Occurrence of Opioid Related Neurocognitive Symptoms Associated with long-term Opioid Therapy.
León C, Sung M, Reisman J, Liu W, Kerns R, Gordon K, Mitra A, Kwon S, Yu H, Becker W, Li W. Occurrence of Opioid Related Neurocognitive Symptoms Associated with long-term Opioid Therapy. The Clinical Journal Of Pain 2024 PMID: 39682036, DOI: 10.1097/ajp.0000000000001266.Peer-Reviewed Original ResearchLong-term opioid therapyElectronic health recordsIncidence rate ratiosOpioid-related harmsSubstance use disordersNeurocognitive symptomsHazard ratioPatients prescribed long-term opioid therapyVeterans Health AdministrationCalculated incidence ratesAssociated with increased likelihoodChronic obstructive pulmonary diseasePost-traumatic stress disorderHealth recordsProportional hazards modelRetrospective cohort studyObstructive pulmonary diseaseHealth AdministrationRate ratiosIncidence rateCohort studyTraumatic brain injuryClinical notesExtract dataHazards modelDisparities in Receipt of Medications for Opioid Use Disorder Before and During the COVID-19 Pandemic in the US Veterans Health Administration.
Sung M, León C, Reisman J, Gordon K, Kerns R, Li W, Liu W, Mitra A, Yu H, Becker W. Disparities in Receipt of Medications for Opioid Use Disorder Before and During the COVID-19 Pandemic in the US Veterans Health Administration. Substance Use & Addiction Journal 2024, 29767342241293334. PMID: 39569566, DOI: 10.1177/29767342241293334.Peer-Reviewed Original ResearchMOUD receiptElixhauser Comorbidity IndexOpioid use disorderSocial determinants of healthVeterans Health Administration electronic health record dataElectronic health record dataUS Veterans Health AdministrationDeterminants of healthVeterans Health AdministrationHealth record dataProportion of veteransReceipt of medicationsSubstance useComorbidity indexTargeted outreach effortsUse disorderCOVID-19 pandemicProportion of patientsSocial determinantsReceipt of MOUDHealth AdministrationRecord dataEffect sizeMOUD engagementCalculated proportionsImplementation, intervention, and downstream costs for implementation of a multidisciplinary complex pain clinic in the Veterans Health Administration
Daniels S, Cave S, Wagner T, Perez T, Edmond S, Becker W, Midboe A. Implementation, intervention, and downstream costs for implementation of a multidisciplinary complex pain clinic in the Veterans Health Administration. Health Services Research 2024, 59: e14345. PMID: 38956400, PMCID: PMC11540574, DOI: 10.1111/1475-6773.14345.Peer-Reviewed Original ResearchVeterans Health AdministrationIntervention sitesIntervention costsHealth AdministrationPain clinicDownstream costsQuasi-experimental study designChronic painVA administrative dataAverage intervention costComplex chronic painRoutes of careActivity-based cost dataHealthcare utilization costsVA Medical CenterHistory of chronic painMicro-costing methodImplementation facilitatorsHospice patientsCost of treating patientsControl groupAdministrative dataInpatient costsIntervention cohortClinically similar characteristicsPain Care at Home to Amplify Function: Protocol Article.
Black A, Edmond S, Frank J, Abelleira A, Snow J, Wesolowicz D, Becker W. Pain Care at Home to Amplify Function: Protocol Article. Substance Use & Addiction Journal 2024, 29767342241236032. PMID: 38469833, DOI: 10.1177/29767342241236032.Peer-Reviewed Original ResearchPrimary care providersVeterans Health AdministrationPromote self-management strategiesImplementation facilitation strategyEffectiveness-implementation trialChronic painSelf-management strategiesGuideline-concordant practicesMedication management supportOpioid medication safetyIntervention cost-effectivenessOutcomes of alcohol useLong-term opioid therapyManagement of chronic painCognitive behavioral therapy techniquesNational Institutes of HealthPain carePain interferenceCare providersMedication safetyHealthcare providersInstitutes of HealthSelf-managementAddiction Long-termHealth Administration