2024
Evaluating 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 ResearchOffice 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
Lung 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 ResearchConceptsLung 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 ethnicityTime to Diagnosis and Treatment of Non-small Cell Lung Cancer in Patients Undergoing Lung Cancer Screening
Bernstein E, DeRycke E, Han L, Bastian L, Bade B, Lerz K, Kravetz J, Carino M, Rose M, Akgun K, Cain H. Time to Diagnosis and Treatment of Non-small Cell Lung Cancer in Patients Undergoing Lung Cancer Screening. 2023, a2734-a2734. DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a2734.Peer-Reviewed Original Research
2022
Evidence of Racial Disparities in the Lung Cancer Screening Process: a Systematic Review and Meta-Analysis
Kunitomo Y, Bade B, Gunderson CG, Akgün KM, Brackett A, Tanoue L, Bastian LA. Evidence of Racial Disparities in the Lung Cancer Screening Process: a Systematic Review and Meta-Analysis. Journal Of General Internal Medicine 2022, 37: 3731-3738. PMID: 35838866, PMCID: PMC9585128, DOI: 10.1007/s11606-022-07613-2.Peer-Reviewed Original ResearchConceptsLung cancer screeningLCS participationLung cancer mortalityScreening ratesWhite patientsSystematic reviewCancer mortalityPatient populationRacial disparitiesPatient studiesLung cancer screening processAllied Health Literature databasesLow-dose chestHigh-risk individualsMethodsA systematic reviewCancer screening processFull-text reviewTitles/abstractsWeb of ScienceBlack patientsDatabase inceptionCancer screeningClinical trialsInclusion criteriaProvider awarenessThe Complexity of Sex-Based Cancer Screenings for Veterans with Gender-Related Diagnoses in VA Care
Warren A, Brandt C, Bastian L, Zeng Q, Black A, Goulet J. The Complexity of Sex-Based Cancer Screenings for Veterans with Gender-Related Diagnoses in VA Care. Annals Of LGBTQ Public And Population Health 2022, 3: 135-141. DOI: 10.1891/lgbtq-2021-0010.Peer-Reviewed Original ResearchElectronic health recordsVeterans Health AdministrationNational electronic health recordCervical cancerCancer screeningVA careProstate cancer screeningPSA testingDiagnostic codesVA facilitiesMale veteransHealth AdministrationSex-specific careFemale veteransCancer screenDiagnosisCareHealth recordsVeteransSexCancerOriginal sexA Veteran-Centric Web-Based Decision Aid for Lung Cancer Screening: Usability Analysis
Schapira MM, Chhatre S, Prigge JM, Meline J, Kaminstein D, Rodriguez KL, Fraenkel L, Kravetz JD, Whittle J, Bastian LA, Vachani A, Akers S, Schrand S, Ibarra JV, Asan O. A Veteran-Centric Web-Based Decision Aid for Lung Cancer Screening: Usability Analysis. JMIR Formative Research 2022, 6: e29039. PMID: 35394433, PMCID: PMC9034418, DOI: 10.2196/29039.Peer-Reviewed Original ResearchSystem Usability ScaleLung cancer screeningUsability testingMean SUS scoreSUS scoreHigh-fidelity versionCancer screeningHybrid type 1 effectiveness-implementation trialPrimary care clinical settingsWeb-based toolVeterans Affairs Medical CenterUser sessionsWeb-based decision aidUsability analysisEffectiveness-implementation trialEnd usersDecision making processNavigation challengesPhase 1Care clinical settingsSpecific risk factorsUser statementsLow baseline levelsEvidence-based interventionsUsability Scale
2021
Racial Differences in Adherence to Lung Cancer Screening Follow-up A Systematic Review and Meta-analysis
Kunitomo Y, Bade B, Gunderson CG, Akgün KM, Brackett A, Cain H, Tanoue L, Bastian LA. Racial Differences in Adherence to Lung Cancer Screening Follow-up A Systematic Review and Meta-analysis. CHEST Journal 2021, 161: 266-275. PMID: 34390706, DOI: 10.1016/j.chest.2021.07.2172.Peer-Reviewed Original ResearchConceptsLung cancer screeningLung cancer mortalityCancer mortalityCancer screeningLow adherenceSystematic reviewAnnual lung cancer screeningLung cancer mortality benefitLow-dose chest CTEligible black patientsAllied Health Literature databasesA Systematic ReviewRate of adherenceHigh-risk individualsUnited States Preventive Services TaskforceFull-text reviewHealth Literature databasesWeb of ScienceLCS adherenceLCS participationBlack populationMortality benefitWhite patientsBlack patientsInitial screening resultsWhen Is a Harm a Harm? Discordance between Patient and Medical Experts’ Evaluation of Lung Cancer Screening Attributes
Schapira MM, Rodriguez KL, Chhatre S, Fraenkel L, Bastian LA, Kravetz JD, Asan O, Akers S, Vachani A, Prigge JM, Meline J, Ibarra JV, Corn B, Kaminstein D. When Is a Harm a Harm? Discordance between Patient and Medical Experts’ Evaluation of Lung Cancer Screening Attributes. Medical Decision Making 2021, 41: 317-328. PMID: 33554740, DOI: 10.1177/0272989x20987221.Peer-Reviewed Original ResearchConceptsLung cancer screeningIncidental findingHarms of LCSVeterans Affairs Medical CenterRadiation exposureLung cancer deathsSignificant incidental findingsRoutine annual screeningProportion of participantsCross-sectional studyNon-Hispanic whitesPotential harmSDM discussionsAnnual screeningCancer deathCancer screeningPrimary careMortality reductionMedical CenterInvasive proceduresPatientsIndirect costsMost participantsScreening attributesOvertreatment
2015
Associations Between Provider Designation and Female-specific Cancer Screening in Women Veterans
Bean-Mayberry B, Bastian L, Trentalange M, Murphy TE, Skanderson M, Allore H, Reyes-Harvey E, Maisel NC, Gaetano V, Wright S, Haskell S, Brandt C. Associations Between Provider Designation and Female-specific Cancer Screening in Women Veterans. Medical Care 2015, 53: s47-s54. PMID: 25767975, PMCID: PMC5477654, DOI: 10.1097/mlr.0000000000000323.Peer-Reviewed Original ResearchConceptsVeterans Affairs Healthcare SystemCancer screening ratesWomen's health providersCancer screeningWomen veteransHealth providersScreening ratesBreast cancer screening ratesFemale-specific cancersCervical cancer screeningPrimary care providersBreast cancer screeningLevel of careComprehensive primary careCross-sectional analysisClinical factorsProvider factorsPrimary careMultivariable modelHigher oddsProvider characteristicsNational guidelinesVA sitesPatientsDWHPs
2005
Patients’ interest in discussing cancer risk and risk management with primary care physicians
Buchanan AH, Skinner CS, Rawl SM, Moser BK, Champion VL, Scott LL, Strigo TS, Bastian L. Patients’ interest in discussing cancer risk and risk management with primary care physicians. Patient Education And Counseling 2005, 57: 77-87. PMID: 15797155, DOI: 10.1016/j.pec.2004.04.003.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overCommunicationEducational StatusFemaleGenetic CounselingHealth Care SurveysHealth Knowledge, Attitudes, PracticeHealth Services Needs and DemandHumansLogistic ModelsMaleMass ScreeningMiddle AgedNeoplasmsNorth CarolinaPatient Acceptance of Health CarePatient Education as TopicPhysician-Patient RelationsPhysicians, FamilyPrimary PreventionRisk AssessmentRisk ManagementSurveys and QuestionnairesConceptsPrimary care physiciansCancer riskCancer genetic counselingCare physiciansCancer screening modalitiesGenetic counselingColon cancer screeningColon cancer riskEducation levelPhysician visitsCancer screeningPatient preferencesScreening modalityHigher education levelPatient interestTelephone surveyPhysiciansTamoxifenRiskMore participantsGreater proportionCounselingParticipantsHealthPatients
1998
Breast Cancer Practice Patterns at VA Hospitals: Implications for Future Research
Hynes D, Hines E, Bastian L. Breast Cancer Practice Patterns at VA Hospitals: Implications for Future Research. Cancer Treatment And Research 1998, 97: 149-158. PMID: 9711415, DOI: 10.1007/978-0-585-30498-4_11.Peer-Reviewed Original ResearchConceptsVA hospitalsHealth care servicesWomen veteransBreast cancerCancer-related admissionsWomen Veteran populationWomen's health care servicesBreast cancer careCancer incidence estimatesBreast cancer screeningCancer careCancer screeningCancer incidencePractice patternsIncidence estimatesFiscal year 1994General populationInpatient servicesVeteran populationTreatment servicesCare servicesFemale veteransHospitalVeteransWomenThe development of a primary care curriculum for obstetrics/gynecology residents.
Parsey K, Bastian L, Couchman G, Slack K, Simel D. The development of a primary care curriculum for obstetrics/gynecology residents. Journal Of The American Medical Women's Association 1998, 53: 137-9. PMID: 17598295.Peer-Reviewed Original ResearchConceptsPrimary care curriculumComfort scoresCare curriculumPrimary care areaHealth careObstetrics/gynecology residentsSkin cancer screeningWomen's health careLower comfort scoresMental health assessmentPrimary care educationBreast clinicDiabetes mellitusCancer screeningMusculoskeletal complaintsBreast careCare areasHigher comfort scoresInternal medicineGynaecology trainingGynecology residentsCare educationHealth assessmentAmbulatory experienceScores