Intensity Among Chronically Ill Veterans Enrolled in a Smoking Cessation Trial
Bastian LA, Fish LJ, Gierisch JM, Stechuchak KM, Grambow SC, Keefe FJ. Impact of Smoking Cessation on Subsequent Pain Intensity Among Chronically Ill Veterans Enrolled in a Smoking Cessation Trial. Journal Of Pain And Symptom Management 2015, 50: 822-829. PMID: 26210348, DOI: 10.1016/j.jpainsymman.2015.06.012.Peer-Reviewed Original ResearchConceptsSmoking cessation trialSubsequent pain intensityPain intensityCessation trialSmoking statusFive monthsChronic illnessSelf-reported smoking statusSelf-reported pain intensityLower pain levelsPrimary outcome measureGreater pain intensityCross-sectional studyFive-month followPrior cross-sectional studiesVeteran smokersPersistent smokersFormer smokersPain levelsProspective studySmoking cessationUnadjusted analysesIll veteransMultivariable modelingOutcome measures
2014
Heart 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
2011
Correlates of expected positive and negative support for smoking cessation among a sample of chronically ill veterans
Fish LJ, Gierisch JM, Stechuchak KM, Grambow SC, Rohrer LD, Bastian LA. Correlates of expected positive and negative support for smoking cessation among a sample of chronically ill veterans. Addictive Behaviors 2011, 37: 135-138. PMID: 21978930, DOI: 10.1016/j.addbeh.2011.08.013.Peer-Reviewed Original Research
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
2006
Vascular Risk Factors for Incident Alzheimer Disease and Vascular Dementia
Hayden KM, Zandi PP, Lyketsos CG, Khachaturian AS, Bastian LA, Charoonruk G, Tschanz JT, Norton MC, Pieper CF, Munger RG, Breitner JC, Welsh-Bohmer KA. Vascular Risk Factors for Incident Alzheimer Disease and Vascular Dementia. Alzheimer Disease & Associated Disorders 2006, 20: 93-100. PMID: 16772744, DOI: 10.1097/01.wad.0000213814.43047.86.Peer-Reviewed Original ResearchConceptsRisk of VaDVascular risk factorsAlzheimer's diseaseRisk factorsVascular dementiaVascular factorsRisk of ADCardiovascular risk factorsCommunity-based cohortIncident Alzheimer's diseaseSelf-reported historySex differencesCardiovascular historyDementia riskDementia subtypesDiscrete-time survival modelsHigh cholesterolSubsequent riskCounty residentsVADSpecific causal pathwaysStandard criteriaHypertensionSexRisk
2003
Blood-Borne Infections and Persons With Mental Illness: Gender Differences in Hepatitis C Infection and Risks Among Persons With Severe Mental Illness
Butterfield MI, Bosworth HB, Meador KG, Stechuchak KM, Essock SM, Osher FC, Goodman LA, Swanson JW, Bastian LA, Horner RD. Blood-Borne Infections and Persons With Mental Illness: Gender Differences in Hepatitis C Infection and Risks Among Persons With Severe Mental Illness. Psychiatric Services 2003, 54: 848-853. PMID: 12773599, DOI: 10.1176/appi.ps.54.6.848.Peer-Reviewed Original ResearchConceptsHepatitis C infectionSevere mental illnessHepatitis C seropositivityC infectionMental illnessRisk behaviorsUnprotected sexC seropositivityDrug-related risk behaviorsBlood borne infectionsHigh rateLifetime sexual risk behaviorsUnprotected vaginal sexSexual risk behaviorsGender differencesNeedle sharingRisk factorsNeedle useAnal sexDrug risksSex riskLifetime ratesVaginal sexCocaine useInfection
1998
Differences in Providers' Beliefs about Benefits and Risks of Hormone Replacement Therapy in Managed Care
Exline J, Siegler I, Bastian L. Differences in Providers' Beliefs about Benefits and Risks of Hormone Replacement Therapy in Managed Care. Journal Of Women's Health 1998, 7: 879-884. PMID: 9785314, DOI: 10.1089/jwh.1998.7.879.Peer-Reviewed Original ResearchConceptsHormone replacement therapyRisks of HRTReplacement therapyBreast cancerFamily physiciansBenefits of HRTProviders' beliefsProvider-patient discussionsGender of physiciansHealth maintenance organizationCross-sectional surveyThromboembolic eventsHeart diseasePhysicians' beliefsPhysician genderCare settingsFemale providersAlzheimer's diseasePhysician assistantsFemale physiciansMaintenance organizationPhysiciansDiseaseManaged CareRisk