TY - JOUR
T1 - The musculoskeletal diagnosis cohort
T2 - Examining pain and pain care among veterans
AU - Goulet, Joseph L.
AU - Kerns, Robert D.
AU - Bair, Matthew
AU - Becker, William C.
AU - Brennan, Penny
AU - Burgess, Diana J.
AU - Carroll, Constance M.
AU - Dobscha, Steven
AU - Driscoll, Mary A.
AU - Fenton, Brenda T.
AU - Fraenkel, Liana
AU - Haskell, Sally G.
AU - Heapy, Alicia A.
AU - Higgins, Diana M.
AU - Hoff, Rani A.
AU - Hwang, Ula
AU - Justice, Amy C.
AU - Piette, John D.
AU - Sinnott, Patsi
AU - Wandner, Laura
AU - Womack, Julie A.
AU - Brandt, Cynthia A.
N1 - Publisher Copyright:
© 2016 International Association for the Study of Pain.
PY - 2016/6/8
Y1 - 2016/6/8
N2 - 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.
AB - 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.
KW - Cohort studies
KW - Epidemiology
KW - Mental health comorbidity
KW - Musculoskeletal disorders
KW - Pain
KW - Veterans
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UR - http://www.scopus.com/inward/citedby.url?scp=84979686933&partnerID=8YFLogxK
U2 - 10.1097/j.pain.0000000000000567
DO - 10.1097/j.pain.0000000000000567
M3 - Article
C2 - 27023420
AN - SCOPUS:84979686933
SN - 0304-3959
VL - 157
SP - 1696
EP - 1703
JO - Pain
JF - Pain
IS - 8
ER -