2024
The association of pain screening and pain level with suicide among US veterans with comorbid musculoskeletal and bipolar disorder diagnoses
Abel E, Travaglini L, Snow J, Goulet J. The association of pain screening and pain level with suicide among US veterans with comorbid musculoskeletal and bipolar disorder diagnoses. Journal Of Affective Disorders 2024, 369: 429-435. PMID: 39389110, DOI: 10.1016/j.jad.2024.10.028.Peer-Reviewed Original ResearchVeterans Health AdministrationBipolar disorder diagnosisPain screeningPain severity ratingsMusculoskeletal disordersSuicide mortalityPain severityRelative risk of suicideDisorder diagnosisVHA databaseMusculoskeletal disorder diagnosisSuicide riskActual medication useAssociation of painSuicide prevention effortsRisk of suicideHighest suicide ratesHigher suicide riskSuicide risk factorsRetrospective cohort studySubstance use disordersHealth AdministrationPain diagnosisPoisson regressionUS veteransImpact of Complementary Health Approaches on Opioid Prescriptions Among Veterans with Musculoskeletal Disorders—A Retrospective Cohort Study
Han L, Goulet J, Skanderson M, Redd D, Brandt C, Zeng-Treitler Q. Impact of Complementary Health Approaches on Opioid Prescriptions Among Veterans with Musculoskeletal Disorders—A Retrospective Cohort Study. Journal Of Pain 2024, 104695. PMID: 39384145, DOI: 10.1016/j.jpain.2024.104695.Peer-Reviewed Original ResearchIntegrative health approachesHealth approachOpioid prescriptionsMusculoskeletal disordersAdministration electronic health recordComplementary health approachesPrimary care visitsElectronic health recordsPharmacy dispensing recordsCIH approachesCare visitsDispensed opioid prescriptionsHealth recordsRetrospective cohort studyDispensing recordsPatient's painAnalytic sampleIndex diagnosisExposure groupCohort studyVeteransOpioid initiationQuasi-experimental investigationCIHPrescriptionIntimate Partner Violence Among Lesbian, Gay, and Bisexual Veterans
Warren A, Relyea M, Gross G, Eleazer J, Goulet J, Brandt C, Haskell S, Portnoy G. Intimate Partner Violence Among Lesbian, Gay, and Bisexual Veterans. Psychological Services 2024, 21: 621-625. PMID: 37602982, PMCID: PMC10879444, DOI: 10.1037/ser0000797.Peer-Reviewed Original ResearchSelf-injurious unnatural death among Veterans with HIV
Smith A, Goulet J, Vlahov D, Justice A, Womack J. Self-injurious unnatural death among Veterans with HIV. AIDS 2024, 38: 1570-1578. PMID: 38814683, DOI: 10.1097/qad.0000000000003940.Peer-Reviewed Original ResearchVeterans Aging Cohort StudyNested case-control studyModifiable risk factorsRisk of suicideCase-control studyRisk factorsIdentification of modifiable risk factorsCategorization of deathsIncidence density samplingAging Cohort StudyCohort of veteransIncreased risk of suicideConditional logistic regressionHigher pain levelsUse disorderPublic health burdenDrug use disordersUnnatural deathsDeath codesUnintentional causesInternational ClassificationHIV statusExcess deathsPrevention effortsAlcohol use disorderSexual and Gender Minority Status and Suicide Mortality: An Explainable Artificial Intelligence Analysis
Yin Y, Workman T, Blosnich J, Brandt C, Skanderson M, Shao Y, Goulet J, Zeng-Treitler Q. Sexual and Gender Minority Status and Suicide Mortality: An Explainable Artificial Intelligence Analysis. International Journal Of Public Health 2024, 69: 1606855. PMID: 38770181, PMCID: PMC11103011, DOI: 10.3389/ijph.2024.1606855.Peer-Reviewed Original ResearchLGBT statusSuicide death riskLGBT patientsLGBTCrude suicide mortality rateSuicide mortality ratesDeath riskProtective factorsAssociated with reduced riskTransgenderCase-control studyVeteransOlder veteransUS veteransHealthcare systemSuicideSuicide riskStatusReligionRisk factorsDeath risk factorsHigh riskLow riskMortality rateNon-affirmation minority stress, internalized transphobia, and subjective cognitive decline among transgender and gender diverse veterans aged 45 years and older
Wolfe H, Jeon A, Goulet J, Simpson T, Eleazer J, Jasuja G, Blosnich J, Kauth M, Shipherd J, Littman A. Non-affirmation minority stress, internalized transphobia, and subjective cognitive decline among transgender and gender diverse veterans aged 45 years and older. Aging & Mental Health 2024, 28: 1357-1363. PMID: 38567655, DOI: 10.1080/13607863.2024.2335565.Peer-Reviewed Original ResearchInternalized transphobiaMinority stressSubjective cognitive declineMeasures of minority stressPrevalence ratiosAssociated with subjective cognitive declineTrans womenTGD peopleProcess of stigmaTransphobiaConfidence intervalsCalculate prevalence ratiosCross-sectional surveyCognitive declineDiverse veteransTransgenderTGDAnalytic sampleSystem changesAdjusted modelsQuasi-Poisson distributionVeteransGeneralized linear modelGenderWomen
2023
Metformin prescription for U.S. veterans with prediabetes, 2010–2019
Gulanski B, Goulet J, Radhakrishnan K, Ko J, Li Y, Rajeevan N, Lee K, Heberer K, Lynch J, Streja E, Mutalik P, Cheung K, Concato J, Shih M, Lee J, Aslan M. Metformin prescription for U.S. veterans with prediabetes, 2010–2019. Journal Of Investigative Medicine 2023, 72: 139-150. PMID: 37668313, DOI: 10.1177/10815589231201141.Peer-Reviewed Original ResearchConceptsBody mass indexVeterans Health AdministrationIncident prediabetesHigh riskHealth AdministrationRetrospective observational cohort studyType 2 diabetes mellitusUse of metforminObservational cohort studyProportion of veteransMetformin prescribingGestational diabetesCohort studyMetformin prescriptionDiabetes mellitusDiabetes preventionMass indexCardiovascular diseaseMultivariable modelPrediabetesSubset of individualsMetforminU.S. veteransHealthcare systemVeteransPatterns of emergency department visits prior to dementia or cognitive impairment diagnosis: An opportunity for dementia detection?
Seidenfeld J, Runels T, Goulet J, Augustine M, Brandt C, Hastings S, Hung W, Ragsdale L, Sullivan J, Zhu C, Hwang U. Patterns of emergency department visits prior to dementia or cognitive impairment diagnosis: An opportunity for dementia detection? Academic Emergency Medicine 2023 PMID: 37935451, PMCID: PMC11074234, DOI: 10.1111/acem.14832.Peer-Reviewed Original ResearchRelationship Between Pain and LGBT Status Among Veterans in Care in a Retrospective Cross-Sectional Cohort
Gordon K, Buta E, Pratt-Chapman M, Brandt C, Gueorguieva R, Warren A, Workman T, Zeng-Treitler Q, Goulet J. Relationship Between Pain and LGBT Status Among Veterans in Care in a Retrospective Cross-Sectional Cohort. Journal Of Pain Research 2023, 16: 4037-4047. PMID: 38054108, PMCID: PMC10695019, DOI: 10.2147/jpr.s432967.Peer-Reviewed Original ResearchRetrospective cross-sectional cohortCross-sectional cohortPersistent painSelf-reported pain scoresVeterans Health AdministrationRobust Poisson modelsCorporate Data WarehouseLGBT veteransPain screeningPain scoresClinic visitsPain assessmentPainAdjusted modelHealth AdministrationGreater painMental healthSubstance useCohortYear of entryBlack veteransHealthcare systemVeteransSignificant differencesAdministrative dataRisk factors for suicide among veterans living with and without HIV: a nested case-control study
Smith A, Goulet J, Vlahov D, Justice A, Womack J. Risk factors for suicide among veterans living with and without HIV: a nested case-control study. AIDS And Behavior 2023, 28: 115-124. PMID: 37751112, PMCID: PMC11289766, DOI: 10.1007/s10461-023-04164-3.Peer-Reviewed Original ResearchHIV-specific risk factorsVeterans Aging Cohort StudyCase-control studyRisk factorsRisk of suicideAging Cohort StudyDiagnosis of HIVMost risk factorsUse of benzodiazepinesConditional logistic regressionMental health treatmentSubstance use disordersPrevious suicide attemptsCohort studyHIV statusRates of suicideHigh prevalenceGeneral populationUse disordersHealth treatmentAffective disordersHIVSuicide attemptsLogistic regressionPWHImplementer report: ICD-10 code F44.5 review for functional seizure disorder
Ali S, Bornovski Y, Gopaul M, Galluzzo D, Goulet J, Argraves S, Jackson-Shaheed E, Cheung K, Brandt C, Altalib H. Implementer report: ICD-10 code F44.5 review for functional seizure disorder. BMJ Health & Care Informatics Online 2023, 30: e100746. PMID: 37730251, PMCID: PMC10514602, DOI: 10.1136/bmjhci-2023-100746.Peer-Reviewed Original ResearchConceptsPositive predictive valueSeizure disorderICD-10Single ICD codeEHR problem listElectronic health recordsChart reviewDiagnostic codesInternational ClassificationDiagnostic codingPredictive valueICD codesProblem listDiagnostic precisionHealth recordsDisordersNatural language processing algorithmEHR systemsLanguage processing algorithmReviewCliniciansDiseaseCervical Cancer Prevention Among Veterans: What Is the Impact of Military Sexual Trauma, PTSD, and Women’s Health Primary Care Providers on Screening and Prevention?
Domenicano I, Combellick J, Warren A, Kyriakides T, Brandt C, Haskell S, Goulet J. Cervical Cancer Prevention Among Veterans: What Is the Impact of Military Sexual Trauma, PTSD, and Women’s Health Primary Care Providers on Screening and Prevention? Military Behavioral Health 2023, 11: 226-235. DOI: 10.1080/21635781.2023.2246884.Peer-Reviewed Original ResearchMental health conditionsWomen veteransMilitary sexual traumaCervical cancerCancer screeningCervical cancer screening ratesHealth conditionsVHA medical centersCancer screening ratesCervical cancer preventionCervical cancer screeningMultivariable logistic regressionPrimary care providersSexual traumaDiagnosis of PTSDPTSD disordersPatient characteristicsScreening ratesOutpatient careCancer preventionMultivariable modelMedical CenterCare providersWomen's healthCurrent studyIdentifying suicide documentation in clinical notes through zero‐shot learning
Workman T, Goulet J, Brandt C, Warren A, Eleazer J, Skanderson M, Lindemann L, Blosnich J, O'Leary J, Zeng‐Treitler Q. Identifying suicide documentation in clinical notes through zero‐shot learning. Health Science Reports 2023, 6: e1526. PMID: 37706016, PMCID: PMC10495736, DOI: 10.1002/hsr2.1526.Peer-Reviewed Original ResearchZero-shot learningDeep neural networksTraining dataNeural networkZero-shot learning modelData sparsity issueIdentical training dataTrue positive instancesClinical notesDeep learningDocument contentSparsity issueManual annotationTarget labelsLearning modelSemantic spaceTraining samplesPositive instancesWord featuresTraining casesBaseline modelAuxiliary informationTerms of areaLearningProbability thresholdFall-related Injuries and Opioid Administration Among Veterans With Dementia in US Department of Veterans Affairs Community Living Centers
Wang H, Cai S, Caprio T, Goulet J, Intrator O. Fall-related Injuries and Opioid Administration Among Veterans With Dementia in US Department of Veterans Affairs Community Living Centers. Medical Care 2023, 61: 579-586. PMID: 37476853, DOI: 10.1097/mlr.0000000000001889.Peer-Reviewed Original ResearchConceptsFall-related injuriesOpioid Safety InitiativeOpioid administrationCLC residentsVeterans Affairs Community Living CentersAlzheimer's diseasePropensity scoreSafety initiativesMinimum Data Set assessmentsMedication administration dataOpioid use reductionPrescription refill dataCommunity Living CentersMedicare Part D dataNursing home residentsLong-stay residentsPart D dataNonopioid usersOpioid useRefill dataUntreated painHome residentsVA CLCsAdjusted probabilityCare recordsAssociation 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 AdministrationPatientsGraded chronic pain scale revised: validation in a Veteran sample
Taub C, Gordon K, Goulet J, Lee A, Mayhew M, Von Korff M, DeBar L, Kerns R. Graded chronic pain scale revised: validation in a Veteran sample. Pain Medicine 2023, 24: 1169-1175. PMID: 37220899, PMCID: PMC10546477, DOI: 10.1093/pm/pnad068.Peer-Reviewed Original ResearchConceptsGraded Chronic Pain ScaleHigh-impact chronic painAdjusted odds ratioMild chronic painChronic Pain ScaleChronic painPain scaleConfidence intervalsLong-term opioid therapyHigh-risk populationOpioid therapyPain gradeUS veteransOdds ratioActivity limitationsPainPain researchLogistic regressionVeteran sampleHealth indicatorsStudy objectiveConvergent validityValidation studyVeteransPsychological variables41 Prevalence of Diabetes Among Veterans by Sexual Orientation
Duncan M, Streed C, Beach L, O’Leary J, Skanderson M, Goulet J. 41 Prevalence of Diabetes Among Veterans by Sexual Orientation. Journal Of Clinical And Translational Science 2023, 7: 10-11. PMCID: PMC10129609, DOI: 10.1017/cts.2023.133.Peer-Reviewed Original ResearchCardiovascular healthLGB veteransGeneral cardiovascular healthCardiovascular risk factorsPoor cardiovascular healthFirst clinic visitPrevalence of diabetesEHR cohortIndex dateClinic visitsCurrent smokingSmoking statusMean ageRisk factorsLarge cohortHigher oddsHispanic ethnicityPrevalent DMVeteran cohortPrevalent diseaseSO groupLogistic regressionOne-yearBisexual menCohortOpioid use and opioid use disorder in mono and dual-system users of veteran affairs medical centers
Goulet J, Cheng Y, Becker W, Brandt C, Sandbrink F, Workman T, Ma P, Libin A, Shara N, Spevak C, Kupersmith J, Zeng-Treitler Q. Opioid use and opioid use disorder in mono and dual-system users of veteran affairs medical centers. Frontiers In Public Health 2023, 11: 1148189. PMID: 37124766, PMCID: PMC10141670, DOI: 10.3389/fpubh.2023.1148189.Peer-Reviewed Original ResearchConceptsOpioid use disorderNew opioid prescriptionsOpioid prescriptionsOUD diagnosisVA careUse disordersPrevalence of OUDVeterans Affairs Medical CenterGuideline-concordant careRetrospective cohort studyMultivariate logistic regressionNon-VA sourcesVeterans Administration dataCommunity care servicesPrescription sourceUS healthcare systemOpioid medicationsOpioid useCohort studyConcordant careActive patientsVA cliniciansIntra-class correlationMedical CenterWhite raceComplementary and Integrative Health Approaches and Pain Care Quality in the Veterans Health Administration Primary Care Setting: A Quasi-Experimental Analysis
Han L, Luther S, Finch D, Dobscha S, Skanderson M, Bathulapalli H, Fodeh S, Hahm B, Bouayad L, Lee A, Goulet J, Brandt C, Kerns R. Complementary and Integrative Health Approaches and Pain Care Quality in the Veterans Health Administration Primary Care Setting: A Quasi-Experimental Analysis. Journal Of Alternative And Complementary Medicine 2023, 29: 420-429. PMID: 36971840, PMCID: PMC10280173, DOI: 10.1089/jicm.2022.0686.Peer-Reviewed Original ResearchConceptsPain care qualityPrimary care settingCIH exposureIntegrative health approachesCare settingsPropensity scorePain managementCIH approachesPCQ scoresPrimary care clinic visitsHealth approachCare qualityInternational clinical guidelinesChronic pain managementPrimary care capacityDeclaration of AstanaVHA initiativesClinic visitsMusculoskeletal painBenefits patientsMassage therapyClinical guidelinesExposure groupCare capacityMusculoskeletal disordersTrends in Risk-Adjusted Initiation and Reduction of Opioid Use among Veterans With Dementia in US Department of Veterans Affairs Community Living Centers
Wang H, Cai S, Caprio T, Goulet J, Intrator O. Trends in Risk-Adjusted Initiation and Reduction of Opioid Use among Veterans With Dementia in US Department of Veterans Affairs Community Living Centers. Journal Of The American Medical Directors Association 2023, 24: 1061-1067.e4. PMID: 36963437, DOI: 10.1016/j.jamda.2023.02.015.Peer-Reviewed Original ResearchConceptsCommunity Living CentersAdministration dayOpioid cohortMinimum Data SetOpioid administrationGuideline periodVeterans Affairs Community Living CentersLiving CentersMedication administration dataReduction of opioidsSafe pain reliefNursing home residentsFacility-level characteristicsHealth care professionalsVA Central OfficeQuality of careOpioid initiationOpioid dosageNonpharmacologic treatmentsOpioid usePain reliefOpioid misuseRetrospective studyCLC residentsBenzodiazepine administration