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The musculoskeletal diagnosis cohort: examining pain and pain care among veterans
Open accessAbstract
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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“Veterans with chronic pain frequently present with comorbid mental health conditions that may interfere with treatment response, 14”
From A Research Agenda for Advancing Non-pharmacological Management of Chronic Musculoskeletal Pain: Findings from a VHA State-of-the-art Conference (2018) · cites this paper as [14]
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Psychological Interventions for the Treatment of Chronic Pain in Adults
Driscoll, M. A., Edwards, R. R., Becker, W. C., Kaptchuk, T. J., & Kerns, R. D. (2021) · Psychological Science in the Public Interest · doi:10.1177/15291006211008157 · Cited by 176
Self-citationAnamkath, N. S., Palyo, S. A., Jacobs, S. C., Lartigue, A., Schopmeyer, K., & Strigo, I. A. (2018) · Pain Research and Management · doi:10.1155/2018/3941682 · Cited by 103
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Self-citationKessler, R. C., Bauer, M. S., Bishop, T. M., Demler, O. V., Dobscha, S. K., Gildea, S. M., Goulet, J. L., Karras, E., Kreyenbuhl, J., Landes, S. J., et al. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00390 · Cited by 52
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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.
- ORCID
- Goulet, Joseph L.
- Kerns, Robert D.
- Bair, Matthew
- Becker, William C.
- Brennan, Penny
- Burgess, Diana J.
- Dobscha, Steven
- Driscoll, Mary A.
- Fenton, Brenda T.
- Fraenkel, Liana
- Haskell, Sally G.
- Heapy, Alicia A.
- Higgins, Diana M.
- Hoff, Rani A.
- Hwang, Ula
- Justice, Amy C.
- Piette, John D.
- Wandner, Laura
- Womack, Julie A.
- Brandt, Cynthia A.
- Venue
- Pain
- Published
- 2016-03-23
- Volume
- 157
- Issue
- 8
- Pages
- 1696-1703
- ISSN
- 0304-3959 (ISSN-L)
- 1872-6623
- PMC
- PMC4949131
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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