Journal of Rehabilitation Research & Development (JRRD)

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Volume 53 Number 1, 2016
   Pages 1 — 12

Abstract — Pain research using Veterans Health Administration electronic and administrative data sources

Erica A. Abel, PhD;1–2 Cynthia A. Brandt, MD, MPH;1–2 Rebecca Czlapinski, MA;1 Joseph L. Goulet, MS, PhD1–2*

1Department of Veterans Affairs Connecticut Healthcare System, West Haven, CT; 2Yale School of Medicine, New Haven, CT

Abstract — Health services researchers are using Veterans Health Administration (VHA) electronic health record (EHR) data sources to examine the prevalence, treatment, and outcomes of pain among Veterans in VHA care. Little guidance currently exists on using these data; thus, findings may vary depending on the methods, data sources, and definitions used. We sought to identify current practices in order to provide guidance to future pain researchers. We conducted an anonymous survey of VHA-affiliated researchers participating in a monthly national pain research teleconference. Thirty-two researchers (89%) responded: 75% conducted pain-focused research, 78% used pain intensity numeric rating screening scale (NRS) scores to identify pain, 41% used International Classification of Diseases-9th Revision codes, and 57% distinguished between chronic and acute pain using either NRS scores or pharmacy data. The NRS and pharmacy data were rated as the most valid pain data sources. Of respondents, 48% reported the EHR data sources were adequate for pain research, while 45% had published peer-reviewed articles based on the data. Despite limitations, VHA researchers are increasingly using EHR data for pain research, and several common methods were identified. More information on the performance characteristics of these data sources and definitions is needed.

Key words: administrative data, computerized medical records, data collection, data interpretation, data mining, electronic health records, information storage and retrieval, pain, pain management, Veterans.


View HTML ¦ View PDF ¦ Contents Vol. 53, No.1

This article and any supplementary material should be cited as follows:
Abel EA, Brandt CA, Czlapinski R, Goulet JL. Pain research using Veterans Health Administration electronic and administrative data sources. J Rehabil Res Dev. 2016;53(1):1–12.
http://dx.doi.org/10.1682/JRRD.2014.10.0246
ResearcherID/ORCID: Erica A. Abel, PhD: 0000-0001-7714-8693; Cynthia A. Brandt, MD, MPH: 0000-0001-8179-1796; Rebecca Czlapinski, MA: L-9848-2015; Joseph L. Goulet, MS, PhD: 0000-0002-0842-804X
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