2024
Veteran's Health Administration HIV Care Continuum: 2019 vs 2022
Maier M, Beste L, Lowy E, Hauser R, Van Epps P, Yakovchenko V, Rogal S, Chartier M, Ross D. Veteran's Health Administration HIV Care Continuum: 2019 vs 2022. Open Forum Infectious Diseases 2024, 11: ofae382. PMID: 39086463, PMCID: PMC11288371, DOI: 10.1093/ofid/ofae382.Peer-Reviewed Original ResearchHuman immunodeficiency virusHIV care continuumViral suppressionVL resultsViral loadCare continuumFactors associated with viral suppressionTime of HIV diagnosisHuman immunodeficiency virus careRetrospective cohort analysisMultivariate logistic regressionVirologic suppressionImmunodeficiency virusHIV diagnosisVeterans Health AdministrationReceipt of careCohort analysisHealth care institutionsPWHCare qualityVHA careHealth AdministrationCare institutionsCareVHABlood type as a risk factor for pancreatic ductal adenocarcinoma.
Rahimi Larki N, Skanderson M, Tate J, Levinson R, Hauser R, Brandt C, Yang Y, Justice A, Wang L. Blood type as a risk factor for pancreatic ductal adenocarcinoma. Journal Of Clinical Oncology 2024, 42: 10559-10559. DOI: 10.1200/jco.2024.42.16_suppl.10559.Peer-Reviewed Original ResearchPancreatic ductal adenocarcinoma riskVeterans Health AdministrationRisk of pancreatic ductal adenocarcinomaNon-O blood typeNeighborhood-level socioeconomic dataIntegrated healthcare systemHigh risk of pancreatic ductal adenocarcinomaPancreatic ductal adenocarcinomaAssociated with higher riskAssociated with increased riskUnited StatesHealth AdministrationOutpatient encountersHealthcare systemBaseline ageAlcohol useIndex dateAssociation of blood typeCancer deathWhite populationSocioeconomic dataBlack patientsDiverse populationsRisk factorsBlood typeEstimating risk for pancreatic cancer among 9.4 million veterans in care.
Wang L, Rahimi Larki N, Skanderson M, Tate J, Hauser R, Brandt C, Yang Y, Justice A. Estimating risk for pancreatic cancer among 9.4 million veterans in care. Journal Of Clinical Oncology 2024, 42: 10544-10544. DOI: 10.1200/jco.2024.42.16_suppl.10544.Peer-Reviewed Original ResearchVeterans Health AdministrationGeneral populationAlcohol useIntegrated health systemElectronic health recordsTen-year riskHistory of cancerLoss to follow-upFollow-upEvaluated model discriminationMedian baseline ageCox proportional hazards modelsRisk prediction modelHealth recordsProportional hazards modelHealth systemHealth AdministrationMultivariate Cox proportional hazards modelSmoking statusCharlson Comorbidity IndexBaseline ageClinical reasoningRange of risksHazards modelFinal predictorsDevelopment and Validation of Case-Finding Algorithms to Identify Pancreatic Cancer in the Veterans Health Administration
Mezzacappa C, Larki N, Skanderson M, Park L, Brandt C, Hauser R, Justice A, Yang Y, Wang L. Development and Validation of Case-Finding Algorithms to Identify Pancreatic Cancer in the Veterans Health Administration. Digestive Diseases And Sciences 2024, 69: 1507-1513. PMID: 38453743, DOI: 10.1007/s10620-024-08324-w.Peer-Reviewed Original ResearchElectronic health recordsVeterans Health AdministrationHealth AdministrationElectronic health records data elementsElectronic health record dataDiagnosis of exocrine pancreatic cancerNational Cancer RegistryCancer RegistryHealth recordsExocrine pancreatic cancerOncology settingOutpatient encountersInpatient encountersData elementsExpert adjudicationPancreatic ductal adenocarcinomaEpidemiological studiesRandom sampleInterquartile rangeIdentification of patientsRange of patientsPancreatic cancerVeteransLate diagnosisExcellent PPVCombining Charlson comorbidity and VACS indices improves prognostic accuracy for all-cause mortality for patients with and without HIV in the Veterans Health Administration
McGinnis K, Justice A, Marconi V, Rodriguez-Barradas M, Hauser R, Oursler K, Brown S, Bryant K, Tate J, Study F. Combining Charlson comorbidity and VACS indices improves prognostic accuracy for all-cause mortality for patients with and without HIV in the Veterans Health Administration. Frontiers In Medicine 2024, 10: 1342466. PMID: 38356736, PMCID: PMC10864663, DOI: 10.3389/fmed.2023.1342466.Peer-Reviewed Original ResearchCharlson Comorbidity IndexVACS IndexHIV RNAVeterans Health AdministrationComorbid diseasesNon-AIDS conditionsCongestive heart failureAssociated with CD4Risk of mortalityMedian ageHepatitis C.Older age groupsCharlson comorbidityCD4Prognostic accuracyHeart failurePWoHComorbidity indexVA careKidney diseasePWHHIVMatched comparatorsBaseline predictorsClinical biomarkers
2023
Testing and Case Rates of Gonorrhea, Chlamydia, Syphilis, and HIV among People with Substance Use Disorders in the Veterans Health Administration
Villamagna A, Beste L, Borgerding J, Lowy E, Hauser R, Ross D, Maier M. Testing and Case Rates of Gonorrhea, Chlamydia, Syphilis, and HIV among People with Substance Use Disorders in the Veterans Health Administration. Journal Of Addiction Medicine 2023, 17: 387-393. PMID: 37579093, DOI: 10.1097/adm.0000000000001134.Peer-Reviewed Original ResearchConceptsSubstance use disordersVeterans Health AdministrationMental health diagnosesUse disordersTesting ratesCase ratesTest positivityHealth AdministrationSUD groupSingle substance use disorderVeterans Health Administration patientsMultiple substance use disordersStimulant useHealth diagnosisHIV test positivityInfections (STI) testing ratesNational retrospective analysisHigh STI ratesLow testing ratesStimulant use disorderAlcohol use disorderInfection testingNational cohortSTI ratesRetrospective analysis
2022
Assessment of the Frequency, Phenotypes, and Outcomes of Acute Liver Injury Associated with Amoxicillin/Clavulanate in 1.4 Million Patients in the Veterans Health Administration
Suzuki A, Tillmann H, Williams J, Hauser R, Frund J, Suzuki M, Prior F, Aithal G, Lucena M, Andrade R, Tong W, Hunt C. Assessment of the Frequency, Phenotypes, and Outcomes of Acute Liver Injury Associated with Amoxicillin/Clavulanate in 1.4 Million Patients in the Veterans Health Administration. Drug Safety 2022, 46: 129-143. PMID: 36547811, DOI: 10.1007/s40264-022-01255-3.Peer-Reviewed Original ResearchConceptsPre-existing liver conditionsAcute liver injuryAmoxicillin/clavulanateDrug-induced liver injuryLiver injuryLiver conditionsElectronic health record systemsHealth record systemsSignificant drug-induced liver injuryAcute Liver Injury AssociatedLiver Injury AssociatedOverall mortality riskGeneral patient populationVeterans Health AdministrationAlkaline phosphatase elevationSignificant health issueRecord systemLarge electronic health record datasetsElectronic health record datasetBilirubin elevationCholestatic injuryInpatient exposureInjury AssociatedLarge electronic health record systemHepatocellular injuryScreening for Latent Infections Among Users of High-Risk Immunosuppressants: A Cross-Sectional Analysis From the Veterans Health Administration Healthcare System
Schmajuk G, Montgomery A, Tarasovsky G, Li J, Hauser R, Rozenberg-Ben-Dror K, Whooley M. Screening for Latent Infections Among Users of High-Risk Immunosuppressants: A Cross-Sectional Analysis From the Veterans Health Administration Healthcare System. Journal Of Patient Safety 2022, 19: 1-7. PMID: 36395779, DOI: 10.1097/pts.0000000000001079.Peer-Reviewed Original ResearchConceptsHigher screening ratesVeterans Health AdministrationScreening ratesCross-sectional analysisHepatitis B virusHepatitis C virusLatent hepatitis B virusVeterans Affairs (VA) Corporate Data WarehouseElectronic health record-based toolsVeterans Health Administration healthcare systemNational Veterans Health AdministrationCross-sectional analysis of veteransLow-performing facilitiesGuideline-recommended screeningFacility-level factorsB/ts-DMARDsMixed-effects multivariable logistic regression modelAnalysis of veteransCorporate Data WarehouseMultivariate logistic regression modelHigher-volume facilitiesBlack/African American patientsLogistic regression modelsSynthetic disease-modifying antirheumatic drugsTargeted synthetic disease-modifying antirheumatic drugsGonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration
Keddem S, Maier M, Gardella C, Borgerding J, Lowy E, Chartier M, Haskell S, Hauser RG, Beste LA. Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration. Journal Of General Internal Medicine 2022, 37: 706-713. PMID: 36042092, PMCID: PMC9481769, DOI: 10.1007/s11606-022-07578-2.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationChlamydia testingVHA careWomen veteransAge 25Case ratesMilitary sexual traumaHealth AdministrationInfection rateCorrelates of testingIncidence of chlamydiaRetrospective cohort studyCervical cancer screeningEvidence-based guidelinesHealth system factorsIncidence of gonorrhoeaMental health diagnosesLow testing ratesSexual traumaSystem-level interventionsHigher infection rateEffective diagnostic testCohort studyPatient characteristicsResultsAmong womenSexually Transmitted Infection Testing in the National Veterans Health Administration Patient Cohort During the Coronavirus Disease 2019 Pandemic
Beste L, Keddem S, Borgerding J, Lowy E, Gardella C, McFarland L, Comstock E, Fonseca G, Van Epps P, Ohl M, Hauser R, Ross D, Maier M. Sexually Transmitted Infection Testing in the National Veterans Health Administration Patient Cohort During the Coronavirus Disease 2019 Pandemic. Open Forum Infectious Diseases 2022, 9: ofac433. PMID: 36514443, PMCID: PMC9452156, DOI: 10.1093/ofid/ofac433.Peer-Reviewed Original ResearchChlamydia/gonorrheaVeterans Health AdministrationHIV testingInfection testingHawaiian/Pacific IslanderTesting ratesChlamydia/gonorrhea testingHuman immunodeficiency virus (HIV) testingTransmitted Infection TestingElectronic health record dataCoronavirus disease 2019 (COVID-19) pandemicHealth record dataSTI testing ratesPacific IslandersDisease 2019 pandemicSlow recoveryNear-total recoveryGonorrhoea testingPreexposure prophylaxisHIV statusRural veteransRetrospective studyPatient cohortSyphilis testingVHA systemRobust Hepatitis A Vaccination Response Within the United States Veterans Health Administration in the Wake of State Outbreaks.
Moon AM, Borgerding JA, Hauser RG, Lowy E, Chartier M, Maier MM, Morgan T, Ruege A, Weber J, Beste LA. Robust Hepatitis A Vaccination Response Within the United States Veterans Health Administration in the Wake of State Outbreaks. American Journal Of Public Health 2022, 112: 990-994. PMID: 35617651, PMCID: PMC9222460, DOI: 10.2105/ajph.2022.306845.Peer-Reviewed Original ResearchConceptsVaccination ratesUnited States Veterans Health AdministrationMultivariable logistic regressionVeterans Health AdministrationHepA vaccinationVaccine receiptVaccination responseMultivariable modelSusceptible individualsHealth AdministrationLogistic regressionOutbreak stateOutbreakHepatitisVaccinationAdministrationIndividuals
2021
168. Testing, Diagnosis, and Incidence of Sexually Transmitted Infections Among People with Substance Use Disorders in the Veterans Health Administration, 2019
Villamagna H, Beste L, Borgerding J, Lowy E, Hauser R, Maier M. 168. Testing, Diagnosis, and Incidence of Sexually Transmitted Infections Among People with Substance Use Disorders in the Veterans Health Administration, 2019. Open Forum Infectious Diseases 2021, 8: 101-101. PMCID: PMC8644516, DOI: 10.1093/ofid/ofab466.168.Peer-Reviewed Original ResearchSubstance use disordersAlcohol use disorderSingle substance use disorderStimulant use disorderVeterans Health AdministrationUse disordersSTI testingElectronic medical recordsIncidence rateHigh incidenceTest positivityVHA electronic medical recordsMultiple substance use disordersComprehensive STI testingRetrospective cohort studyOpioid use disorderMental health diagnosesIncidence of syphilisRegional Medical CenterCorporate Data WarehouseDepartment of HealthRate of testingCohort studyVHA careMedical records1353. Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration
Keddem S, Maier M, Gardella C, Borgerding J, Lowy E, Chartier M, Haskell S, Hauser R, Beste L. 1353. Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration. Open Forum Infectious Diseases 2021, 8: 763-764. PMCID: PMC8643750, DOI: 10.1093/ofid/ofab466.1545.Peer-Reviewed Original ResearchMilitary sexual traumaWomen veteransChlamydia testingAge 25Chlamydia casesInfection rateVeterans Health Administration (VHA) careCase ratesIncidence of chlamydiaPredictors of testingRetrospective cohort studyCervical cancer screeningEvidence-based guidelinesHealth system factorsVeterans Health AdministrationIncidence of gonorrhoeaMental health diagnosesLow testing ratesSexual traumaSystem-level interventionsHigher infection rateEffective diagnostic testCohort studyPatient characteristicsAnnual screening