2018
Association Between Facility-Level Utilization of Non-pharmacologic Chronic Pain Treatment and Subsequent Initiation of Long-Term Opioid Therapy
Carey EP, Nolan C, Kerns RD, Ho PM, Frank JW. Association Between Facility-Level Utilization of Non-pharmacologic Chronic Pain Treatment and Subsequent Initiation of Long-Term Opioid Therapy. Journal Of General Internal Medicine 2018, 33: 38-45. PMID: 29633137, PMCID: PMC5902343, DOI: 10.1007/s11606-018-4324-y.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidChronic PainComorbidityHospitals, VeteransHumansMiddle AgedPain ManagementRetrospective StudiesUnited StatesVeteransConceptsLong-term opioid therapyNon-pharmacologic treatmentsFacility-level variationNon-opioid medicationsChronic painOpioid therapyTreatment modalitiesVeterans Health Administration facilitiesPatient-reported painChronic pain treatmentChronic pain careImproved patient outcomesUtilization patternsOpioid treatmentPrior calendar yearMedication utilizationPatient characteristicsPain treatmentPain careKey ResultsAmongPrimary carePatient outcomesPainGreater utilizationAdministration facilities
2017
Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans
Lin LA, Bohnert ASB, Kerns RD, Clay MA, Ganoczy D, Ilgen MA. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain 2017, 158: 833-839. PMID: 28240996, DOI: 10.1097/j.pain.0000000000000837.Peer-Reviewed Original ResearchConceptsOpioid Safety InitiativeVeterans Health AdministrationConcurrent benzodiazepineDaily opioid dosageElectronic medical record dataOutpatient opioid prescriptionsSafe opioid prescribingOpioid prescribing practicesMedical record dataInterrupted time series analysisSafety initiativesOpioid dosageOpioid prescribingOpioid prescriptionsOpioid regimensOutpatient prescribingVHA patientsPrescribing practicesVHA facilitiesAdverse outcomesSafe prescribingSystem-wide initiativesPrescribingPatientsOpioids
2004
Identification of Strategies Used to Cope with Chronic Pain in Older Persons Receiving Primary Care from a Veterans Affairs Medical Center
Barry LC, Kerns RD, Guo Z, Duong BD, Iannone LP, Reid MC. Identification of Strategies Used to Cope with Chronic Pain in Older Persons Receiving Primary Care from a Veterans Affairs Medical Center. Journal Of The American Geriatrics Society 2004, 52: 950-956. PMID: 15161460, DOI: 10.1111/j.1532-5415.2004.52263.x.Peer-Reviewed Original ResearchConceptsVeterans Affairs Medical CenterChronic painOlder personsAnalgesic medicationMedical CenterOlder primary care patientsChronic noncancer painCognitive coping methodsTrauma-related painCross-sectional telephone surveyPrimary care patientsPrimary care practicesProportion of participantsNoncancer painPain characteristicsCare patientsMusculoskeletal causesPrimary carePainActivity restrictionCare practicesMultivariate analysisAscertain factorsOlder populationCoping strategies
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 NetworksVeterans reports of pain and associations with ratings of health, health-risk behaviors, affective distress, and use of the healthcare system
Kerns RD, Otis J, Rosenberg R, Reid MC. Veterans reports of pain and associations with ratings of health, health-risk behaviors, affective distress, and use of the healthcare system. The Journal Of Rehabilitation Research And Development 2003, 40: 371. PMID: 15080222, DOI: 10.1682/jrrd.2003.09.0371.Peer-Reviewed Original ResearchConceptsPresence of painMental health servicesHealth risk behaviorsHealth servicesVHA primary care settingsVeterans Health Administration facilitiesUse of outpatientPain management strategiesPrimary care settingPrimary care providersRatings of healthEmotional distressSelf-rated healthIndex visitHealth-related concernsPain complaintsVHA facilitiesHigh prevalenceCare settingsCare providersPainMore outpatientGreater emotional distressAdministration facilitiesAlcohol use
1985
Chronic pain: A multiple-setting comparison of patient characteristics
Holzman A, Rudy T, Gerber K, Turk D, Sanders S, Zimmerman J, Kerns R. Chronic pain: A multiple-setting comparison of patient characteristics. Journal Of Behavioral Medicine 1985, 8: 411-422. PMID: 4093976, DOI: 10.1007/bf00848372.Peer-Reviewed Original ResearchMeSH KeywordsAdultChronic DiseaseDisability EvaluationFemaleHospitals, VeteransHumansMaleMiddle AgedPainPain ManagementPatient Care TeamSocial EnvironmentConceptsHospital programTreatment historyChronic pain patientsPain management programPain symptomsPatient agePatient characteristicsPain patientsPain programPain problemsOptimal treatmentGeneral hospital programsPain variablesTreatment outcomesDisability compensationAgePatientsSymptomsManagement programMultiple variablesDemographics