A5054169310- Musculoskeletal pain and rehabilitation
- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Healthcare professionals’ stress and burnout
- Pharmaceutical Practices and Patient Outcomes
- Substance Abuse Treatment and Outcomes
- Pediatric Pain Management Techniques
- Pain Management and Placebo Effect
- Pain Mechanisms and Treatments
- Posttraumatic Stress Disorder Research
- Health Systems, Economic Evaluations, Quality of Life
- Prenatal Substance Exposure Effects
- Treatment of Major Depression
- Primary Care and Health Outcomes
- Stroke Rehabilitation and Recovery
- Patient Satisfaction in Healthcare
- Anesthesia and Pain Management
- Spine and Intervertebral Disc Pathology
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Sleep and related disorders
- Health Policy Implementation Science
- Electroconvulsive Therapy Studies
- Complementary and Alternative Medicine Studies
- Innovations in Medical Education
Minneapolis VA Health Care System
2016-2025
University of Minnesota Medical Center
2016-2025
University of Minnesota
2015-2024
Twin Cities Orthopedics
2016-2024
Patient-Centered Outcomes Research Institute
2023
University of California, San Francisco
2005-2020
Mayo Clinic in Florida
2020
Minneapolis VA Medical Center
2014-2019
Health Services Research & Development
2011-2018
VA Eastern Colorado Health Care System
2017
<h3>Importance</h3> Limited evidence is available regarding long-term outcomes of opioids compared with nonopioid medications for chronic pain. <h3>Objective</h3> To compare opioid vs over 12 months on pain-related function, pain intensity, and adverse effects. <h3>Design, Setting, Participants</h3> Pragmatic, 12-month, randomized trial masked outcome assessment. Patients were recruited from Veterans Affairs primary care clinics June 2013 through December 2015; follow-up was completed 2016....
Inadequate pain assessment is a barrier to appropriate management, but single-item "pain screening" provides limited information about chronic pain. Multidimensional measures such as the Brief Pain Inventory (BPI) are widely used in specialty and research settings, impractical for primary care. A brief straightforward multidimensional measure could potentially improve initial follow-up of
Record numbers of Iraq and Afghanistan veterans survive their war injuries yet continue to experience pain mental health problems, particularly posttraumatic stress disorder (PTSD). Little is known about the association disorders prescription opioid use.To investigate effect disorders, PTSD, on risks adverse clinical outcomes associated with use.Retrospective cohort study involving 141,029 who received at least 1 non-cancer-related diagnosis within year entering Department Veterans Affairs...
A national crisis of opioid-related morbidity, mortality, and misuse has led to initiatives address the appropriate role opioids treat pain. Deployment a guideline from Centers for Disease Control Prevention reduce risks opioid therapy raised substantial clinical public policy challenges. The agency anticipated implementation challenges committed reevaluating intended unintended effects on clinician patient outcomes. multidisciplinary expert panel met review influence core recommendations...
Abstract Drawing on advances in chronic pain metrics, a simplified Graded Chronic Pain Scale-Revised was developed to differentiate mild, bothersome, and high-impact pain. validated among adult enrollees of 2 health plans (N = 2021). In this population, the prevalence (pain present most or every day, prior 3 months) 40.5%: 15.4% with mild (lower intensity interference); 10.1% bothersome (moderate severe lower interference life activities); 15.0% (sustained pain-related activity limitations)....
IMPORTANCE Chronic musculoskeletal pain is among the most prevalent, costly, and disabling medical disorders.However, few clinical trials have examined interventions to improve chronic in primary care.OBJECTIVE To determine effectiveness of a telecare intervention for pain. DESIGN, SETTING, AND PARTICIPANTSThe Stepped Care Optimize Pain Effectiveness (SCOPE) study was randomized trial comparing telephone-delivered collaborative care management vs usual 250 patients with (Ն3 months) at least...
Abstract Minimally important difference (MID) refers to the smallest meaningful that carries implications for patient care. differences are necessary help interpret patient-reported pain outcomes in research and clinical practice. The PROMIS interference scales were validated across diverse samples; however, more information about their MIDs could improve interpretability. purpose of this study was estimate 4 fixed-length scales, including 6-item Pain Short Form 4-, 6-, 8-item used profile...
Although previous research suggests women report more severe pain than men, evidence for sex-related differences in pain-related disability is conflicting. Also, the impact of psychological factors on sex uncertain.The purpose this study to assess and evaluate whether they are accounted by factors.Analysis baseline data from Stepped Care Affective disorders Musculoskeletal Pain study. Participants included 241 male 249 female primary care patients with moderately persistent back, hip, or...
Comparative responsiveness data are needed to inform choices about pain outcome measures.To compare of intensity, pain-related function, and composite measures, using from a randomized trial observational study.Analysis responsiveness.A total 427 adults with persistent back, hip, or knee were recruited primary care.Participants completed Brief Pain Inventory, Chronic Grade (CPG), Roland disability, SF-36 bodily pain, global rating change measures. We used the as anchor for standardized...
Background We sought to describe sex differences in the prevalence of painful musculoskeletal conditions men and women Veterans after deployment Operation Enduring Freedom (Afghanistan) Iraqi (Iraq) (OEF-OIF). Methods This is an observational study using Affairs (VA) administrative clinical databases OEF-OIF who had enrolled used VA care. The back problems, conditions, joint disorders was determined at years 1 through 7 for female male ICD-9 code groupings these conditions. Results Female...
The goal of this study was to examine the bidirectional relationship sleep and pain determine whether changes in complaints over course a chronic treatment trial predict outcomes vice versa, controlling for depression anxiety.
There is growing evidence that opioid prescribing in the United States follows a pattern which patients who are at highest risk of adverse outcomes from opioids more likely to receive long-term therapy. These include, particular, those with substance use disorders (SUDs) and other psychiatric conditions. This study examined health insurance claims among 10,311,961 filled prescriptions for opioids. Specifically, we evaluated how receipt differed without wide range preexisting behavioral...