2022
Risk Factors Associated with Healthcare Utilization for Spine Pain
Higgins DM, Han L, Kerns RD, Driscoll MA, Heapy AA, Skanderson M, Lisi AJ, Mattocks KM, Brandt C, Haskell SG. Risk Factors Associated with Healthcare Utilization for Spine Pain. Pain Medicine 2022, 23: 1423-1433. PMID: 34999899, DOI: 10.1093/pm/pnab351.Peer-Reviewed Original ResearchMeSH KeywordsBack PainFemaleHumansMusculoskeletal PainPatient Acceptance of Health CareRisk FactorsVeteransConceptsSpine pain careSpine painHealthcare utilizationPain careRisk factorsPain episodesObservation periodNew episodesMultivariable logistic regression modelPotential risk factorsOutpatient visit dataLogistic regression analysisMental health conditionsBaseline observation periodLogistic regression modelsBaseline characteristicsOutpatient visitsClinical correlatesContinued careLower oddsPainVisit dataContinued episodesHealth conditionsCare
2020
Are we missing opioid-related deaths among people with HIV?
Becker WC, Gordon KS, Edelman EJ, Goulet JL, Kerns RD, Marshall BDL, Fiellin DA, Justice AC, Tate JP. Are we missing opioid-related deaths among people with HIV? Drug And Alcohol Dependence 2020, 212: 108003. PMID: 32417360, PMCID: PMC9580216, DOI: 10.1016/j.drugalcdep.2020.108003.Peer-Reviewed Original ResearchConceptsVeterans Aging Cohort StudyOpioid useOverdose deathsLife-limiting conditionsUnnatural deathsGreater oddsAging Cohort StudyVACS IndexOpioid exposureCohort studyHIV infectionHIV statusRisk factorsOdds ratioDeath filesIndex causeHIVDisease severityDeathDecedentsIllicit useDifferential misclassificationOddsCauseOpioids
2019
High-dose prescribed opioids are associated with increased risk of heroin use among United States military veterans.
Banerjee G, Edelman EJ, Barry DT, Crystal S, Gordon KS, Gordon AJ, Gaither JR, Green TC, Kerns RD, Manhapra A, Moore BA, Fiellin DA, Marshall BDL. High-dose prescribed opioids are associated with increased risk of heroin use among United States military veterans. Pain 2019, 160: 2126-2135. PMID: 31145217, PMCID: PMC6699915, DOI: 10.1097/j.pain.0000000000001606.Peer-Reviewed Original ResearchConceptsHigh-dose opioid prescriptionsOpioid prescriptionsHeroin useCohort studyPrior receiptHepatitis C virus (HCV) infection statusLong-term opioid prescriptionsPast-year heroin useVeterans Aging Cohort StudyHigh-dose opioidsOpioid-prescribing patternsProspective cohort studyAging Cohort StudyOpioid use disorderCurrent national guidelinesUnhealthy alcohol useUnited States veteransUnited States military veteransVirus infection statusPosttraumatic stress disorderOpioid receiptPrescribed opioidsPain interferenceCox regressionStates veterans
2018
Duration of opioid prescriptions predicts incident nonmedical use of prescription opioids among U.S. veterans receiving medical care
Barry DT, Marshall BDL, Becker WC, Gordon AJ, Crystal S, Kerns RD, Gaither JR, Gordon KS, Justice AC, Fiellin DA, Edelman EJ. Duration of opioid prescriptions predicts incident nonmedical use of prescription opioids among U.S. veterans receiving medical care. Drug And Alcohol Dependence 2018, 191: 348-354. PMID: 30176548, PMCID: PMC6596307, DOI: 10.1016/j.drugalcdep.2018.07.008.Peer-Reviewed Original ResearchConceptsPrescription opioid receiptPrescription opioidsMedical careOpioid receiptVeterans Health Administration primary careNonmedical useMultivariable Cox modelInfectious disease clinicProspective cohort studyProportional hazards regressionPrescription opioid medicationsPublic health problemSubstance use disordersMedication-related characteristicsOpioid therapyOpioid medicationsOpioid prescriptionsCohort studyDisease clinicMedian ageHazards regressionEligible participantsPrimary careRisk factorsIncidence rate
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 exposure
2012
Prevalence of Painful Musculoskeletal Conditions in Female and Male Veterans in 7 Years After Return From Deployment in Operation Enduring Freedom/Operation Iraqi Freedom
Haskell SG, Ning Y, Krebs E, Goulet J, Mattocks K, Kerns R, Brandt C. Prevalence of Painful Musculoskeletal Conditions in Female and Male Veterans in 7 Years After Return From Deployment in Operation Enduring Freedom/Operation Iraqi Freedom. The Clinical Journal Of Pain 2012, 28: 163-167. PMID: 21677563, DOI: 10.1097/ajp.0b013e318223d951.Peer-Reviewed Original ResearchConceptsPainful musculoskeletal conditionsMusculoskeletal conditionsVeterans AffairsMale veteransBack problemsFemale veteransOperation Iraqi FreedomFemale veteran populationSignificant demographic differencesIraqi FreedomOperation Enduring Freedom/Operation Iraqi FreedomMusculoskeletal painVA careJoint disordersMusculoskeletal problemsObservational studyOperation Enduring FreedomVeteran populationWomen veteransWomen's healthYear 1Clinical databaseQuality careOIF veteransTreatment program
2010
Opioid doses and increased risk for overdose.
Becker WC, Fiellin DA, Kerns RD. Opioid doses and increased risk for overdose. Annals Of Internal Medicine 2010, 153: 59; author reply 59-60. PMID: 20621908, DOI: 10.7326/0003-4819-153-1-201007060-00016.Peer-Reviewed Original Research
2009
Pain among Veterans of Operations Enduring Freedom and Iraqi Freedom: Do Women and Men Differ?
Haskell SG, Brandt CA, Krebs EE, Skanderson M, Kerns RD, Goulet JL. Pain among Veterans of Operations Enduring Freedom and Iraqi Freedom: Do Women and Men Differ? Pain Medicine 2009, 10: 1167-1173. PMID: 19818028, DOI: 10.1111/j.1526-4637.2009.00714.x.Peer-Reviewed Original ResearchConceptsModerate-severe painPersistent painFemale veteransPain assessmentOperation Enduring FreedomVeterans Administration servicesPrevalence of painTreatment of painVA outpatient clinicEnduring FreedomIraqi FreedomSex differencesOverall painObservational cohortPain disordersOutpatient clinicPain measuresVA carePainLast deploymentMen DifferVeteransSignificant differencesPrevalenceYears of observation
2006
Persistent pain and uncomfortable sensations in persons with multiple sclerosis
Hadjimichael O, Kerns RD, Rizzo MA, Cutter G, Vollmer T. Persistent pain and uncomfortable sensations in persons with multiple sclerosis. Pain 2006, 127: 35-41. PMID: 16949751, DOI: 10.1016/j.pain.2006.07.015.Peer-Reviewed Original ResearchConceptsSevere painMultiple sclerosisUncomfortable sensationsPersistent painNorth American Research CommitteeMultiple pain sitesLevel of painManagement of painConstancy of painExperience of painPain sitesModerate painPain severityPain intensityEnjoyment of lifeIntense painPatient RegistryMS populationHigh prevalencePainSmall studyHealthcare providersHealthcare systemSclerosisPositive association
2005
Intersession coping skill practice mediates the relationship between readiness for self-management treatment and goal accomplishment
Heapy A, Otis J, Marcus KS, Frantsve LM, Janke E, Shulman M, Bellmore W, Kerns RD. Intersession coping skill practice mediates the relationship between readiness for self-management treatment and goal accomplishment. Pain 2005, 118: 360-368. PMID: 16289803, DOI: 10.1016/j.pain.2005.09.004.Peer-Reviewed Original ResearchConceptsSelf-management treatmentCognitive behavioral therapySelf-management approachPain treatmentChronic painVA primary care clinicsPrimary care clinicsPain ReadinessCare clinicsPain StagesPatient readinessPrimary careImproved outcomesTreatment benefitTreatment goalsSkills practicePractice recommendationsAdherence ratingsAdherenceChange QuestionnairePSOCQPainPatientsTreatmentSelf-efficacy ratings
2002
Pain in multiple sclerosis: a biopsychosocial perspective.
Kerns RD, Kassirer M, Otis J. Pain in multiple sclerosis: a biopsychosocial perspective. The Journal Of Rehabilitation Research And Development 2002, 39: 225-32. PMID: 12051466.Peer-Reviewed Original ResearchConceptsMultiple sclerosisPain conditionsNature of MSSymptoms of MSAcute pain conditionsPain-related disabilityChronic pain conditionsComprehensive biopsychosocial modelLhermitte's syndromeOptic neuritisJoint painUnresolved painSignificant painAssociated disabilityTrigeminal neuralgiaPain problemsPainful conditionsPainAffective distressSymptomsPsychological interventionsBiopsychosocial perspectiveBiopsychosocial modelSclerosisSyndrome