2021
Pain intensity and pain medication prescription patterns in Veterans with heart failure and back pain
Cavanagh CE, Rosman L, Chui PW, DeRycke E, Bathulapalli H, Gandhi P, Bastian LA, Burg MM, Brandt C, Goulet JL. Pain intensity and pain medication prescription patterns in Veterans with heart failure and back pain. Heart & Lung 2021, 50: 770-774. PMID: 34225088, DOI: 10.1016/j.hrtlng.2021.04.016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAnalgesics, OpioidBack PainHeart FailureHumansMiddle AgedPain MeasurementPrescriptionsVeteransConceptsComorbid heart failureHeart failureBack painPain intensityMedication prescription patternsPain medication prescriptionsHigher likelihoodGabapentin prescriptionsNSAID prescriptionsPrescription patternsSevere painPain conditionsMedication prescriptionsClinical managementPainMusculoskeletal disordersDisorder cohortLower likelihoodVeteransFurther studiesPrescriptionFailureOpioidsCardiovascularCohort
2020
Facility Variation in Troponin Ordering Within the Veterans Health Administration
Chui PW, Esserman D, Bastian LA, Curtis JP, Gandhi PU, Rosman L, Desai N, Hauser RG. Facility Variation in Troponin Ordering Within the Veterans Health Administration. Medical Care 2020, 58: 1098-1104. PMID: 33003051, PMCID: PMC7666100, DOI: 10.1097/mlr.0000000000001424.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeAge FactorsAgedAged, 80 and overComorbidityCross-Sectional StudiesDiagnosis-Related GroupsEmergency Service, HospitalGuideline AdherenceHumansMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Sex FactorsSocioeconomic FactorsTroponinUnited StatesUnited States Department of Veterans AffairsConceptsDownstream resource utilizationVeterans Health AdministrationCase mixHealth AdministrationCurrent United States guidelinesDownstream health care utilizationVeterans Health Administration facilitiesFacility characteristicsAcute coronary syndromeEmergency department visitsPercutaneous coronary interventionHealth care utilizationAcute care facilitiesUnited States guidelinesHigh rateCross-sectional analysisCoronary syndromeCoronary interventionED visitsDepartment visitsCare utilizationHighest quartileCoronary angiogramInpatient admissionsLowest quartileUnderutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing?
Bade BC, DeRycke EC, Skanderson M, Crothers K, Haskell S, Bean-Mayberry B, Cain HC, Brandt C, Bastian LA, Akgün KM. Underutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing? COPD Journal Of Chronic Obstructive Pulmonary Disease 2020, 17: 15-21. PMID: 31948267, DOI: 10.1080/15412555.2019.1711036.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAlcoholismDelayed DiagnosisDisease ProgressionEthnicityFemaleHealth Services MisuseHospitalizationHumansLogistic ModelsMaleMiddle AgedOdds RatioPulmonary Disease, Chronic ObstructiveRespiratory Function TestsRetrospective StudiesRisk FactorsSex FactorsSmokersSmokingSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsChronic obstructive pulmonary diseasePulmonary function testingDrug use disordersCurrent Procedural TerminologyUse disordersFunction testingChronic obstructive pulmonary disease exacerbationsVeterans Affairs Health Care SystemObstructive pulmonary disease exacerbationsLogistic regressionPulmonary disease exacerbationsObstructive pulmonary diseaseHistory of alcoholHealth care systemDisease exacerbationIndex hospitalizationCurrent smokersCOPD hospitalizationsPatient factorsPrimary outcomePulmonary diseaseRetrospective analysisInternational ClassificationMost veteransQuality care
2018
Gender Differences in the Prevalence of Fibromyalgia and in Concomitant Medical and Psychiatric Disorders: A National Veterans Health Administration Study
Arout CA, Sofuoglu M, Bastian LA, Rosenheck RA. Gender Differences in the Prevalence of Fibromyalgia and in Concomitant Medical and Psychiatric Disorders: A National Veterans Health Administration Study. Journal Of Women's Health 2018, 27: 1035-1044. PMID: 29608126, PMCID: PMC6425926, DOI: 10.1089/jwh.2017.6622.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAnalgesics, OpioidComorbidityConnective Tissue DiseasesFemaleFibromyalgiaHeadacheHumansMaleMental DisordersMiddle AgedPatient Acceptance of Health CarePrevalencePsychotropic DrugsSex FactorsUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsConnective tissue diseasePain diagnosisPsychiatric comorbidityClinical epidemiologyMedical conditionsPsychiatric disordersVeterans Health Administration patientsPrevalence of fibromyalgiaPsychotropic prescription fillsComorbid medical conditionsType of painHealth service useDiagnosis of fibromyalgiaMultiple psychiatric comorbiditiesMedical outpatient servicesLogistic regression analysisOlder male samplePain syndromePain conditionsPrescription fillsClinical presentationTissue diseaseRisk ratioCharacteristics of menFibromyalgia
2017
Impact of Multisystem Health Care on Readmission and Follow-up Among Veterans Hospitalized for Chronic Obstructive Pulmonary Disease
Rinne ST, Elwy AR, Bastian LA, Wong ES, Wiener RS, Liu CF. Impact of Multisystem Health Care on Readmission and Follow-up Among Veterans Hospitalized for Chronic Obstructive Pulmonary Disease. Medical Care 2017, 55: s20-s25. PMID: 28288076, DOI: 10.1097/mlr.0000000000000708.Peer-Reviewed Original ResearchConceptsChronic obstructive pulmonary diseaseNon-VA careObstructive pulmonary diseaseOutpatient carePulmonary diseaseReadmission riskRetrospective cohort studyDays of dischargeNon-VA providersHealth careVeterans Affairs hospitalAssociation of useVA administrative dataMixed-effects logistic regressionMedicare-eligible veteransOutcomes of interestCause readmissionIndex hospitalizationPostdischarge outcomesCohort studyBaseline severityCOPD readmissionsFollow-upWorse outcomesCommon cause
2016
Association of Pain With Physical Function, Depressive Symptoms, Fatigue, and Sleep Quality Among Veteran and non-Veteran Postmenopausal Women
Patel KV, Cochrane BB, Turk DC, Bastian LA, Haskell SG, Woods NF, Zaslavsky O, Wallace RB, Kerns RD. Association of Pain With Physical Function, Depressive Symptoms, Fatigue, and Sleep Quality Among Veteran and non-Veteran Postmenopausal Women. The Gerontologist 2016, 56: s91-s101. PMID: 26768395, PMCID: PMC5881612, DOI: 10.1093/geront/gnv670.Peer-Reviewed Original ResearchConceptsExtreme pain interferencePain interferencePhysical functionPain severitySleep qualityDepressive symptomsHealth initiativesStudy participantsWorse physical functionAssociation of painWomen's Health InitiativeNon-veteran womenObservational study participantsLimited physical functioningVeteran statusHealth care servicesPostmenopausal womenLess painPhysical functioningOlder veteransHigh incidencePainCare servicesNumber of womenComorbid symptomsTrajectories in Physical Activity and Sedentary Time Among Women Veterans in the Women’s Health Initiative
Washington DL, Gray K, Hoerster KD, Katon JG, Cochrane BB, LaMonte MJ, Weitlauf JC, Groessl E, Bastian L, Vitolins MZ, Tinker L. Trajectories in Physical Activity and Sedentary Time Among Women Veterans in the Women’s Health Initiative. The Gerontologist 2016, 56: s27-s39. PMID: 26768390, PMCID: PMC5881621, DOI: 10.1093/geront/gnv676.Peer-Reviewed Original ResearchConceptsWomen's Health InitiativeRecreational physical activitySedentary timePhysical activityWomen veteransHealth initiativesHealth outcomesHigh baseline physical activitySelf-reported sedentary timeBaseline physical activityLow physical activityHigh sedentary timeTrajectories of PALongitudinal trajectoriesHours/weekPremature mortality riskWomen's health outcomesHours/dayPostmenopausal womenLifestyle behaviorsWHI participantsMortality riskSelf-reported participationHealth behaviorsWorse health
2011
Proactive recruitment of cancer patients' social networks into a smoking cessation trial
Bastian LA, Fish LJ, Peterson BL, Biddle AK, Garst J, Lyna P, Molner S, Bepler G, Kelley M, Keefe FJ, McBride CM. Proactive recruitment of cancer patients' social networks into a smoking cessation trial. Contemporary Clinical Trials 2011, 32: 498-504. PMID: 21382509, PMCID: PMC3104120, DOI: 10.1016/j.cct.2011.03.006.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overFamilyFemaleFriendsHumansLung NeoplasmsMaleMiddle AgedPatient SelectionSmoking CessationSocial SupportConceptsLung cancer patientsSmoking cessation interventionSmoking cessation trialPatient's social networkCessation interventionsCancer patientsCessation trialEligible lung cancer patientsFamily membersLate-stage diseaseSmoking cessation programMeasures logistic regression modelsProactive recruitmentLogistic regression modelsCessation programsLung cancerPatientsFemale family membersSmokersEligible familiesClinical sitesSuccessful enrollmentAppropriate timingPotential participantsIntervention
2006
Vascular Risk Factors for Incident Alzheimer Disease and Vascular Dementia
Hayden KM, Zandi PP, Lyketsos CG, Khachaturian AS, Bastian LA, Charoonruk G, Tschanz JT, Norton MC, Pieper CF, Munger RG, Breitner JC, Welsh-Bohmer KA. Vascular Risk Factors for Incident Alzheimer Disease and Vascular Dementia. Alzheimer Disease & Associated Disorders 2006, 20: 93-100. PMID: 16772744, DOI: 10.1097/01.wad.0000213814.43047.86.Peer-Reviewed Original ResearchConceptsRisk of VaDVascular risk factorsAlzheimer's diseaseRisk factorsVascular dementiaVascular factorsRisk of ADCardiovascular risk factorsCommunity-based cohortIncident Alzheimer's diseaseSelf-reported historySex differencesCardiovascular historyDementia riskDementia subtypesDiscrete-time survival modelsHigh cholesterolSubsequent riskCounty residentsVADSpecific causal pathwaysStandard criteriaHypertensionSexRisk
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 proportionCounselingParticipantsHealthPatientsImpact of the Cancer Risk Intake System on Patient‐Clinician Discussions of Tamoxifen, Genetic Counseling, and Colonoscopy
Skinner CS, Rawl SM, Moser BK, Buchanan AH, Scott LL, Champion VL, Schildkraut JM, Parmigiani G, Clark S, Lobach DF, Bastian LA. Impact of the Cancer Risk Intake System on Patient‐Clinician Discussions of Tamoxifen, Genetic Counseling, and Colonoscopy. Journal Of General Internal Medicine 2005, 20: 360-365. PMID: 15857495, PMCID: PMC1490091, DOI: 10.1111/j.1525-1497.2005.40115.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAlgorithmsAntineoplastic Agents, HormonalBreast NeoplasmsColonic NeoplasmsColonoscopyCommunicationCounselingFemaleGenetic CounselingHumansMaleMiddle AgedOdds RatioOvarian NeoplasmsPatient Acceptance of Health CarePatient Education as TopicPhysician-Patient RelationsPrimary Health CareRisk AssessmentTamoxifenConceptsPatient-clinician discussionsPrimary care settingCare settingsGenetic counselingBaseline telephone surveyObjective cancer riskMonths postvisitClinic visitsCancer riskTelephone surveyColonoscopySurvey 1TamoxifenPretest-posttest designGreater proportionComputerized programCounselingManagement recommendationsRisk management recommendationsParticipantsPostvisitFollowProportionSettingBaseline
2002
Are women worrying about heart disease?
Biswas MS, Calhoun PS, Bosworth HB, Bastian LA. Are women worrying about heart disease? Women's Health Issues 2002, 12: 204-211. PMID: 12093584, DOI: 10.1016/s1049-3867(02)00136-6.Peer-Reviewed Original ResearchBehavioral Medicine and Aging
Siegler IC, Bastian LA, Steffens DC, Bosworth HB, Costa PT. Behavioral Medicine and Aging. Journal Of Consulting And Clinical Psychology 2002, 70: 843-851. PMID: 12090387, DOI: 10.1037/0022-006x.70.3.843.Peer-Reviewed Original Research
2001
Cigarette smoking in veteran women: the impact of job strain
Bastian L, Owens S, Kim H, Barnett L, Siegler I. Cigarette smoking in veteran women: the impact of job strain. Women's Health Issues 2001, 11: 103-109. PMID: 11275513, DOI: 10.1016/s1049-3867(00)00077-3.Peer-Reviewed Original Research
1998
Benefits and Drawbacks to Hormone Replacement Therapy Among Nursing Home Patients
Bosworth H, Bastian L, Siegler I. Benefits and Drawbacks to Hormone Replacement Therapy Among Nursing Home Patients. Women's Health Issues 1998, 8: 53-59. PMID: 9504039, DOI: 10.1016/s1049-3867(97)00094-7.Peer-Reviewed Original ResearchAge FactorsAgedAged, 80 and overAttitude of Health PersonnelAttitude to HealthBreast NeoplasmsCoronary DiseaseEndometrial NeoplasmsEstrogen Replacement TherapyFemaleHumansLong-Term CareMemory DisordersMiddle AgedNursing HomesOsteoporosis, PostmenopausalPatient AdvocacyPharmacistsPilot ProjectsRisk Factors