2022
Post-9/11 deployment history and the incidence of breast cancer among women veterans
Gaffey A, Han L, Ramsey C, Skanderson M, Dziura J, Driscoll M, Burg M, Brandt C, Bastian L, Haskell S. Post-9/11 deployment history and the incidence of breast cancer among women veterans. Annals Of Epidemiology 2022, 77: 98-102. PMID: 36470323, DOI: 10.1016/j.annepidem.2022.11.010.Peer-Reviewed Original ResearchMeSH KeywordsAfghan Campaign 2001-Breast NeoplasmsFemaleHumansIncidenceIraq War, 2003-2011MaleMilitary PersonnelRetrospective StudiesUnited StatesVeteransConceptsOEF/OIF deploymentBreast cancerWomen veteransHealthcare utilizationHormone replacement therapy useRetrospective cohort studyVeterans Affairs (VA) careHealthy soldier effectOEF/OIFCohort studyTherapy useBC incidenceHormonal contraceptivesLifestyle factorsPrimary careBC diagnosisLower incidenceOperations Enduring Freedom/Iraqi FreedomWomenIncidenceGreater likelihoodIraqi FreedomVeteransCancerCare
2021
I smoke to cope with pain: patients’ perspectives on the link between cigarette smoking and pain
Lee M, Snow J, Quon C, Selander K, DeRycke E, Lawless M, Driscoll M, Ditre JW, Mattocks KM, Becker WC, Bastian LA. I smoke to cope with pain: patients’ perspectives on the link between cigarette smoking and pain. Wiener Klinische Wochenschrift 2021, 133: 1012-1019. PMID: 34460005, DOI: 10.1007/s00508-021-01931-x.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultAgedChronic PainCigarette SmokingFemaleHumansMaleMiddle AgedRetrospective StudiesSmokeConceptsChronic painCigarette smokingMean pain intensity scorePain intensity scoresGreater pain intensitySmoking cessation trialPain-related distressYears of ageSelf-management strategiesBackgroundFor peopleConclusionMany patientsPain reliefPain intensityRetrospective thematic analysisCessation trialMedian numberPatient's perspectivePainKey ResultsParticipantsSmokingSmoking behaviorIntensity scoresSmoking studiesGreater painPatientsDocumentation of Screening for Firearm Access by Healthcare Providers in the Veterans Healthcare System: A Retrospective Study
Brandt CA, Workman TE, Farmer MM, Akgün KM, Abel EA, Skanderson M, Bean-Mayberry B, Zeng-Treitler Q, Mason M, Bastian LA, Goulet JL, Post LA. Documentation of Screening for Firearm Access by Healthcare Providers in the Veterans Healthcare System: A Retrospective Study. Western Journal Of Emergency Medicine 2021, 22: 525-532. PMID: 34125022, PMCID: PMC8203018, DOI: 10.5811/westjem.2021.4.51203.Peer-Reviewed Original ResearchConceptsClinical notesPatient characteristicsHealthcare providersFirearm accessElectronic health record clinical notesProportion of patientsOutpatient care visitsVeterans Healthcare SystemCohort of veteransUnited States military veteransMilitary service characteristicsDocumentation of screeningDocumentation of accessFirst yearRace/ethnicityCare visitsOutpatient visitsClinical comorbiditiesRetrospective studyVHA careEmergency clinicHandling of firearmsDemographic dataSystemwide processRisk of violence
2020
The Association Between Hospital End-of-Life Care Quality and the Care Received Among Patients With Heart Failure
Feder SL, Tate J, Ersek M, Krishnan S, Chaudhry SI, Bastian LA, Rolnick J, Kutney-Lee A, Akgün KM. The Association Between Hospital End-of-Life Care Quality and the Care Received Among Patients With Heart Failure. Journal Of Pain And Symptom Management 2020, 61: 713-722.e1. PMID: 32931904, PMCID: PMC7952458, DOI: 10.1016/j.jpainsymman.2020.09.006.Peer-Reviewed Original ResearchMeSH KeywordsAgedFamilyHeart FailureHumansMalePalliative CareQuality of Health CareRetrospective StudiesTerminal CareConceptsHeart failure patientsPalliative care consultationVeterans Health AdministrationLife care qualityFailure patientsHeart failureCare consultationsHighest quintileVA hospitalsIntensive care unit deathCare qualityIntensive care unitHealth care systemCare unitInpatient hospiceMean ageLowest quintileHospital endRetrospective analysisHOSPITAL scorePatientsHealth AdministrationCare processesHospitalLogistic regressionAssociations between obstructive sleep apnea and prescribed opioids among veterans.
Chen K, Yaggi HK, Fiellin DA, DeRycke EC, Athar W, Haskell S, Bastian LA. Associations between obstructive sleep apnea and prescribed opioids among veterans. Pain 2020, 161: 2035-2040. PMID: 32358418, PMCID: PMC7606219, DOI: 10.1097/j.pain.0000000000001906.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidCross-Sectional StudiesHumansMaleMiddle AgedPainRetrospective StudiesSleep Apnea, ObstructiveVeteransConceptsDiagnosis of OSAObstructive sleep apneaOpioid prescriptionsRelative risk ratiosSleep apneaMultimodal pain management strategiesPoor pain controlTwo-fold likelihoodPain management strategiesHigher pain intensityPain controlPrescribed opioidsFormer smokersPain intensityPain managementPrimary outcomeChronic prescriptionPrescription opioidsPsychiatric comorbidityOSA treatmentPrimary exposureNational cohortRisk ratioChronic durationOpioid categoryUnderutilization 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 benefitsVeteransPrescriptionCohortAssociation
2017
Impact of Multisystem Health Care on Readmission and Follow-up Among Veterans Hospitalized for Chronic Obstructive Pulmonary Disease
Rinne ST, Elwy AR, Bastian LA, Wong ES, Wiener RS, Liu CF. Impact of Multisystem Health Care on Readmission and Follow-up Among Veterans Hospitalized for Chronic Obstructive Pulmonary Disease. Medical Care 2017, 55: s20-s25. PMID: 28288076, DOI: 10.1097/mlr.0000000000000708.Peer-Reviewed Original ResearchConceptsChronic obstructive pulmonary diseaseNon-VA careObstructive pulmonary diseaseOutpatient carePulmonary diseaseReadmission riskRetrospective cohort studyDays of dischargeNon-VA providersHealth careVeterans Affairs hospitalAssociation of useVA administrative dataMixed-effects logistic regressionMedicare-eligible veteransOutcomes of interestCause readmissionIndex hospitalizationPostdischarge outcomesCohort studyBaseline severityCOPD readmissionsFollow-upWorse outcomesCommon causeImplementation 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 hospitals
2015
Associations Between Provider Designation and Female-specific Cancer Screening in Women Veterans
Bean-Mayberry B, Bastian L, Trentalange M, Murphy TE, Skanderson M, Allore H, Reyes-Harvey E, Maisel NC, Gaetano V, Wright S, Haskell S, Brandt C. Associations Between Provider Designation and Female-specific Cancer Screening in Women Veterans. Medical Care 2015, 53: s47-s54. PMID: 25767975, PMCID: PMC5477654, DOI: 10.1097/mlr.0000000000000323.Peer-Reviewed Original ResearchConceptsVeterans Affairs Healthcare SystemCancer screening ratesWomen's health providersCancer screeningWomen veteransHealth providersScreening ratesBreast cancer screening ratesFemale-specific cancersCervical cancer screeningPrimary care providersBreast cancer screeningLevel of careComprehensive primary careCross-sectional analysisClinical factorsProvider factorsPrimary careMultivariable modelHigher oddsProvider characteristicsNational guidelinesVA sitesPatientsDWHPsInfertility Care Among OEF/OIF/OND Women Veterans in the Department of Veterans Affairs
Mattocks K, Kroll-Desrosiers A, Zephyrin L, Katon J, Weitlauf J, Bastian L, Haskell S, Brandt C. Infertility Care Among OEF/OIF/OND Women Veterans in the Department of Veterans Affairs. Medical Care 2015, 53: s68-s75. PMID: 25767979, PMCID: PMC4410265, DOI: 10.1097/mlr.0000000000000301.Peer-Reviewed Original ResearchConceptsNon-VA providersInfertility diagnosisWomen veteransInfertility assessmentInfertility careInfertility treatmentInfertility servicesService-connected disability ratingStudy periodHealth careComprehensive medical careVA health careMental health diagnosesReproductive health careYounger women veteransMilitary sexual traumaDefense Manpower Data CenterVA carePositive screenDisability ratingsVA usersSmall proportionICD-9Military dischargeCPT codes
2014
Five-year Trends in Women Veterans' Use of VA Maternity Benefits, 2008–2012
Mattocks KM, Frayne S, Phibbs CS, Yano EM, Zephyrin L, Shryock H, Haskell S, Katon J, Sullivan JC, Weinreb L, Ulbricht C, Bastian LA. Five-year Trends in Women Veterans' Use of VA Maternity Benefits, 2008–2012. Women's Health Issues 2014, 24: e37-e42. PMID: 24439945, DOI: 10.1016/j.whi.2013.10.002.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPregnant veteransService-connected disabilityWomen veteransDelivery claimsInpatient deliveryStudy periodCesarean section rateNational cohort studyReproductive health careMajority of womenYounger women veteransCare coordination systemsOverall delivery rateDelivery-related costsNumber of deliveriesMaternity benefitsCohort studySection rateFive-year trendVeterans' useCommunity providersHealth AdministrationAge 30Fiscal year 2008
2007
Gender Differences in Health Care Utilization Among Veterans with Chronic Pain
Kaur S, Stechuchak KM, Coffman CJ, Allen KD, Bastian LA. Gender Differences in Health Care Utilization Among Veterans with Chronic Pain. Journal Of General Internal Medicine 2007, 22: 228. PMID: 17356991, PMCID: PMC1824743, DOI: 10.1007/s11606-006-0048-5.Peer-Reviewed Original ResearchConceptsChronic painWomen veteransOutpatient visitsDurham Veterans Affairs Medical CenterVeterans Affairs Medical CenterMultiple pain sitesHigh rateChronic pain conditionsOutpatient service useHealth care utilizationICD-9 codingPain sitesClinic visitsPain locationPain conditionsCare utilizationOutpatient utilizationPrimary carePhysical therapyMedical CenterPainMale veteransService usePsychiatric diagnosisVeteran population
1996
AIDS-relatedPneumocystis carinii pneumonia in older patients
Keitz S, Bastian L, Bennett C, Oddone E, DeHovitz J, Weinstein R. AIDS-relatedPneumocystis carinii pneumonia in older patients. Journal Of General Internal Medicine 1996, 11: 591-596. PMID: 8945690, DOI: 10.1007/bf02599026.Peer-Reviewed Original ResearchConceptsOlder patientsHospital mortalityCarinii pneumoniaIntensive care unit admissionOlder ageCare unit admissionRetrospective chart reviewDay of admissionIntravenous drug useSeverity of illnessDiagnosis of HIVPatterns of careLogistic regression analysisPCP therapyUnit admissionChart reviewHospital daysNeurologic findingsYounger patientsHIV infectionHomosexual contactInpatient useInsurance statusIllness ScaleSevere disease
1995
Cytologic screening after hysterectomy for benign disease
Piscitelli J, Bastian L, Wilkes A, Simel D. Cytologic screening after hysterectomy for benign disease. American Journal Of Obstetrics And Gynecology 1995, 173: 424-432. PMID: 7645617, DOI: 10.1016/0002-9378(95)90262-7.Peer-Reviewed Original ResearchConceptsBenign diseaseCytologic abnormalitiesVaginal dysplasiaInvasive gynecologic malignancyLow-risk patientsAbnormal cytology resultsCervical cytologic abnormalitiesProportional hazards regressionKaplan-Meier estimatesLittle clinical significanceMain outcome variablesTrue positive casesGynecologic malignanciesRetrospective cohortHazards regressionCytology resultsCytology testDysplasia casesClinical significanceLower incidencePositive casesPatientsScreening testHysterectomyOutcome variables