2025
The Impact of Chiropractic Care on Opioid Prescriptions in Veterans Health Administration Patients Receiving Low Back Pain Care
Lisi A, Bastian L, Brandt C, Coleman B, Fenton B, King J, Goulet J. The Impact of Chiropractic Care on Opioid Prescriptions in Veterans Health Administration Patients Receiving Low Back Pain Care. Journal Of General Internal Medicine 2025, 1-9. PMID: 40394439, DOI: 10.1007/s11606-025-09556-w.Peer-Reviewed Original ResearchLow back painPrimary care providersVeterans Health AdministrationChiropractic careOpioid prescriptionsCare usersLow back pain careLow back pain visitsVA primary care providersElectronic health record dataVeterans Health Administration patientsBack pain careDesignCross-sectional analysisHealth record dataReceipt of opioid prescriptionsPain careCare providersPropensity-matched sampleFollow-upBack painHealthcare servicesVHA patientsHealth AdministrationVA patientsPotential confoundersIdentifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis
Coleman B, Corcoran K, Brandt C, Goulet J, Luther S, Lisi A. Identifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis. JMIR Medical Informatics 2025, 13: e66466. PMID: 40173367, PMCID: PMC12038758, DOI: 10.2196/66466.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresVeterans Health AdministrationChiropractic careNatural language processingPROM useNatural language processing approachCare quality dataCare quality metricsHealth care systemText notesText matchingClinical textHealth cohortVisit notesCare systemHealth AdministrationNatural language processing modelsMeasure documentationBag-of-wordsConvolutional neural networkOutcome measuresQuality improvementCareRule-based methodClinical notesA deep learning analysis for dual healthcare system users and risk of opioid use disorder
Yin Y, Workman E, Ma P, Cheng Y, Shao Y, Goulet J, Sandbrink F, Brandt C, Spevak C, Kean J, Becker W, Libin A, Shara N, Sheriff H, Butler J, Agrawal R, Kupersmith J, Zeng-Trietler Q. A deep learning analysis for dual healthcare system users and risk of opioid use disorder. Scientific Reports 2025, 15: 3648. PMID: 39881142, PMCID: PMC11779826, DOI: 10.1038/s41598-024-77602-4.Peer-Reviewed Original ResearchConceptsRisk of opioid use disorderOpioid use disorderDeep neural networksUse disorderClinical factorsIncreased risk of opioid use disorderOpioid use disorder riskOpioid prescribing guidelinesNatural language processing of clinical notesDeep neural network modelU.S. veteransSubstance useOpioid useNatural language processingRetrospective studyBaltimore VA Medical CenterVA Medical CenterIncreased riskPrescribing guidelinesDrug useRisk factorsOpioidMedical CenterVeteransVeterans Health AdministrationLGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters
Workman T, Goulet J, Brandt C, Skanderson M, O’Leary J, Gordon K, Treitler-Zeng Q. LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters. Frontiers In Public Health 2025, 12: 1487866. PMID: 39835315, PMCID: PMC11743380, DOI: 10.3389/fpubh.2024.1487866.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaLGBTQ+ individualsMedical care usagePost-traumatic stress disorderTransgenderSexual traumaMarital statusSubstance use disorder diagnosisMental healthStress disorderContext of post-traumatic stress disorderQueerLGBTQ+CrimeVeterans with post-traumatic stress disorderMaltreatmentVeteransOutpatient encountersPolicySexStatusIncreased riskDemographicsChi-squareDisorder diagnosis
2024
Guideline concordant opioid therapy in Veterans receiving VA and community care
Ma P, Cheng Y, Goulet J, Sandbrink F, Brandt C, Spevak C, Kean J, Becker W, Libin A, Shara N, Sheriff H, Houston J, Butler J, Workman E, Agrawal R, Kupersmith J, Zeng-Treitler Q. Guideline concordant opioid therapy in Veterans receiving VA and community care. BMC Health Services Research 2024, 24: 1284. PMID: 39456008, PMCID: PMC11515256, DOI: 10.1186/s12913-024-11742-1.Peer-Reviewed Original ResearchConceptsDual-system usersGuideline concordant careConcordant careVA servicesCommunity careElectronic health record dataHealth record dataRates of guideline concordanceVA Medical CenterOpioid therapyAdherence to specific guidelinesBaltimore VA Medical CenterGuideline adherenceGuideline concordanceAdherence ratesGuideline recommendationsRecord dataCareDemographic factorsMedical CenterVeteransComorbid conditionsOpioid crisisUrine drug screensSpecific guidelinesImpact 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, 26: 104695. PMID: 39384145, PMCID: PMC11781976, 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 ResearchSexual 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 rate
2023
Patterns 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, 32: 570-573. 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 dataImplementer 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 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? Journal Of Military Social Work And Behavioral Health Services 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 thresholdOpioid 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 disordersVariation in firearm screening and access by LGBT status
Goulet J, Warren A, Workman T, Skanderson M, Farmer M, Gordon K, Abel E, Akgün K, Bean‐Mayberry B, Zeng‐Treitler Q, Haderlein T, Haskell S, Bastian L, Womack J, Post L, Hwang U, Brandt C. Variation in firearm screening and access by LGBT status. Academic Emergency Medicine 2023, 30: 420-423. PMID: 36661348, DOI: 10.1111/acem.14664.Peer-Reviewed Original Research
2022
Temporal and Geographic Patterns of Documentation of Sexual Orientation and Gender Identity Keywords in Clinical Notes
Workman T, Goulet J, Brandt C, Lindemann L, Skanderson M, Warren A, Eleazer J, Kronk C, Gordon K, Pratt-Chapman M, Zeng-Treitler Q. Temporal and Geographic Patterns of Documentation of Sexual Orientation and Gender Identity Keywords in Clinical Notes. Medical Care 2022, 61: 130-136. PMID: 36511399, PMCID: PMC9931630, DOI: 10.1097/mlr.0000000000001803.Peer-Reviewed Original ResearchThe Complexity of Sex-Based Cancer Screenings for Veterans with Gender-Related Diagnoses in VA Care
Warren A, Brandt C, Bastian L, Zeng Q, Black A, Goulet J. The Complexity of Sex-Based Cancer Screenings for Veterans with Gender-Related Diagnoses in VA Care. Annals Of LGBTQ Public And Population Health 2022, 3: 135-141. DOI: 10.1891/lgbtq-2021-0010.Peer-Reviewed Original ResearchElectronic health recordsVeterans Health AdministrationNational electronic health recordCervical cancerCancer screeningVA careProstate cancer screeningPSA testingDiagnostic codesVA facilitiesMale veteransHealth AdministrationSex-specific careFemale veteransCancer screenDiagnosisCareHealth recordsVeteransSexCancerOriginal sex
2020
A Prototype Application to Identify LGBT Patients in Clinical Notes
Workman T, Goulet J, Brandt C, Skanderson M, Wang R, Warren A, Eleazer J, Gordon K, Zeng-Treitler Q. A Prototype Application to Identify LGBT Patients in Clinical Notes. 2020, 00: 4270-4275. DOI: 10.1109/bigdata50022.2020.9378109.Peer-Reviewed Original ResearchElectronic health record notesPrototype applicationLGBT patientsRule-based patternLarge data sourcesBinary classification taskRecord notesData scientistsMachine learningClassification taskPositive predictive valueData researchData sourcesTest setClinical relevancePredictive valueHealthcare providersPatientsClinical notesHealth disparitiesLittle workDisproportional burdenApplicationsTaskLearning
2019
Explainable Deep Learning Applied to Understanding Opioid Use Disorder and Its Risk Factors
Workman T, Shao Y, Kupersmith J, Sandbrink F, Goulet J, Shaar N, Spevak C, Brandt C, Blackman M, Zeng-Treitler Q. Explainable Deep Learning Applied to Understanding Opioid Use Disorder and Its Risk Factors. 2019, 00: 4883-4888. DOI: 10.1109/bigdata47090.2019.9006297.Peer-Reviewed Original Research
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