2020
Associations 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 ResearchConceptsDiagnosis 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 category
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
Gender 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
2014
Patient-Centered Mental Health Care for Female Veterans
Kimerling R, Bastian LA, Bean-Mayberry BA, Bucossi MM, Carney DV, Goldstein KM, Phibbs CS, Pomernacki A, Sadler AG, Yano EM, Frayne SM. Patient-Centered Mental Health Care for Female Veterans. Psychiatric Services 2014, 66: 155-162. PMID: 25642611, PMCID: PMC4776740, DOI: 10.1176/appi.ps.201300551.Peer-Reviewed Original ResearchConceptsMental health servicesMental health careWomen's mental health servicesHealth servicesPosttraumatic stress disorderFemale veteransHealth careChronic general medical conditionsWomen's mental health careVeterans Health Administration systemGeneral medical conditionsBehavioral health servicesHealth Administration systemVHA mental health servicesClinical factorsPain managementPsychiatric comorbidityPrimary careWeight managementClinical aspectsMedical conditionsSleep problemsStress disorderPTSD symptomsCare