Shannon M. Nugent
A5068043933- Cannabis and Cannabinoid Research
- Patient-Provider Communication in Healthcare
- Opioid Use Disorder Treatment
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pain Management and Opioid Use
- Prenatal Substance Exposure Effects
- COVID-19 and Mental Health
- Palliative Care and End-of-Life Issues
- Suicide and Self-Harm Studies
- Religion, Spirituality, and Psychology
- Long-Term Effects of COVID-19
- Health, psychology, and well-being
- Healthcare professionals’ stress and burnout
- COVID-19 and healthcare impacts
- Substance Abuse Treatment and Outcomes
- Head and Neck Cancer Studies
- Lung Cancer Treatments and Mutations
- Musculoskeletal pain and rehabilitation
- Lung Cancer Diagnosis and Treatment
- Global Cancer Incidence and Screening
- Family and Patient Care in Intensive Care Units
- Forensic Toxicology and Drug Analysis
- Intensive Care Unit Cognitive Disorders
- Bipolar Disorder and Treatment
- Cancer survivorship and care
Oregon Health & Science University
2017-2025
VA Portland Health Care System
2016-2025
Health Services Research & Development
2017-2024
Portland VA Medical Center
2020-2024
OHSU Knight Cancer Institute
2023
American Academy of Dermatology
2022
Washington University in St. Louis
2020
Abstract Objective The purpose of this study is to examine the extent which numeric rating scale (NRS) scores collected during usual care are associated with more robust and validated measures pain, disability, mental health, health-related quality life (HRQOL). Design We conducted a secondary analysis data from prospective cohort study. Subjects included 186 patients musculoskeletal pain who were prescribed long-term opioid therapy. Setting VA Portland Health Care System outpatient clinic....
Importance There is increasing recognition of the long-term health effects SARS-CoV-2 infection (sometimes called long COVID ). However, little yet known about clinical diagnosis and management within systems. Objective To describe dominant themes pertaining to in electronic records (EHRs) patients with a diagnostic code for this condition ( International Statistical Classification Diseases Related Health Problems, Tenth Revision [ ICD-10 ] U09.9). Design, Setting, Participants This...
Importance Despite growing evidence of persistent problems after acute COVID-19, how long the excess mortality risk associated with COVID-19 persists is unknown. Objective To measure time course differential among Veterans who had a first-documented infection by separately assessing from later matched groups infected and uninfected individuals survived were uncensored at start each period. Design, Settings, Participants This retrospective cohort study used prospectively collected health...
The COVID-19 pandemic resulted in unprecedented adjustments to ICU organization and care processes globally.
Importance The association of COVID-19 infection with outpatient care utilization is unclear. Many studies reported population surveillance rather than comparing health use between COVID-19–infected and uninfected cohorts. Objective To compare across 6 categories (primary care, specialty surgery mental health, emergency diagnostic and/or other care) veterans or without infection. Design, Setting, Participants In a retrospective cohort study Veterans Affairs primary patients, were matched to...
Rationale: Because of improvements in screening, there is an increasing number patients with early-stage non-small-cell lung cancer (NSCLC) who are making treatment decisions.Objectives: Among suspected stage I NSCLC, we evaluated longitudinal patient-centered outcomes (PCOs) and the association changes PCOs modality, stereotactic body radiotherapy (SBRT) compared surgical resection.Methods: We conducted a multisite, prospective, observational cohort study at seven medical institutions....
<h3>Importance</h3> Over the last decade, cannabis has become more accessible through proliferation of dispensaries in states that have legalized its use. Most patients using for medical purposes report getting advice from dispensaries, yet there been little exploration frontline dispensary staff practices. <h3>Objective</h3> To describe practices workers who interact with customers purchasing and assess whether are associated medicalization state laws (degree to which they resemble...
Abstract Background The legal climate for cannabis use has dramatically changed with an increasing number of states passing legislation legalizing access medical and recreational use. Among cancer patients, is often used to ameliorate adverse effects treatment. Data are limited on the extent type among patients during treatment perceived benefits harms. This multicenter survey was conducted assess residing in varied cannabis. Methods A total 12 NCI-Designated Cancer Centers, across...
The legalization of cannabis is expanding across the USA, and its use has increased significantly, including among Veterans. Although Veterans Health Administration (VHA) abides by classification as a Schedule I substance, it recently recommended that clinicians discuss with their patients. Little known about VHA clinicians' perspectives on knowledge cannabis.We sought to better understand attitudes, beliefs, communication patients regarding conducted semi-structured phone interviews 14...
Head and neck cancer (HNC) survivors are about twice as likely to die by suicide compared with other survivors.To examine the associations between precancer mental health pain postcancer receipt of health, substance use disorder (SUD), or palliative care services risk suicidal self-directed violence (SSDV).This retrospective cohort study used Veterans Health Administration data 7803 veterans a diagnosis HNC (stage I-IVB) who received treatment January 1, 2012, 2018. Data were analyzed May...
Abstract Geographic variation in hardship, especially health-related was identified prior to and during the pandemic, but we do not know whether this is consistent among Veterans Health Administration (VHA)–enrolled veterans, who reported markedly high rates of financial hardship despite general veteran-specific federal policy efforts aimed at reducing hardship. In a nationwide, regionally stratified sample VHA-enrolled examined prevalence pandemic varied by US Census region. We found...
A more complete and nuanced understanding of the relevant issues is imperative in current climate growing cannabis availability acceptance. In this commentary, authors discuss key clinical related to both efficacy safety patients with cancer note important, lingering questions for practice research area.