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 quartileFactors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care
Coleman BC, Corcoran KL, DeRycke EC, Bastian LA, Brandt CA, Haskell SG, Heapy AA, Lisi AJ. Factors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Journal Of Manipulative And Physiological Therapeutics 2020, 43: 753-759. PMID: 32534740, DOI: 10.1016/j.jmpt.2019.10.016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Armed ConflictsChiropracticCohort StudiesComorbidityCross-Sectional StudiesFemaleHumansIraq War, 2003-2011Logistic ModelsMaleManipulation, ChiropracticMiddle AgedMusculoskeletal PainPain ManagementPrevalenceStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPost-traumatic stress disorderOEF/OIF/OND veteransBody mass indexSubstance use disordersChiropractic carePTSD diagnosisPain intensityMass indexStress disorderUse disordersOperations Enduring Freedom/Iraqi Freedom/New DawnPrior PTSD diagnosisSevere pain intensityVA chiropractic clinicDiagnosis of PTSDPain management outcomesPrimary outcome measureNational cohort studyElectronic health record dataHealth record dataManagement of veteransCross-sectional analysisPosttraumatic stress disorderClinical characteristicsCohort study
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
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 practicesCOPDPatientsStayHospitalAssociationMeasuring Multimorbidity: A Risky Business
Bastian LA, Brandt CA, Justice AC. Measuring Multimorbidity: A Risky Business. Journal Of General Internal Medicine 2017, 32: 959-960. PMID: 28653231, PMCID: PMC5570755, DOI: 10.1007/s11606-017-4110-2.Peer-Reviewed Original Research
2016
Binge Eating among Women Veterans in Primary Care: Comorbidities and Treatment Priorities
Rosenbaum DL, Kimerling R, Pomernacki A, Goldstein KM, Yano EM, Sadler AG, Carney D, Bastian LA, Bean-Mayberry BA, Frayne SM. Binge Eating among Women Veterans in Primary Care: Comorbidities and Treatment Priorities. Women's Health Issues 2016, 26: 420-428. PMID: 26972486, DOI: 10.1016/j.whi.2016.02.004.Peer-Reviewed Original ResearchConceptsPrimary care patientsTreatment prioritiesCare patientsProblematic eating patternsVeteran primary care patientsPatient treatment prioritiesPrimary care settingPsychological complexityPsychological disordersMood concernsClinical profilePrimary careWeight managementScreening practicesCare settingsEating patternsWomen veteransTreatment resourcesMental disordersClinical servicesPatientsStatistical ManualFifth editionWeight lossBingeAssociation Between Chronic Conditions and Physical Function Among Veteran and Non-Veteran Women With Diabetes
Gray KE, Katon JG, Rillamas-Sun E, Bastian LA, Nelson KM, LaCroix AZ, Reiber GE. Association Between Chronic Conditions and Physical Function Among Veteran and Non-Veteran Women With Diabetes. The Gerontologist 2016, 56: s112-s125. PMID: 26768385, PMCID: PMC5881620, DOI: 10.1093/geront/gnv675.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsActivities of Daily LivingAgedCase-Control StudiesCerebrovascular DisordersChronic DiseaseCognitive DysfunctionComorbidityDiabetes MellitusFemaleHealth StatusHeart DiseasesHip FracturesHumansKidney Failure, ChronicLinear ModelsMiddle AgedNeoplasmsOsteoarthritisPeripheral Arterial DiseaseUnited StatesUrinary IncontinenceVeteransConceptsPhysical functionChronic conditionsHealth initiativesSubsequent physical functionPeripheral artery diseaseWomen's Health InitiativeNon-veteran womenPostmenopausal womenArtery diseaseCoronary diseaseHip fractureCerebrovascular diseaseVeteran womenDiabetesWomenDiseaseGreater decreaseVeteransAssociationTotal numberLinear regressionAverage numberDecreaseCareAssociation of Pain With Physical Function, Depressive Symptoms, Fatigue, and Sleep Quality Among Veteran and non-Veteran Postmenopausal Women
Patel KV, Cochrane BB, Turk DC, Bastian LA, Haskell SG, Woods NF, Zaslavsky O, Wallace RB, Kerns RD. Association of Pain With Physical Function, Depressive Symptoms, Fatigue, and Sleep Quality Among Veteran and non-Veteran Postmenopausal Women. The Gerontologist 2016, 56: s91-s101. PMID: 26768395, PMCID: PMC5881612, DOI: 10.1093/geront/gnv670.Peer-Reviewed Original ResearchConceptsExtreme pain interferencePain interferencePhysical functionPain severitySleep qualityDepressive symptomsHealth initiativesStudy participantsWorse physical functionAssociation of painWomen's Health InitiativeNon-veteran womenObservational study participantsLimited physical functioningVeteran statusHealth care servicesPostmenopausal womenLess painPhysical functioningOlder veteransHigh incidencePainCare servicesNumber of womenComorbid symptoms
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