2019
Analgesic prescribing trends in a national sample of older veterans with osteoarthritis
Trentalange M, Runels T, Bean A, Kerns RD, Bair MJ, Brody AA, Brandt CA, Hwang U. Analgesic prescribing trends in a national sample of older veterans with osteoarthritis. Pain 2019, Publish Ahead of Print: &na;. PMID: 30913167, PMCID: PMC9486693, DOI: 10.1097/j.pain.0000000000001509.Peer-Reviewed Original ResearchMeSH KeywordsAcetaminophenAgedAnalgesicsAnalgesics, Non-NarcoticAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalFemaleHumansMaleMiddle AgedOsteoarthritisPainPractice Patterns, Physicians'VeteransConceptsPain intensity ratingsAnalgesic prescriptionPrescribing trendsOlder veteransIntensity ratingsNonopioid analgesic prescribingPatterns of opioidPre-post observational studyReported pain intensityInterrupted time seriesOlder U.S. veteransAcetaminophen prescriptionsAnalgesic classTotal prescribingAnalgesic prescribingOpioid prescribingPain intensityDrug prescribingObservational studyPrescribingU.S. veteransPrescribing programmeOsteoarthritisStudy periodBinomial regression models
2018
International Stakeholder Community of Pain Experts and Leaders Call for an Urgent Action on Forced Opioid Tapering
Darnall BD, Juurlink D, Kerns RD, Mackey S, Van Dorsten B, Humphreys K, Gonzalez-Sotomayor JA, Furlan A, Gordon AJ, Gordon DB, Hoffman DE, Katz J, Kertesz SG, Satel S, Lawhern RA, Nicholson KM, Polomano RC, Williamson OD, McAnally H, Kao MC, Schug S, Twillman R, Lewis TA, Stieg RL, Lorig K, Mallick-Searle T, West RW, Gray S, Ariens SR, Potter J, Cowan P, Kollas CD, Laird D, Ingle B, Grove J, Wilson M, Lockman K, Hodson F, Palackdharry CS, Fillingim RB, Fudin J, Barnhouse J, Manhapra A, Henson SR, Singer B, Ljosenvoor M, Griffith M, Doctor JN, Hardin K, London C, Mankowski J, Anderson A, Ellsworth L, Budzinski L, Brandt B, Hartley G, Heck D, Zobrosky MJ, Cheek C, Wilson M, Laux CE, Datz G, Dunaway J, Schonfeld E, Cady M, LeDantec-Boswell T, Craigie M, Sturgeon J, Flood P, Giummarra M, Whelan J, Thorn BE, Martin RL, Schatman ME, Gregory MD, Kirz J, Robinson P, Marx JG, Stewart JR, Keck PS, Hadland SE, Murphy JL, Lumley MA, Brown KS, Leong MS, Fillman M, Broatch JW, Perez A, Watford K, Kruska K, You D, Ogbeide S, Kukucka A, Lawson S, Ray JB, Martin T, Lakehomer JB, Burke A, Cohen RI, Grinspoon P, Rubenstein MS, Sutherland S, Walters K, Lovejoy T. International Stakeholder Community of Pain Experts and Leaders Call for an Urgent Action on Forced Opioid Tapering. Pain Medicine 2018, 20: 429-433. PMID: 30496540, PMCID: PMC6657573, DOI: 10.1093/pm/pny228.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidHumansOpioid-Related DisordersPain ManagementPractice Patterns, Physicians'United StatesUnited States Dept. of Health and Human ServicesTesting implementation facilitation of a primary care-based collaborative care clinical program using a hybrid type III interrupted time series design: a study protocol
Midboe AM, Martino S, Krein SL, Frank JW, Painter JT, Chandler M, Schroeder A, Fenton BT, Troszak L, Erhardt T, Kerns RD, Becker WC. Testing implementation facilitation of a primary care-based collaborative care clinical program using a hybrid type III interrupted time series design: a study protocol. Implementation Science 2018, 13: 145. PMID: 30486877, PMCID: PMC6262952, DOI: 10.1186/s13012-018-0838-2.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidCooperative BehaviorEvidence-Based PracticeHumansImplementation ScienceInservice TrainingInterrupted Time Series AnalysisPain ManagementPractice Patterns, Physicians'Primary Health CareProgram EvaluationResearch DesignUnited StatesUnited States Department of Veterans AffairsWork EngagementConceptsCollaborative care interventionVeterans Health AdministrationImplementation facilitationPrimary careCare interventionsHigh-dose opioid therapyMorphine equivalent daily doseVHA health care systemClinical programsImplementation facilitation strategyOutpatient opioid prescriptionsOpioid prescribing practicesPain management servicesCollaborative care programEquivalent daily dosePrimary care clinicsPrimary care providersRE-AIM frameworkInterrupted time seriesOpioid overdose crisisHealth care systemInterrupted time series designEligible patientsMedication taperingOpioid therapyMixed methods formative evaluation of a collaborative care program to decrease risky opioid prescribing and increase non-pharmacologic approaches to pain management
Becker WC, Mattocks KM, Frank JW, Bair MJ, Jankowski RL, Kerns RD, Painter JT, Fenton BT, Midboe AM, Martino S. Mixed methods formative evaluation of a collaborative care program to decrease risky opioid prescribing and increase non-pharmacologic approaches to pain management. Addictive Behaviors 2018, 86: 138-145. PMID: 29576479, DOI: 10.1016/j.addbeh.2018.03.009.Peer-Reviewed Original ResearchConceptsNon-pharmacologic treatment modalitiesImplementation facilitation strategyPain management providersNon-pharmacologic approachesCollaborative care programPatient-level barriersSemi-structured qualitative phone interviewsClinical pharmacist's roleSystem-level barriersQualitative phone interviewsMixed-methods formative evaluationVeterans Affairs (VA) employeesOpioid prescribingPain managementTreatment modalitiesPharmacist's roleCare programClinical programsChange ScalePhone interviewsOpioidsQualitative themesDescriptive statisticsOrganizational readinessSubsequent rate
2014
Guideline-Concordant Management of Opioid Therapy Among Human Immunodeficiency Virus (HIV)-Infected and Uninfected Veterans
Gaither JR, Goulet JL, Becker WC, Crystal S, Edelman EJ, Gordon K, Kerns RD, Rimland D, Skanderson M, Weisberg DF, Justice AC, Fiellin DA. Guideline-Concordant Management of Opioid Therapy Among Human Immunodeficiency Virus (HIV)-Infected and Uninfected Veterans. Journal Of Pain 2014, 15: 1130-1140. PMID: 25152300, PMCID: PMC4253900, DOI: 10.1016/j.jpain.2014.08.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidChronic PainFemaleGuideline AdherenceHIV InfectionsHumansMalePractice Patterns, Physicians'Primary Health CareUnited StatesVeteransConceptsCurrent substance use disorderGuideline-concordant careOpioid therapyUrine drug testsHuman immunodeficiency virusSubstance use disordersUninfected patientsImmunodeficiency virusUse disordersPatient/provider characteristicsPrimary care provider visitsVeterans Affairs/DepartmentGuideline-concordant managementDrug testsCare concordantGuideline concordanceUninfected veteransProvider visitsPatient characteristicsPatient groupPrimary careClinical guidelinesPain medicineProvider characteristicsPatientsRacial Differences in Prescription of Opioid Analgesics for Chronic Noncancer Pain in a National Sample of Veterans
Burgess DJ, Nelson DB, Gravely AA, Bair MJ, Kerns RD, Higgins DM, van Ryn M, Farmer M, Partin MR. Racial Differences in Prescription of Opioid Analgesics for Chronic Noncancer Pain in a National Sample of Veterans. Journal Of Pain 2014, 15: 447-455. PMID: 24440840, DOI: 10.1016/j.jpain.2013.12.010.Peer-Reviewed Original ResearchMeSH KeywordsAgedAnalgesics, OpioidBlack PeopleChronic PainCohort StudiesFemaleHealthcare DisparitiesHumansMaleMiddle AgedPractice Patterns, Physicians'Retrospective StudiesVeteransWhite PeopleConceptsChronic noncancer painPain intensity ratingsPrescription of opioidsNoncancer painOpioid prescriptionsRacial differencesVeterans Affairs Health Care SystemIntensity ratingsElectronic medical record dataRetrospective cohort studyPain intensity scoresPrimary care patientsMedical record dataYears of agePossible racial differencesHealth care facilitiesSignificant racial differencesSystem-level factorsHealth care systemPatients 65Cohort studyJoint painPatient ageCare patientsOpioid analgesics
2008
Patient race and physicians' decisions to prescribe opioids for chronic low back pain
Burgess DJ, Crowley-Matoka M, Phelan S, Dovidio JF, Kerns R, Roth C, Saha S, van Ryn M. Patient race and physicians' decisions to prescribe opioids for chronic low back pain. Social Science & Medicine 2008, 67: 1852-1860. PMID: 18926612, DOI: 10.1016/j.socscimed.2008.09.009.Peer-Reviewed Original ResearchConceptsChronic low back painLow back painPatient racePhysician's decisionWhite patientsBack painTreatment decisionsHigh doseAmerican Medical Association Physician MasterfileChronic pain patientsPrimary care physiciansPhysicians' treatment decisionsNon-clinical characteristicsStrong opioidsNonwhite patientsPatient characteristicsPain managementPain patientsBlack patientsCare physiciansPatientsOpioidsPhysician MasterfilePhysician behaviorPatient's verbal behavior
2006
Developing patient-reported outcome measures for pain clinical trials: IMMPACT recommendations
Turk DC, Dworkin RH, Burke LB, Gershon R, Rothman M, Scott J, Allen RR, Atkinson J, Chandler J, Cleeland C, Cowan P, Dimitrova R, Dionne R, Farrar JT, Haythornthwaite JA, Hertz S, Jadad AR, Jensen MP, Kellstein D, Kerns RD, Manning DC, Martin S, Max MB, McDermott MP, McGrath P, Moulin DE, Nurmikko T, Quessy S, Raja S, Rappaport BA, Rauschkolb C, Robinson JP, Royal MA, Simon L, Stauffer JW, Stucki G, Tollett J, von Stein T, Wallace MS, Wernicke J, White RE, Williams AC, Witter J, Wyrwich KW. Developing patient-reported outcome measures for pain clinical trials: IMMPACT recommendations. Pain 2006, 125: 208-215. PMID: 17069973, DOI: 10.1016/j.pain.2006.09.028.Peer-Reviewed Original Research
2003
Rapid Improvement in Pain Management: The Veterans Health Administration and the Institute for Healthcare Improvement Collaborative
Cleeland CS, Reyes-Gibby CC, Schall M, Nolan K, Paice J, Rosenberg JM, Tollett JH, Kerns RD. Rapid Improvement in Pain Management: The Veterans Health Administration and the Institute for Healthcare Improvement Collaborative. The Clinical Journal Of Pain 2003, 19: 298-305. PMID: 12966255, DOI: 10.1097/00002508-200309000-00003.Peer-Reviewed Original ResearchMeSH KeywordsCooperative BehaviorHospitals, VeteransHumansInterinstitutional RelationsOrganizational ObjectivesPainPain ManagementPatient Care ManagementPatient Education as TopicPractice Patterns, Physicians'Program DevelopmentQuality Assurance, Health CareTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsConceptsPain care planPain managementSevere painPain assessmentCare plansLeast mild painVeterans Integrated Service NetworkPercentage of patientsPoor pain managementNumber of patientsPatient-reported dataVeterans Health AdministrationRapid improvementMild painVHA patientsMajor health care organizationsPain educationPatientsHealth AdministrationSystem-wide effortsPainHealth care organizationsProcess measuresHealth careIntegrated Service Networks