2024
Use of Hospice and End-of-Life Care Quality Among Medical Centers with High Versus Lower Specialist Palliative Care Reach Among People with Heart Failure: An Observational Study
Feder S, Han L, Zhan Y, Abel E, Akgün K, Fried T, Ersek M, Redeker N. Use of Hospice and End-of-Life Care Quality Among Medical Centers with High Versus Lower Specialist Palliative Care Reach Among People with Heart Failure: An Observational Study. Journal Of Palliative Medicine 2024 PMID: 39515377, DOI: 10.1089/jpm.2024.0182.Peer-Reviewed Original ResearchSpecialist palliative careVeterans Affairs Medical CenterEnd of lifeCare qualityInpatient hospiceEnd of life outcomesUse of hospiceInpatient hospice careMedical CenterMultilevel logistic regressionFamilies of patientsAffairs Medical CenterHospice carePalliative careRetrospective cohort studyAdvanced heart failureBlack adultsHospiceCohort studyFacility rateLogistic regressionStudy outcomesObservational studyCareHeart failureVariation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers
Zhan Y, Han L, Abel E, Akgun K, Redeker N, Feder S. Variation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers. Journal Of Pain And Symptom Management 2024, 67: e551-e552. DOI: 10.1016/j.jpainsymman.2024.02.339.Peer-Reviewed Original ResearchSpecialist palliative careVA Medical CenterDepartment of Veterans AffairsPalliative careVeterans AffairsRandom intercept multilevel logistic regressionPalliative care deliveryDelivery characteristicsMedical CenterMultilevel logistic regressionCare deliveryICD-9/10 codesAdvanced heart failureRetrospective cohort studyHealth careModifiable factorsCareTeam staffingCohort studyHeart failureLogistic regressionImplementation effortsIdentified factorsICD-9/10Study findingsVariation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs
Feder S, Han L, Zhan Y, Abel E, Akgün K, Fried T, Ersek M, Redeker N. Variation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2024, 68: 22-31.e1. PMID: 38561132, PMCID: PMC11168897, DOI: 10.1016/j.jpainsymman.2024.03.022.Peer-Reviewed Original ResearchOutpatient specialist palliative careSpecialist palliative careVeterans Affairs Medical CenterPalliative careSpecialist palliative care consultationRandom intercept multilevel logistic regressionDepartment of Veterans AffairsMultilevel logistic regressionAffairs Medical CenterClinical practice guidelinesICD-9/10 codesAdvanced heart failureRetrospective cohort studyVeterans AffairsOutpatient palliativeOutpatient deliveryPractice guidelinesCohort studyLogistic regressionCardiology involvementDelivery characteristicsAssociated factorsMedical CenterIdentified factorsICD-9/10
2023
Long-term opioid therapy trajectories and overdose in patients with and without cancer.
Merlin J, Black A, Midboe A, Troszak L, Asch S, Bohnert A, Fenton B, Giannitrapani K, Glassman P, Kerns R, Silveira M, Lorenz K, Abel E, Becker W. Long-term opioid therapy trajectories and overdose in patients with and without cancer. BMJ Oncology 2023, 2: e000023. PMID: 38259328, PMCID: PMC10802123, DOI: 10.1136/bmjonc-2022-000023.Peer-Reviewed Original ResearchLong-term opioid therapyVeterans Health Administration databaseRetrospective cohort studyCornerstone of managementOpioid overdose riskHealth Administration databaseOpioid-related overdosesPresence of cancerRole of cancerOpioid receiptOpioid therapyCohort studyConclusions PatientsMost patientsObjective painOpioid risksDose/Opioid overdoseOverdose riskInternational ClassificationLower riskPatientsEffect of trajectoriesCancerAdministration databaseAssociation 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
Incidence and Trends in the Use of Palliative Care among Patients with Reduced, Middle-Range, and Preserved Ejection Fraction Heart Failure
Feder SL, Murphy TE, Abel EA, Akgün KM, Warraich HJ, Ersek M, Fried T, Redeker NS. Incidence and Trends in the Use of Palliative Care among Patients with Reduced, Middle-Range, and Preserved Ejection Fraction Heart Failure. Journal Of Palliative Medicine 2022, 25: 1774-1781. PMID: 35763838, PMCID: PMC9784595, DOI: 10.1089/jpm.2022.0093.Peer-Reviewed Original ResearchConceptsPalliative careEjection fractionHeart failureHF subtypesIncidence rateEjection fraction heart failureMid-range ejection fractionRetrospective cohort studyKaplan-Meier analysisClinical practice guidelinesCare of patientsMean survival timePalliative needsCohort studyHF diagnosisHFpEFHFmEFPractice guidelinesSurvival timePatientsSix weeksVeterans AffairsSubtypesHFrEFCare
2020
Use of Proton Pump Inhibitors Increases Risk of Incident Kidney Stones
Simonov M, Abel EA, Skanderson M, Masoud A, Hauser RG, Brandt CA, Wilson FP, Laine L. Use of Proton Pump Inhibitors Increases Risk of Incident Kidney Stones. Clinical Gastroenterology And Hepatology 2020, 19: 72-79.e21. PMID: 32147588, PMCID: PMC7483196, DOI: 10.1016/j.cgh.2020.02.053.Peer-Reviewed Original ResearchConceptsProton pump inhibitorsPPI useKidney stonesCohort studyLevothyroxine useTime-varying Cox proportional hazardsHistamine-2 receptor antagonistsPropensity score-matched subsetIncident kidney stonesUrinary ion concentrationsLarge cohort studyCox proportional hazardsPropensity matching analysisDose-dependent increaseNegative control exposureH2RA usePPI usersMost patientsPPI usageAcid suppressionAdjusted analysisMedication usageRetrospective studyPump inhibitorsUnadjusted analyses
2019
Gender Differences in Suicide and Self-Directed Violence Risk Among Veterans With Post-traumatic Stress and Substance Use Disorders
Ronzitti S, Loree AM, Potenza MN, Decker SE, Wilson SM, Abel EA, Haskell SG, Brandt CA, Goulet JL. Gender Differences in Suicide and Self-Directed Violence Risk Among Veterans With Post-traumatic Stress and Substance Use Disorders. Women's Health Issues 2019, 29: s94-s102. PMID: 31253249, DOI: 10.1016/j.whi.2019.04.010.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderGender-related differencesSelf-directed violenceTreatment strategiesCox proportional hazards regression modelProportional hazards regression modelsDiagnosis of PTSDWomen Veterans Cohort StudyHazards regression modelsSubstance use disordersSubgroups of veteransHazard ratioCohort studySuicidal behavior riskDecreased riskClinical variablesPotential confoundersHigh prevalenceUse disordersWomen veteransPost-traumatic stressNumber of womenPTSD diagnosisSuicidal behaviorSuicide risk
2016
Estimating healthcare mobility in the Veterans Affairs Healthcare System
Wang KH, Goulet JL, Carroll CM, Skanderson M, Fodeh S, Erdos J, Womack JA, Abel EA, Bathulapalli H, Justice AC, Nunez-Smith M, Brandt CA. Estimating healthcare mobility in the Veterans Affairs Healthcare System. BMC Health Services Research 2016, 16: 609. PMID: 27769221, PMCID: PMC5075153, DOI: 10.1186/s12913-016-1841-4.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDelivery of Health CareElectronic Health RecordsEmigration and ImmigrationFemaleHospitals, VeteransHumansMaleMental DisordersMiddle AgedPatient Acceptance of Health CareRetrospective StudiesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthYoung AdultConceptsHealthcare systemVeterans Health Administration electronic health recordsVeterans Affairs Healthcare SystemHealthcare mobilityRetrospective cohort studyHepatitis C virusOutcomes of careDifferent healthcare systemsDistinct healthcare systemsElectronic health recordsClinical characteristicsCohort studyHealthcare utilizationC virusSpecialty carePsychiatric disordersYounger veteransDisease preventionYounger agePopulation healthHealth recordsVeteransStatus changesCareYear period