- Musculoskeletal pain and rehabilitation
- Rheumatoid Arthritis Research and Therapies
- Health Systems, Economic Evaluations, Quality of Life
- Systemic Lupus Erythematosus Research
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pain Management and Opioid Use
- Spine and Intervertebral Disc Pathology
- Adolescent and Pediatric Healthcare
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Osteoarthritis Treatment and Mechanisms
- Autoimmune and Inflammatory Disorders Research
- Health and Medical Research Impacts
- Stroke Rehabilitation and Recovery
- Frailty in Older Adults
- Lipoproteins and Cardiovascular Health
- Pharmaceutical Practices and Patient Outcomes
- Systemic Sclerosis and Related Diseases
- Pain Management and Placebo Effect
- Chronic Lymphocytic Leukemia Research
- Pain Mechanisms and Treatments
- Sarcoidosis and Beryllium Toxicity Research
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Eosinophilic Esophagitis
- Lymphoma Diagnosis and Treatment
Southwestern Medical Center
2014-2025
The University of Texas Southwestern Medical Center
2016-2025
VA North Texas Health Care System
2016-2025
Emory University
2022-2024
American College of Rheumatology
2017-2024
Durham VA Medical Center
2022-2024
Veterans Health Administration
2022-2024
University of Washington
2023-2024
University of Michigan
2023-2024
Jacksonville College
2024
Statin use may be associated with increased musculoskeletal adverse events, especially in physically active individuals.To determine whether statin is conditions, including arthropathy and injury, a military health care system.A retrospective cohort study propensity score matching.San Antonio Military Multi-Market.Tricare Prime/Plus beneficiaries evaluated from October 1, 2003, to March 2010.Statin during fiscal year 2005. On the basis of medication fills, patients were divided into 2...
Back pain, the most common type of pain reported by older adults, is often undertreated for reasons that are poorly understood, especially in minority populations. The objective this study was to understand adults' beliefs and perspectives regarding care-seeking restricting back (back restricts activity).We used data from a diverse sample 93 adults (median age 83) who during past 3 months. A semi-structured discussion guide 23 individual interviews 16 focus groups prompt participants share...
Musculoskeletal pain is associated with increased fall risk among older men. However, the association of back pain, most prevalent type in this population, and unknown. We conducted a prospective investigation 5,568 community-dwelling U.S. men at least 65 years age from Osteoporotic Fractures Men Study (MrOS). Baseline questionnaires inquired about its location (such as low back), severity, frequency past year. During 1 year follow-up, falls were summed self-reports obtained every 4 months....
Background: Musculoskeletal pain is associated with increased fall risk among older men.However, the association of back pain, most prevalent type in this population, and unknown.Methods: We conducted a prospective investigation 5,568 community-dwelling U.S. men at least 65 years age from Osteoporotic Fractures Men Study (MrOS).Baseline questionnaires inquired about its location (such as low back), severity, frequency past year.During 1 year follow-up, falls were summed self-reports obtained...
Rehabilitation for stroke afflicted patients, through exercises tailored individual needs, aims at relearning basic motor skills, especially in the extremities. Augmented Reality (AR) based games engage and motivate patients to perform which, otherwise, maybe boring monotonic. Also, mirror therapy allows users observe one's own movements game providing them with good visual feedback. This paper presents an augmented reality system rehabilitation by playing four interactive, cognitive fun...
Background Interstitial pneumonia with autoimmune features (IPAF) is a subset of interstitial lung disease that manifests autoimmunity while not meeting classification criteria for defined rheumatic disease. Comorbidity burden an important prognostic indicator in various and diseases, but few studies have commented on comorbidities this population. This study was conducted to evaluate the association individual comorbidities, Charlson Index (CCI), Rheumatic Disease (RDCI) progression...
We evaluated changes in long-term glucocorticoid (GC) use and factors associated with persistent GC older adults late-onset rheumatoid arthritis (LORA). Using 20% Medicare data from 2008 to 2017, we identified ≥66 years a new diagnosis of LORA, disease-modifying antirheumatic drug (DMARD) or at least two rheumatologist visits, 12 months follow-up data. Older were categorized as DMARD-exposed DMARD-unexposed based on treatment during the after LORA (index date). For each quarter index date,...
Objective Ageism (age‐based stereotypes, prejudice, or discrimination) is prevalent and linked to prolonged disability reduced lifespan in older adults. Little known about ageism within rheumatology. This study explores the healthcare professional's (HCP) perception of care adults how ageist attitudes perspectives may impact rheumatologic care. Methods A REDcap survey related clinical that included validated Expectations Regarding Aging (ERA‐12) instrument (higher scores associated with less...
OBJECTIVES: To estimate the incidence of back pain leading to restricted activity (restricting pain) in community‐living older persons and characterize its descriptive epidemiology. DESIGN: Prospective cohort study. SETTING: Greater New Haven, Connecticut. PARTICIPANTS: Five hundred fifty nondisabled, men women aged 70 who did not report restricting at baseline. MEASUREMENTS: Participants were interviewed monthly for over 10 years ascertain cumulative incidence, time first episode, rates...
Objectives To evaluate the relationship between back pain severe enough to restrict activity (restricting pain) and subsequent mobility disability in community‐living older persons. Design Prospective cohort study. Setting Greater New Haven, Connecticut. Participants Community‐living men women aged 70 (n = 709). Measurements Restricting (defined as needing help with or unable walk one‐quarter of a mile, climb flight stairs, lift carry 10 pounds) were assessed during monthly telephone...
Back pain is the most common type of reported by older adults, yet current management strategies often do not address multi-dimensional impacts on adults who face unique challenges as compared with younger populations. The objective this qualitative study was to assess physical, psychological, and social back (severe enough restrict activity, hereafter referred restricting pain) adults.This a using semi-structured interviews focus groups.This comprised diverse sample 93 community-living...
Objective The objective of this study was to evaluate the association between frailty status and risk readmissions, inpatient death, cost admission among patients with systemic lupus erythematosus (SLE). Methods We conducted a retrospective cohort using National Readmissions Database. Using International Statistical Classification Diseases, Tenth Revision codes, we identified individuals >18 years age who had primary or secondary diagnosis SLE were hospitalized January June 2018....
Importance Patients prescribed long-term opioid therapy for chronic pain often experience unrelieved pain, poor quality of life, and serious adverse events. Objective To compare the effects integrated team (IPT) vs pharmacist collaborative management (PCM) on dosage. Design, Setting, Participants This study was a pragmatic multisite 12-month randomized comparative effectiveness trial with masked outcome assessment. were recruited from October 2017 to March 2021; follow-up completed June...