Cited by 174Musculoskeletal pain and rehabilitationPain Management and Opioid UseChronic Disease Management Strategies

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

The musculoskeletal diagnosis cohort: examining pain and pain care among veterans

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Abstract

Musculoskeletal disorders (MSDs) are highly prevalent, painful, and costly disorders. The MSD Cohort was created to characterize variation in pain, comorbidities, treatment, and outcomes among patients with MSD receiving Veterans Health Administration care across demographic groups, geographic regions, and facilities. We searched electronic health records to identify patients treated in Veterans Health Administration who had ICD-9-CM codes for diagnoses including, but not limited to, joint, back, and neck disorders, and osteoarthritis. Cohort inclusion criteria were 2 or more outpatient visits occurring within 18 months of one another or one inpatient visit with an MSD diagnosis between 2000 and 2011. The first diagnosis is the index date. Pain intensity numeric rating scale (NRS) scores, comorbid medical and mental health diagnoses, pain-related treatments, and other characteristics were collected retrospectively and prospectively. The cohort included 5,237,763 patients; their mean age was 59, 6% were women, 15% identified as black, and 18% reported severe pain (NRS ≥ 7) on the index date. Nontraumatic joint disorder (27%), back disorder (25%), and osteoarthritis (21%) were the most common MSD diagnoses. Patients entering the cohort in recent years had more concurrent MSD diagnoses and higher NRS scores. The MSD Cohort is a rich resource for collaborative pain-relevant health service research.

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Metadata

Authors
Goulet, J. L., Kerns, R. D., Bair, M., Becker, W. C., Brennan, P., Burgess, D. J., Carroll, C. M., Dobscha, S., Driscoll, M. A., Fenton, B. T., Fraenkel, L., Haskell, S. G., Heapy, A. A., Higgins, D. M., Hoff, R. A., Hwang, U., Justice, A. C., Piette, J. D., Sinnott, P., Wandner, L., Womack, J. A., & Brandt, C. A.
Affiliations
  • VA Connecticut Healthcare System (US)
  • Richard L. Roudebush VA Medical Center (US)
  • VA Palo Alto Health Care System (US)
  • Minneapolis VA Health Care System (US)
  • Portland VA Medical Center (US)
  • VA Boston Healthcare System (US)
  • James J. Peters VA Medical Center (US)
  • VA Ann Arbor Healthcare System (US)
Corresponding author
Goulet, Joseph L.
Venue
Pain
Published
2016-03-23
Volume
157
Issue
8
Pages
1696-1703
ISSN
  • 0304-3959 (ISSN-L)
  • 1872-6623
OpenAlex
W2328235743
Cited by
174
References
38
Citations by year
2026: 14 · 2025: 19 · 2024: 24 · 2023: 17 · 2022: 19 · 2021: 17 · 2020: 20 · 2019: 17 · 2018: 17 · 2017: 6 · 2016: 4
FWCI
11.86
Type
journal article
Language
en
Open access
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Veterans Affairs (I01 HX000971)
  • National Institutes of Health (VA999999, UL1TR001863)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Keywords
musculoskeletal disorders, veterans, pain intensity, pain management, comorbidities, psychiatric comorbidity, osteoarthritis, back disorders, joint diseases, neck disorders, Veterans Health Administration, health services research, electronic health records
MeSH terms
Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Musculoskeletal Diseases, Severity of Illness Index, United States, United States Department of Veterans Affairs, Veterans, Databases, Factual, Musculoskeletal Pain, Pain Management

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