2024
Natural Language Processing of Clinical Documentation to Assess Functional Status in Patients With Heart Failure
Adejumo P, Thangaraj P, Dhingra L, Aminorroaya A, Zhou X, Brandt C, Xu H, Krumholz H, Khera R. Natural Language Processing of Clinical Documentation to Assess Functional Status in Patients With Heart Failure. JAMA Network Open 2024, 7: e2443925. PMID: 39509128, PMCID: PMC11544492, DOI: 10.1001/jamanetworkopen.2024.43925.Peer-Reviewed Original ResearchConceptsFunctional status assessmentArea under the receiver operating characteristic curveClinical documentationElectronic health record dataHF symptomsOptimal care deliveryHealth record dataAssess functional statusStatus assessmentClinical trial participationProcessing of clinical documentsFunctional status groupCare deliveryOutpatient careMain OutcomesMedical notesTrial participantsNew York Heart AssociationFunctional statusQuality improvementRecord dataHeart failureClinical notesDiagnostic studiesStatus groupsGuideline 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 guidelinesImplementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation
Portnoy G, Relyea M, Dichter M, Iverson K, Presseau C, Brandt C, Skanderson M, Bruce L, Martino S. Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation. JMIR Research Protocols 2024, 13: e59918. PMID: 39194059, PMCID: PMC11391160, DOI: 10.2196/59918.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationImpact of screeningINTERNATIONAL REGISTERED REPORT IDENTIFIERHealth care systemIntimate partner violenceIPV screeningQualitative interviewsCare systemHealth AdministrationConsolidated Framework for Implementation ResearchVeterans Health Administration facilitiesElectronic health record dataIntimate partner violence screeningMixed methods evaluationHealth record dataNational health care systemLongitudinal observational designPotential implementation barriersSignificant public health problemMen's health careClinical practice implicationsPatient populationMethod evaluationRE-AIMPublic health problemLeveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration
Wang K, Hendrickson Z, Miller M, Abel E, Skanderson M, Erdos J, Womack J, Brandt C, Desai M, Han L. Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration. Medical Care 2024, 62: 458-463. PMID: 38848139, DOI: 10.1097/mlr.0000000000002017.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationElectronic health recordsResidential addressesHealth recordsHealth AdministrationLeveraging electronic health recordsInfluence health care utilizationVeterans Health Administration dataAssociations of sociodemographicsHealth care utilizationHealth care systemPatient's residential addressCross-sectional analysisGeneralized logistic regressionCare utilizationHealth systemResidential mobilitySubstance use disordersCare systemPatient's residenceLogistic regressionVeteransMultinomial outcomesHealthOdds
2023
Insomnia and Early Incident Atrial Fibrillation: A 16‐Year Cohort Study of Younger Men and Women Veterans
Gaffey A, Rosman L, Lampert R, Yaggi H, Haskell S, Brandt C, Enriquez A, Mazzella A, Skanderson M, Burg M. Insomnia and Early Incident Atrial Fibrillation: A 16‐Year Cohort Study of Younger Men and Women Veterans. Journal Of The American Heart Association 2023, 12: e030331. PMID: 37791503, PMCID: PMC10757545, DOI: 10.1161/jaha.123.030331.Peer-Reviewed Original ResearchConceptsObstructive sleep apneaIncident atrial fibrillationAtrial fibrillationHealth care utilizationSleep apneaAF onsetCohort studyCare utilizationAF riskMultivariate Cox proportional hazards modelVeterans Health Administration (VHA) careRisk of AFCox proportional hazards modelCases of AFEarly cardiovascular riskIncident AF riskAssociation of insomniaProportional hazards modelCommon sleep disorderPost-9/11 veteransElectronic health recordsAF incidenceCardiovascular riskClinical comorbiditiesLifestyle factorsScreening for Intimate Partner Violence Experience and Use in the Veterans Health Administration
Portnoy G, Relyea M, Presseau C, Orazietti S, Bruce L, Brandt C, Martino S. Screening for Intimate Partner Violence Experience and Use in the Veterans Health Administration. JAMA Network Open 2023, 6: e2337685. PMID: 37831451, PMCID: PMC10576210, DOI: 10.1001/jamanetworkopen.2023.37685.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationCross-sectional studyStress disorder diagnosisPosttraumatic stress disorder (PTSD) diagnosisMental health servicesIPV useIntimate partner violenceHealth AdministrationVeterans Health Administration medical centersHealth servicesMental health care visitsClinical diagnosisMajor public health problemDisorder diagnosisElectronic medical record dataHealth care visitsIPV experiencesMedical record dataPublic health problemMental health cliniciansMental health careQuality improvement initiativesHealth care settingsOutcomes of interestPast-year prevalenceUnderstanding Veterans' intimate partner violence use and patterns of healthcare utilization
Relyea M, Presseau C, Runels T, Humbert M, Martino S, Brandt C, Haskell S, Portnoy G. Understanding Veterans' intimate partner violence use and patterns of healthcare utilization. Health Services Research 2023, 58: 1198-1208. PMID: 37452496, PMCID: PMC10622301, DOI: 10.1111/1475-6773.14201.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationHealthcare utilizationIPV useChronic painMedical treatmentSevere chronic painNon-VA providersChronic sleep problemsNon-VA servicesPost-traumatic stress disorderChi-square testRisk factorsOperation New Dawn veteransProvider trainingSleep problemsVA healthcareNew Dawn veteransOperation Enduring FreedomDATA SOURCESWomen veteransOutpatient healthcareHealth AdministrationOperation Iraqi FreedomClinical settingStudy settingExtracting Pain Care Quality Indicators from U.S. Veterans Health Administration Chiropractic Care Using Natural Language Processing
Coleman B, Finch D, Wang R, Luther S, Heapy A, Brandt C, Lisi A. Extracting Pain Care Quality Indicators from U.S. Veterans Health Administration Chiropractic Care Using Natural Language Processing. Applied Clinical Informatics 2023, 14: 600-608. PMID: 37164327, PMCID: PMC10411229, DOI: 10.1055/a-2091-1162.Peer-Reviewed Original ResearchConceptsCare quality indicatorsVeterans Health AdministrationVisit typePain assessmentChiropractic careConsultation visitCare qualityClinic visit typePain care qualityComprehensive pain assessmentWomen Veterans Cohort StudyCare visitsCohort studyMusculoskeletal painManagement visitsVisit notesHealth AdministrationConsultation notesChiropractic servicesVisitsQuality indicatorsMean numberTreatment planningPatientsDescriptive statisticsOpioid 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 raceThe Role of Unit and Interpersonal Support in Military Sexual Trauma and Posttraumatic Stress Disorder Symptoms
Webermann A, Relyea M, Portnoy G, Martino S, Brandt C, Haskell S. The Role of Unit and Interpersonal Support in Military Sexual Trauma and Posttraumatic Stress Disorder Symptoms. Journal Of Interpersonal Violence 2023, 38: 9514-9535. PMID: 37005795, DOI: 10.1177/08862605231165764.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMilitary sexual traumaUnit supportPTSD symptomsInterpersonal supportSexual traumaPosttraumatic stress disorder (PTSD) symptomsOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn VeteransOperation New Dawn veteransNew Dawn veteransWomen veteransStress disorderSymptomsDisorder symptomsWomenService membersGreater PTSD symptomsVeteransTraumaPotential factorsGender differencesMediatorsLess units
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 ResearchPost-9/11 deployment history and the incidence of breast cancer among women veterans
Gaffey A, Han L, Ramsey C, Skanderson M, Dziura J, Driscoll M, Burg M, Brandt C, Bastian L, Haskell S. Post-9/11 deployment history and the incidence of breast cancer among women veterans. Annals Of Epidemiology 2022, 77: 98-102. PMID: 36470323, DOI: 10.1016/j.annepidem.2022.11.010.Peer-Reviewed Original ResearchConceptsOEF/OIF deploymentBreast cancerWomen veteransHealthcare utilizationHormone replacement therapy useRetrospective cohort studyVeterans Affairs (VA) careHealthy soldier effectOEF/OIFCohort studyTherapy useBC incidenceHormonal contraceptivesLifestyle factorsPrimary careBC diagnosisLower incidenceOperations Enduring Freedom/Iraqi FreedomWomenIncidenceGreater likelihoodIraqi FreedomVeteransCancerCare
2011
The Burden of Illness in the First Year Home: Do Male and Female VA Users Differ in Health Conditions and Healthcare Utilization
Haskell SG, Mattocks K, Goulet JL, Krebs EE, Skanderson M, Leslie D, Justice AC, Yano EM, Brandt C. The Burden of Illness in the First Year Home: Do Male and Female VA Users Differ in Health Conditions and Healthcare Utilization. Women's Health Issues 2011, 21: 92-97. PMID: 21185994, PMCID: PMC3138124, DOI: 10.1016/j.whi.2010.08.001.Peer-Reviewed Original ResearchConceptsFemale veteransHealth servicesComprehensive women's health servicesHealth care service useVeterans Health Administration (VHA) servicesHealth conditionsCare service useBurden of illnessHealth care utilizationWomen's health servicesPercent of womenMental health clinicsOperation Enduring Freedom/Operation Iraqi Freedom veteransMental health disordersReproductive health needsMental health conditionsOperation Iraqi Freedom veteransVeterans' health careSignificant demographic differencesPosttraumatic stress disorderIraqi Freedom veteransCare utilizationClinical data basesGynecologic examinationHealthcare utilization
2010
Biomedical Informatics Techniques for Processing and Analyzing Web Blogs of Military Service Members
Konovalov S, Scotch M, Post L, Brandt C. Biomedical Informatics Techniques for Processing and Analyzing Web Blogs of Military Service Members. Journal Of Medical Internet Research 2010, 12: e45. PMID: 20923755, PMCID: PMC3234168, DOI: 10.2196/jmir.1538.Peer-Reviewed Original Research
2001
Exercise Tolerance and Quality of Life in Elderly Patients with Chronic Atrial Fibrillation
Howes C, Reid M, Brandt C, Ruo B, Yerkey M, Prasad B, Lin C, Peduzzi P, Ezekowitz M. Exercise Tolerance and Quality of Life in Elderly Patients with Chronic Atrial Fibrillation. Journal Of Cardiovascular Pharmacology And Therapeutics 2001, 6: 23-29. PMID: 11452333, DOI: 10.1177/107424840100600103.Peer-Reviewed Original ResearchConceptsChronic atrial fibrillationQuality of lifePhysical summary scoreAtrial fibrillationExercise toleranceControl patientsElderly patientsSinus rhythmSummary scoresShort Form-36 Health SurveyAge-matched control patientsModified Bruce ProtocolSimilar ejection fractionSimilar exercise toleranceCharlson Comorbidity IndexStatistical differenceCohort of patientsAtrial fibrillation patientsMental summary scoresSF-36 qualityYears of ageComorbidity indexCardioembolic strokeFibrillation patientsBruce protocol