2022
Longitudinal analysis of the prevalence and correlates of heavy episodic drinking and self‐reported opioid use among a national cohort of patients with HIV
Oldfield BJ, Li Y, Vickers‐Smith R, Barry DT, Crystal S, Gordon KS, Kerns RD, Williams EC, Marshall BDL, Edelman EJ. Longitudinal analysis of the prevalence and correlates of heavy episodic drinking and self‐reported opioid use among a national cohort of patients with HIV. Alcohol Clinical And Experimental Research 2022, 46: 600-613. PMID: 35257397, PMCID: PMC9018502, DOI: 10.1111/acer.14801.Peer-Reviewed Original ResearchConceptsSelf-reported opioid useOpioid useHeavy episodic drinkingNational cohortRisk factorsDepressive symptomsVeterans Aging Cohort StudyVeterans Health Administration sitesOpioid-related risksHIV disease progressionModifiable risk factorsPast-year cigarette smokingAging Cohort StudyGreater illness severityEpisodic drinkingOpioid-related overdoseHigh-risk drinkingCohort studyProspective cohortIllness severityCigarette smokingClinical correlatesDisease progressionLower oddsMultinomial logistic regression
2019
Development and Assessment of a Crosswalk Between ICD-9-CM and ICD-10-CM to Identify Patients with Common Pain Conditions
Mayhew M, DeBar LL, Deyo RA, Kerns RD, Goulet JL, Brandt CA, Von Korff M. Development and Assessment of a Crosswalk Between ICD-9-CM and ICD-10-CM to Identify Patients with Common Pain Conditions. Journal Of Pain 2019, 20: 1429-1445. PMID: 31129316, PMCID: PMC6874733, DOI: 10.1016/j.jpain.2019.05.006.Peer-Reviewed Original ResearchConceptsCommon pain conditionsPain conditionsPrevalence estimatesDiagnostic clustersICD-10-CM diagnosis codesNational Pain StrategyElectronic health record dataICD-9-CM definitionsHealth record dataUS health care systemICD-10-CM transitionHealth services researchHealth care systemPain strategiesDiagnosis codesSocio-demographic characteristicsCondition prevalenceDiagnostic codingElectronic databasesHealth servicesSocio-demographic featuresEpidemiologic researchHealth conditionsCare systemRecord data
2018
Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016
Dahlhamer J, Lucas J, Zelaya C, Nahin R, Mackey S, DeBar L, Kerns R, Von Korff M, Porter L, Helmick C. Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016. MMWR Morbidity And Mortality Weekly Report 2018, 67: 1001-1006. PMID: 30212442, PMCID: PMC6146950, DOI: 10.15585/mmwr.mm6736a2.Peer-Reviewed Original ResearchConceptsHigh-impact chronic painChronic painU.S. adultsNational Health Interview Survey dataHealth Interview Survey dataCommon reasons adultsNational Pain StrategyPain management interventionsSelf-care activitiesPopulation-based estimatesQuality of lifeInterview Survey dataPrecise prevalence estimatesPain strategiesPain servicePublic health insurancePain interventionsNormal life activitiesHigh prevalencePainPrevalence estimatesMedical careReasons adultsNational estimatesPrevalence
2016
Prevalence and correlates of coprescribing anxiolytic medications with extensive prescription opioid use in Veterans Health Administration patients with metastatic cancer.
Barry DT, Sofuoglu M, Kerns RD, Wiechers IR, Rosenheck RA. Prevalence and correlates of coprescribing anxiolytic medications with extensive prescription opioid use in Veterans Health Administration patients with metastatic cancer. Journal Of Opioid Management 2016, 12: 259-68. PMID: 27575827, DOI: 10.5055/jom.2016.0341.Peer-Reviewed Original ResearchConceptsPrescription opioid useVeterans Health Administration patientsOpioid useMetastatic cancerAnxiolytic medicationMedical indicationsMultivariate analysisMore emergency department visitsNational VHA dataEmergency department visitsPrescription of antidepressantsAnxiolytic prescriptionsOpioid prescriptionsDepartment visitsVHA patientsPsychotropic medicationsFiscal year 2012VHA dataDrug AdministrationMedicationsBipolar disorderCareful monitoringYounger ageAnxiolyticsCancer
2015
Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV
Becker WC, Gordon K, Jennifer Edelman E, Kerns RD, Crystal S, Dziura JD, Fiellin LE, Gordon AJ, Goulet JL, Justice AC, Fiellin DA. Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV. AIDS And Behavior 2015, 20: 679-686. PMID: 26384973, PMCID: PMC5006945, DOI: 10.1007/s10461-015-1197-5.Peer-Reviewed Original ResearchPrevalence and correlates of co-prescribing psychotropic medications with long-term opioid use nationally in the Veterans Health Administration
Barry DT, Sofuoglu M, Kerns RD, Wiechers IR, Rosenheck RA. Prevalence and correlates of co-prescribing psychotropic medications with long-term opioid use nationally in the Veterans Health Administration. Psychiatry Research 2015, 227: 324-332. PMID: 25863822, DOI: 10.1016/j.psychres.2015.03.006.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnti-Anxiety AgentsAntidepressive AgentsDrug PrescriptionsFemaleHumansHypnotics and SedativesMaleMental DisordersOpioid-Related DisordersPrevalencePsychotropic DrugsSleep Initiation and Maintenance DisordersUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsMental health clinicsPsychotropic medicationsOpioid prescriptionsHealth clinicsMedical indicationsAnxiolytics/sedatives/hypnoticsLong-term opioid useSpecialty mental health clinicsService use correlatesRelated adverse eventsSedative/hypnoticsVeterans Health AdministrationMental health treatmentAdverse eventsOpioid useHarmful side effectsFiscal year 2012More psychotropicsSide effectsPsychiatric diagnosisHealth treatmentMedicationsHealth AdministrationPsychotropicsAnxiety disorders
2014
Persistent Pain and Comorbidity Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans
Higgins DM, Kerns RD, Brandt CA, Haskell SG, Bathulapalli H, Gilliam W, Goulet JL. Persistent Pain and Comorbidity Among Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans. Pain Medicine 2014, 15: 782-790. PMID: 24548466, DOI: 10.1111/pme.12388.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Chronic PainComorbidityDepressive DisorderFemaleHumansIraq War, 2003-2011Logistic ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisObesityPrevalenceStress Disorders, Post-TraumaticSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVeterans Health AdministrationTraumatic brain injuryPersistent painBody mass indexMental health conditionsChronic painOperation Enduring FreedomHealth conditionsElectronic medical record dataChronic pain conditionsPredictors of incidentMedical record dataLongitudinal clinical dataImportant clinical implicationsSubstance use disordersOEF/OIF/OND veteransPost-traumatic stress disorderArmy service membersLogistic regression modelsPain conditionsComorbid conditionsClinical evidenceMass indexBrain injuryClinical data
2012
Prevalence of Painful Musculoskeletal Conditions in Female and Male Veterans in 7 Years After Return From Deployment in Operation Enduring Freedom/Operation Iraqi Freedom
Haskell SG, Ning Y, Krebs E, Goulet J, Mattocks K, Kerns R, Brandt C. Prevalence of Painful Musculoskeletal Conditions in Female and Male Veterans in 7 Years After Return From Deployment in Operation Enduring Freedom/Operation Iraqi Freedom. The Clinical Journal Of Pain 2012, 28: 163-167. PMID: 21677563, DOI: 10.1097/ajp.0b013e318223d951.Peer-Reviewed Original ResearchConceptsPainful musculoskeletal conditionsMusculoskeletal conditionsVeterans AffairsMale veteransBack problemsFemale veteransOperation Iraqi FreedomFemale veteran populationSignificant demographic differencesIraqi FreedomOperation Enduring Freedom/Operation Iraqi FreedomMusculoskeletal painVA careJoint disordersMusculoskeletal problemsObservational studyOperation Enduring FreedomVeteran populationWomen veteransWomen's healthYear 1Clinical databaseQuality careOIF veteransTreatment program
2009
Prevalence of chronic pain, posttraumatic stress disorder, and persistent postconcussive symptoms in OIF/OEF veterans: Polytrauma clinical triad
Lew HL, Otis JD, Tun C, Kerns RD, Clark ME, Cifu DX. Prevalence of chronic pain, posttraumatic stress disorder, and persistent postconcussive symptoms in OIF/OEF veterans: Polytrauma clinical triad. The Journal Of Rehabilitation Research And Development 2009, 46: 697. PMID: 20104399, DOI: 10.1682/jrrd.2009.01.0006.Peer-Reviewed Original ResearchConceptsPersistent postconcussive symptomsPosttraumatic stress disorderOIF/OEF veteransChronic painOEF veteransPostconcussive symptomsOperation Iraqi FreedomStress disorderPolytrauma clinical triadMultidisciplinary team approachClinical triadPain locationMedical recordsEnduring Freedom veteransHigh prevalencePainTeam approachSymptomsPrevalenceVeteransIraqi FreedomDisordersCoprevalenceComplaints
2007
Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction.
Martell BA, O'Connor PG, Kerns RD, Becker WC, Morales KH, Kosten TR, Fiellin DA. Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction. Annals Of Internal Medicine 2007, 146: 116-27. PMID: 17227935, DOI: 10.7326/0003-4819-146-2-200701160-00006.Peer-Reviewed Original ResearchConceptsChronic back painSubstance use disordersEfficacy of opioidsBack painMedication-taking behaviorUse disordersOpioid treatmentOpioid medicationsStudy qualityShort-term pain reliefCurrent substance use disorderCochrane Central RegisterLifetime substance use disorderControlled Clinical TrialsLong-term efficacyPoor study qualityEnglish-language studiesTransdermal opioidsOpioid prescribingPain reliefCentral RegisterDifferent opioidsReduced painClinical trialsNonsignificant reduction
2006
Persistent pain and uncomfortable sensations in persons with multiple sclerosis
Hadjimichael O, Kerns RD, Rizzo MA, Cutter G, Vollmer T. Persistent pain and uncomfortable sensations in persons with multiple sclerosis. Pain 2006, 127: 35-41. PMID: 16949751, DOI: 10.1016/j.pain.2006.07.015.Peer-Reviewed Original ResearchConceptsSevere painMultiple sclerosisUncomfortable sensationsPersistent painNorth American Research CommitteeMultiple pain sitesLevel of painManagement of painConstancy of painExperience of painPain sitesModerate painPain severityPain intensityEnjoyment of lifeIntense painPatient RegistryMS populationHigh prevalencePainSmall studyHealthcare providersHealthcare systemSclerosisPositive associationThe Prevalence and Age-Related Characteristics of Pain in a Sample of Women Veterans Receiving Primary Care
Haskell SG, Heapy A, Reid MC, Papas RK, Kerns RD. The Prevalence and Age-Related Characteristics of Pain in a Sample of Women Veterans Receiving Primary Care. Journal Of Women's Health 2006, 15: 862-869. PMID: 16999642, DOI: 10.1089/jwh.2006.15.862.Peer-Reviewed Original ResearchConceptsWomen veteransPain problemsPrimary careHealth clinicsHealth centersHigh prevalenceVA women’s health clinicAnalgesic medication useOngoing pain problemsPrevalence of painMental health visitsAverage pain intensityCharacteristics of painWomen's health clinicWomen's health centersPain intensity levelsPain prevalenceAnalgesic medicationPain sitesPain statusHealth visitsMedication usePain intensityPain treatmentRoutine appointments
2005
Prevalence and correlates of depression in treatment-seeking women with vulvodynia
Masheb RM, Wang E, Lozano C, Kerns RD. Prevalence and correlates of depression in treatment-seeking women with vulvodynia. Journal Of Obstetrics And Gynaecology 2005, 25: 786-791. PMID: 16368586, DOI: 10.1080/01443610500328199.Peer-Reviewed Original ResearchConceptsCurrent major depressive disorderMajor depressive disorderGreater pain severityCorrelates of depressionPain severityQuality of lifeCo-morbid major depressive disorderRates of MDDWorse functioningOnset of vulvodyniaLifetime major depressive disorderChronic pain patientsFirst depressive episodeDepressive symptom severityLifetime prevalence ratesPain patientsTreatment-seeking womenDepressive episodeSexual functionDepressive disorderPrevalence ratesVulvodyniaSymptom severityTreatment-seeking sampleWomen
2002
Pain in multiple sclerosis: a biopsychosocial perspective.
Kerns RD, Kassirer M, Otis J. Pain in multiple sclerosis: a biopsychosocial perspective. The Journal Of Rehabilitation Research And Development 2002, 39: 225-32. PMID: 12051466.Peer-Reviewed Original ResearchConceptsMultiple sclerosisPain conditionsNature of MSSymptoms of MSAcute pain conditionsPain-related disabilityChronic pain conditionsComprehensive biopsychosocial modelLhermitte's syndromeOptic neuritisJoint painUnresolved painSignificant painAssociated disabilityTrigeminal neuralgiaPain problemsPainful conditionsPainAffective distressSymptomsPsychological interventionsBiopsychosocial perspectiveBiopsychosocial modelSclerosisSyndrome