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

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 regio...

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Bibliographic Details
Published in:	Pain (Amsterdam) Vol. 157; no. 8; pp. 1696 - 1703
Main Authors:	Goulet, Joseph L., Kerns, Robert D., Bair, Matthew, Becker, William C., Brennan, Penny, Burgess, Diana J., Carroll, Constance M., 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., Sinnott, Patsi, Wandner, Laura, Womack, Julie A., Brandt, Cynthia A.
Format:	Journal Article
Language:	English
Published:	United States Wolters Kluwer 01-08-2016
Subjects:	Adult Aged Aged, 80 and over Databases, Factual Female Humans Male Middle Aged Musculoskeletal Diseases - diagnosis Musculoskeletal Pain - diagnosis Pain Management Severity of Illness Index United States United States Department of Veterans Affairs Veterans
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0304-3959 1872-6623
DOI:	10.1097/j.pain.0000000000000567