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 groupsUtility of the PICOTS framework to assess clinical trial disruptions: monitoring the impact of COVID-19 in the Pain Management Collaboratory
Peduzzi P, Brandt C, Dearth C, Dziura J, Farrokhi S, George S, Kyriakides T, Long C, Mascha E, Patterson C, Rhon D, Kerns R. Utility of the PICOTS framework to assess clinical trial disruptions: monitoring the impact of COVID-19 in the Pain Management Collaboratory. Pain Medicine 2024, 25: s34-s40. PMID: 39514876, PMCID: PMC11548861, DOI: 10.1093/pm/pnae078.Peer-Reviewed Original ResearchConceptsPain Management CollaboratoryPICOTS frameworkIndividual-level randomizationPain management researchPragmatic clinical trialsIntervention fidelityCare deliveryStepped-wedgeSpecialty careClinical partnersCOVID-19 experienceIn-personPain managementOutcome assessmentStudy designCOVID-19Nonpharmacologic approachesImpact of COVID-19PICOTExperimental interventionLead investigatorsTrial designDesign of clinical trialsAffective deliveryPainGuideline 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
Dementia risk analysis using temporal event modeling on a large real-world dataset
Taylor R, Gilson A, Chi L, Haimovich A, Crawford A, Brandt C, Magidson P, Lai J, Levin S, Mecca A, Hwang U. Dementia risk analysis using temporal event modeling on a large real-world dataset. Scientific Reports 2023, 13: 22618. PMID: 38114545, PMCID: PMC10730574, DOI: 10.1038/s41598-023-49330-8.Peer-Reviewed Original ResearchInsomnia 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 prevalenceImplementer 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 algorithmReviewCliniciansDiseaseDetection of Left Ventricular Systolic Dysfunction From Electrocardiographic Images
Sangha V, Nargesi A, Dhingra L, Khunte A, Mortazavi B, Ribeiro A, Banina E, Adeola O, Garg N, Brandt C, Miller E, Ribeiro A, Velazquez E, Giatti L, Barreto S, Foppa M, Yuan N, Ouyang D, Krumholz H, Khera R. Detection of Left Ventricular Systolic Dysfunction From Electrocardiographic Images. Circulation 2023, 148: 765-777. PMID: 37489538, PMCID: PMC10982757, DOI: 10.1161/circulationaha.122.062646.Peer-Reviewed Original ResearchConceptsLV systolic dysfunctionYale-New Haven HospitalVentricular systolic dysfunctionSystolic dysfunctionLV ejection fractionBrazilian Longitudinal StudyNew Haven HospitalEjection fractionCardiology clinicRegional hospitalLeft ventricular systolic dysfunctionCedars-Sinai Medical CenterAdult Health (ELSA-Brasil) cohortUnderstanding 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 settingPatient Dietary Supplements Use: Do Results from Natural Language Processing of Clinical Notes Agree with Survey Data?
Redd D, Workman T, Shao Y, Cheng Y, Tekle S, Garvin J, Brandt C, Zeng-Treitler Q. Patient Dietary Supplements Use: Do Results from Natural Language Processing of Clinical Notes Agree with Survey Data? Medical Sciences 2023, 11: 37. PMID: 37367736, PMCID: PMC10304046, DOI: 10.3390/medsci11020037.Peer-Reviewed Original ResearchConceptsSelf-reported supplement useSupplement useClinical notesStructured medical recordsUnstructured clinical notesPrescription medicationsClinical recordsMedical recordsPhysician guidanceDietary supplementsNatural language processing toolsPatientsNatural language processingFolic acidHealthcare facilitiesLanguage processing toolsSupplementsF1 scoreLanguage processingPotential interactionsNLP performanceProcessing toolsNLP extractionExtra informationMedicationsExtracting 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 unitsComplementary 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 disordersAssessing the contributions of modifiable risk factors to serious falls and fragility fractures among older persons living with HIV
Womack J, Murphy T, Leo‐Summers L, Bates J, Jarad S, Gill T, Hsieh E, Rodriguez‐Barradas M, Tien P, Yin M, Brandt C, Justice A. Assessing the contributions of modifiable risk factors to serious falls and fragility fractures among older persons living with HIV. Journal Of The American Geriatrics Society 2023, 71: 1891-1901. PMID: 36912153, PMCID: PMC10258163, DOI: 10.1111/jgs.18304.Peer-Reviewed Original ResearchConceptsModifiable risk factorsFragility fracturesRisk factorsAlcohol use disorderSerious fallsPhysiologic frailtyAntiretroviral therapyOlder PWHUse disordersVeterans Aging Cohort StudyMeasures of multimorbidityAging Cohort StudyBody mass indexMultivariable logistic modelAverage attributable fractionSuccessful prevention programsKey risk factorsOpioid prescriptionsCohort studyMass indexModifiable factorsSixth decadeAttributable fractionElevated riskICD9 codesVariation 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 ResearchPersonalized Digital Health Information to Substantiate Human-Delivered Exercise Support for Adults With Type 1 Diabetes
Ash G, Nally L, Stults-Kolehmainen M, De Los Santos M, Jeon S, Brandt C, Gulanski B, Spanakis E, Baker J, Weinzimer S, Fucito L. Personalized Digital Health Information to Substantiate Human-Delivered Exercise Support for Adults With Type 1 Diabetes. Clinical Journal Of Sport Medicine 2023, 33: 512-520. PMID: 36715983, PMCID: PMC10898917, DOI: 10.1097/jsm.0000000000001078.Peer-Reviewed Original ResearchConceptsContinuous glucose monitoringExercise supportHealth informationDigital health informationBody mass indexType 1 diabetesCommunity-based sampleSevere hypoglycemiaMass indexPsychosocial assessmentCGM useHigh satisfaction ratingsPhysician oversightType 1Future interventionsGlucose monitoringMedical readinessMolecular biomarkersBaseline observationsInterventionSatisfaction ratingsAdultsExerciseBehavioral skillsSingle groupUnderstanding headache classification coding within the veterans health administration using ICD-9-CM and ICD-10-CM in fiscal years 2014–2017
Fodeh S, Fenton B, Wang R, Skanderson M, Altalib H, Kuruvilla D, Schindler E, Haskell S, Brandt C, Sico J. Understanding headache classification coding within the veterans health administration using ICD-9-CM and ICD-10-CM in fiscal years 2014–2017. PLOS ONE 2023, 18: e0279163. PMID: 36598881, PMCID: PMC9812322, DOI: 10.1371/journal.pone.0279163.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationHeadache diagnosisICD-10-CMICD-10-CM diagnosisICD-10-CM codingSpecialty care clinicsSpecific headache diagnosesICD-9-CM codingDifferent headache typesICD-9-CMRace/ethnicityHeadache comorbidityHeadache NOSPatient ageCare clinicsChronic conditionsHeadache typesProvider typeSociodemographic factorsHealth AdministrationDiagnosisTwo yearsHeadachePatientsMigraine