Lori Bastian, MD, MPH
Professor of Medicine (General Medicine)Cards
Appointments
Additional Titles
Section Chief of General Internal Medicine VA Connecticut Healthcare System, Internal Medicine
Director, Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center, Research
Contact Info
General Internal Medicine
VA Connecticut, 950 Campbell Ave
West Haven, CT 06516
United States
Appointments
Additional Titles
Section Chief of General Internal Medicine VA Connecticut Healthcare System, Internal Medicine
Director, Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center, Research
Contact Info
General Internal Medicine
VA Connecticut, 950 Campbell Ave
West Haven, CT 06516
United States
Appointments
Additional Titles
Section Chief of General Internal Medicine VA Connecticut Healthcare System, Internal Medicine
Director, Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center, Research
Contact Info
General Internal Medicine
VA Connecticut, 950 Campbell Ave
West Haven, CT 06516
United States
About
Titles
Professor of Medicine (General Medicine)
Section Chief of General Internal Medicine VA Connecticut Healthcare System, Internal Medicine; Director, Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center, Research
Biography
I began my 31 year research career at Duke University and the Durham VA in 1991 and moved to VA Connecticut and University of Connecticut in 2012. In January 2016, I was appointed Section Chief of Chief of General Internal Medicine at VA Connecticut in West Haven and Professor of Medicine at Yale. In this role, I oversee the academic development and clinical productivity of the hospitalists, primary care, and research faculty based at VA Connecticut. I also serve as the Director and Principal Investigator of the Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center of Excellence at VA Connecticut. This is a VA HSR&D center grant providing over 7 million in infrastructure support for multidisciplinary research focusing on improving pain in Veterans.
Appointments
General Internal Medicine
ProfessorPrimary
Other Departments & Organizations
Education & Training
- MPH
- University of North Carolina, Health Policy (1991)
- Residency
- Duke University medical center (1990)
- MD
- Emory University School of Medicine (1987)
- BS
- Virginia Commonwealth University, Biology (1983)
Research
Overview
I have extensive experience researching health behaviors among veterans, including female veterans. I was Principal Investigator (PI) and served as Medical Director of the Comprehensive Women’s Clinic at the Durham VA Medical Center, and in 2000, I received a VA/HSR&D Career Development Award to study health behavior interventions among women veterans. I have served as PI on NIH- and VA-supported grants to implement evidence-based tobacco-dependence treatment for smokers in the VA system. I have also served as co-investigator on multiple NIH (NHLBI, NIDDK, NCI) and VA patient-oriented studies focusing on health behaviors such as smoking cessation and weight loss. I have also served as Deputy Editor of the Journal of General Internal Medicine, and Lead Editor for three Supplements to this journal.
I continue to serve as a mentor for both pre-doctoral and postdoctoral fellows interested in pursuing health service research careers, and was awarded one of the first women's health fellowship grants focusing on health services research. In 2004, I took over the direction of a pre-doctoral T32 that promoted clinical research careers for medical students, which later was incorporated into Duke’s CTSA. In addition, I served as PI on the resultant CTSA TL1 pre-doctoral research training grant from 2006 to 2012, advising up to 15 medical students annually, helping them identify projects and mentors, overseeing clinical research methods coursework, and developing their presentation skills. While an Associate Dean for Career Development at the University of Connecticut, prior to my arrival at Yale in 2016, I developed an innovative program focused on writing K awards that includes a structured curriculum and provides salary support for junior faculty preparing their K awards. Since moving to Yale, I have received funding from the VA to lead a postdoctoral fellowship in health services research. In my career, I have mentored over 50 trainees, including several VA researchers who obtained VA CDAs.
Medical Subject Headings (MeSH)
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Sally Haskell, MD
Mary Driscoll, PhD
Joseph Lucien Goulet, PhD, MS
Cynthia Brandt, MD, MPH
Kathleen Akgün, MD, MS
Craig Gunderson, MD, SFHM
Women's Health
Veterans Health
Smoking Cessation
Pain
Health Services Research
Publications
2024
Factors associated with participation in a walking intervention for veterans who smoke and have chronic pain
Muller R, Driscoll M, DeRycke E, Edmond S, Becker W, Bastian L. Factors associated with participation in a walking intervention for veterans who smoke and have chronic pain. Journal Of Behavioral Medicine 2024, 1-8. PMID: 39143444, DOI: 10.1007/s10865-024-00511-4.Peer-Reviewed Original ResearchAltmetricConceptsFactors associated with participationCognitive behavioral interventionPain locationCounseling sessionsAverage daily step countPain self-management interventionMedian daily stepsDaily step countIntegrated smoking cessationSelf-management interventionsTelephone counseling sessionsChronic painModerate pain intensityMedian pack-yearsMultivariate logistic regressionWalking interventionLE painDaily stepsStep countsPain interferenceWalk componentSmoking cessationPain intensityPack-yearsIncreased oddsRisk of Serious Adverse Gastrointestinal Events with Potassium Binders in Hospitalized Patients: A National Study
Holleck J, Han L, Skanderson M, Bastian L, Gunderson C, Brandt C, Perkal M, Chang J, Akgün K. Risk of Serious Adverse Gastrointestinal Events with Potassium Binders in Hospitalized Patients: A National Study. Journal Of General Internal Medicine 2024, 1-7. PMID: 39103605, DOI: 10.1007/s11606-024-08979-1.Peer-Reviewed Original ResearchCitationsAltmetricConceptsAdjusted odds ratiosSodium zirconium cyclosilicateU.S. Department of Veterans Affairs healthcare systemDepartment of Veterans Affairs healthcare systemVA Corporate Data WarehouseVeterans Affairs Healthcare SystemCorporate Data WarehousePotassium bindersHospitalized patientsGI eventsHealthcare systemOdds ratioAdverse GI eventsSodium polystyrene sulfonateNational studyPotassium-binding drugsComparative riskAdverse gastrointestinal eventsGI adverse eventsTreatment of hyperkalemiaZirconium cyclosilicateGastrointestinal eventsPatiromerAdverse eventsEngaging Clinical Partners in Pragmatic Clinical Trials: Lessons Learned from the Pain Management Collaboratory
Bastian L, Cohen S, Salsbury S, Davis A, Katsovich L, Kerns R. Engaging Clinical Partners in Pragmatic Clinical Trials: Lessons Learned from the Pain Management Collaboratory. Pain Medicine 2024, pnae055. PMID: 38954840, DOI: 10.1093/pm/pnae055.Peer-Reviewed Original ResearchAltmetricElectronic Health Record Concordance with Survey-Reported Military Sexual Trauma Among Younger Veterans: Associations with Health Care Utilization and Mental Health Diagnoses
Gaffey A, Burg M, Skanderson M, Deviva J, Brandt C, Bastian L, Haskell S. Electronic Health Record Concordance with Survey-Reported Military Sexual Trauma Among Younger Veterans: Associations with Health Care Utilization and Mental Health Diagnoses. Journal Of Women's Health 2024 PMID: 38946553, DOI: 10.1089/jwh.2023.0993.Peer-Reviewed Original ResearchAltmetricConceptsElectronic health recordsHealth care utilizationAssociated with health care utilizationMilitary sexual traumaVeterans Health AdministrationCare utilizationPosttraumatic stress disorderVeteran health care utilizationMental health visitsPrimary care utilizationMental health diagnosesCross-sectional associationsService-related characteristicsPost-9/11 veteransSexual traumaLikelihood of posttraumatic stress disorderEHR screensPrimary careVHA careHealth visitsOlder veteransHealth recordsYounger veteransDepression diagnosisExperience MSTPatterns of gabapentin prescription and of hospitalization in a national cohort of US Veterans
Levy D, Gordon K, Bastian L, Brandt C, Gunderson C. Patterns of gabapentin prescription and of hospitalization in a national cohort of US Veterans. Pain Medicine 2024, 25: 534-537. PMID: 38676664, DOI: 10.1093/pm/pnae027.Peer-Reviewed Original ResearchAltmetricGender Disparity in Full Professor Rank Among Academic Physicians: A Systematic Review and Meta-Analysis
Marhoffer E, Ein-Alshaeba S, Grimshaw A, Holleck J, Rudikoff B, Bastian L, Gunderson C. Gender Disparity in Full Professor Rank Among Academic Physicians: A Systematic Review and Meta-Analysis. Academic Medicine 2024, 99: 801-809. PMID: 38498314, DOI: 10.1097/acm.0000000000005695.Peer-Reviewed Original ResearchAltmetricConceptsSystematic reviewAcademic Search PremierMeta-analysisMedical school facultyGender disparitiesWeb of SciencePooled aORUnadjusted ORInternal medicineOdds ratioAcademic physiciansStatistical heterogeneityInclusion criteriaUnited StatesMeta-regressionSystematic searchPrimary outcomeAORCochrane LibraryAcademic medicineGoogle ScholarDisparitiesGrant fundingSchool facultyWomenEvaluating an Enterprise-Wide Initiative to enhance healthcare coordination for rural women Veterans using the RE-AIM framework
Relyea M, Kinney R, DeRycke E, Haskell S, Mattocks K, Bastian L. Evaluating an Enterprise-Wide Initiative to enhance healthcare coordination for rural women Veterans using the RE-AIM framework. Frontiers In Health Services 2024, 3: 1237701. PMID: 38282637, PMCID: PMC10811198, DOI: 10.3389/frhs.2023.1237701.Peer-Reviewed Original ResearchCitationsAltmetricConceptsOffice of Rural HealthRural women veteransHealth care coordinationCare coordinationWomen veteransVA facilitiesRE-AIMCancer screeningProgram implementationCare coordination modelRE-AIM frameworkBreast cancer screeningWomen's Health ServicesMixed-methods evaluationCervical cancer screeningSemi-structured interviewsRural healthHealthcare coordinationScreening ratesPreventive careHealth servicesPhone encountersMaternity careQualitative findingsCare
2023
Opioid prescription and risk of atrial fibrillation in younger veterans
Chui P, Khokhar A, Gordon K, Dziura J, Burg M, Brandt C, Haskell S, Malm B, Bastian L, Gandhi P. Opioid prescription and risk of atrial fibrillation in younger veterans. American Heart Journal 2023, 268: 61-67. PMID: 37949420, DOI: 10.1016/j.ahj.2023.11.001.Peer-Reviewed Original ResearchAltmetricConceptsTime-updated Cox regressionIncident atrial fibrillationAtrial fibrillationOpioid exposureVeterans Health AdministrationOpioid typeCox regressionOpioid prescriptionsICD-9-CM diagnostic codesIncidence of AFDevelopment of AFPrescription opioid exposureModifiable risk factorsPrimary care visitsPrescribed opioidsCare visitsOpioid useRisk factorsDiagnostic codesTime-dependent variablesOpioidsHealth AdministrationYounger veteransBaseline periodStudy sampleLung Cancer Screening Decision Aid Designed for a Primary Care Setting
Schapira M, Hubbard R, Whittle J, Vachani A, Kaminstein D, Chhatre S, Rodriguez K, Bastian L, Kravetz J, Asan O, Prigge J, Meline J, Schrand S, Ibarra J, Dye D, Rieder J, Frempong J, Fraenkel L. Lung Cancer Screening Decision Aid Designed for a Primary Care Setting. JAMA Network Open 2023, 6: e2330452. PMID: 37647070, PMCID: PMC10469267, DOI: 10.1001/jamanetworkopen.2023.30452.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsLung cancer screeningPrimary care settingDecisional conflictClinical trialsCare settingsVeterans Affairs Medical CenterDecisional conflict scoresWeb-based patientAttention control interventionFuture implementation strategiesCurrent smokersSecondary outcomesSmoking historyPrimary outcomeCancer screeningRecruitment lettersMedical CenterMAIN OUTCOMEDecisional regretClinical practiceWest HavenControl groupKnowledge scoreControl interventionsLatino ethnicityLonger Breastfeeding Duration Is Associated With Decreased Risk of Hepatic Fibrosis Among Young Women With Nonalcoholic Fatty Liver Disease
Karachaliou G, Suzuki A, Patel V, Bastian L, Diehl A, Abdelmalek M, Group T, Moylan C, Guy C, Wang Y. Longer Breastfeeding Duration Is Associated With Decreased Risk of Hepatic Fibrosis Among Young Women With Nonalcoholic Fatty Liver Disease. Clinical Gastroenterology And Hepatology 2023, 22: 413-415.e3. PMID: 37302447, DOI: 10.1016/j.cgh.2023.05.027.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and Concepts
Links & Media
News
- April 24, 2024
Gender Gap in Promotion Within Academic Medicine
- February 28, 2024
YCC Research Publications
- August 02, 2023
Highlighting Gender-based Differences in Alcohol-associated Hepatitis
- March 28, 2023
Appointments & Promotions Committee Facilitates Faculty Success
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Contacts
General Internal Medicine
VA Connecticut, 950 Campbell Ave
West Haven, CT 06516
United States