Minneapolis VA Health Care System

Validity and Reliability of the Activity Card Sort 3 in Persons With Thumb Carpometacarpal Osteoarthritis

Importance Although individuals with thumb carpometacarpal (CMC1) osteoarthritis (OA) commonly experience participation restrictions, participation-focused outcome measures remain underinvestigated, and clinicians primarily rely on assessments of impairments in body structures an...

AASLD AGA clinical Practice Guideline on management of primary biliary cholangitis

Background & Aims: Primary biliary cholangitis (PBC) is a chronic cholestatic liver disease associated with progressive fibrosis, cirrhosis, liver transplantation, and premature mortality. Despite effective therapies, important challenges remain in the diagnosis and management of...

Laparoscopic and Robotic Device Malfunction: A Scoping Review

Laparoscopic and robotic surgeries have become the gold standard for many operations. Device malfunctions during these procedures represent a preventable source of patient harm; however, the trends in malfunction reporting and their implications for surveillance systems, surgical...

Facilitating best practices in practicum training in clinical neuropsychology: introducing the North American Association of practicum sites in neuropsychology (NAPSN) organizational training guidelines

INTRODUCTION: The North American Association of Practicum Sites in Neuropsychology (NAPSN) was established in 2023 to support external practicum programs in urban, suburban, and rural areas in the United States and Canada by providing resources for member practicum programs and s...

Identifying incident medication‐related osteonecrosis of the jaw and antiresorptive drug holidays using natural language processing on clinical notes in men and women prescribed bisphosphonates or denosumab for fracture prevention

OBJECTIVE: Medication-related osteonecrosis of the jaw (MRONJ) is a rare complication of antiresorptive therapy for osteoporosis, with risk potentially influenced by "drug holidays" around dentoalveolar procedures. MRONJ risk is higher in rheumatic diseases. Epidemiologic studies...

Dextrose prolotherapy for chronic symptomatic rotator cuff tendinopathy and subacromial bursitis: A systematic review and meta‐analysis

Abstract Objective Dextrose prolotherapy is used for musculoskeletal injuries, but evidence of its effectiveness is limited. We assess the evidence base on effects of dextrose prolotherapy for chronic symptomatic rotator cuff disorders and/or bursitis. Literature Survey Ovid/Medl...

Unique challenges, unique solutions: end-user designed strategies to improve PTSD treatment initiation in U.S. Special Operations Forces

Abstract Background Despite the effectiveness of evidence-based psychotherapies for posttraumatic stress disorder (PTSD), uptake of treatment remains particularly challenging for some subgroups at high risk for PTSD. United States (U.S.) Special Operations Forces (SOF) Operators/...

Promising Patient‐Engagement Practices Used by National Research Networks at the US Veterans Health Administration: Perspectives of Veterans, Staff, and Research Leaders

ABSTRACT Introduction Active involvement of patients is an essential feature of learning health systems and patient‐centered research. Research networks and healthcare organizations lack guidance on best practices for developing and sustaining patient engagement infrastructure. W...

Natural Language Processing to Improve Vertebral Fracture Identification in Older Adults Receiving Osteoporosis Therapy

INTRODUCTION: Vertebral fracture identification using administrative codes is challenging because diagnoses often occur outside hospital and orthopedic care settings. Outpatient diagnoses improve capture but increase misclassification. Accurate methods are important for populatio...

First United States Experience With Focal Pulsed‐Field Ablation Using the FARAPOINT Catheter for Refractory Ventricular Tachycardia

ABSTRACT Background Drug‐refractory ventricular tachycardia (VT) after failed radiofrequency (RF) ablation remains a clinical challenge. Pulsed‐field ablation (PFA) is expanding to ventricular applications, but United States experience with focal pulsed‐field‐only catheters in VT...

Group trends in posttraumatic stress disorder and suicidal ideation over the 10 years after traumatic brain injury among veterans/service members: A VA model systems study

Abstract Objective To identify group‐based patterns in suicidal ideation (SI) and posttraumatic stress disorder (PTSD) symptoms over the first 10 years after traumatic brain injury (TBI) among Veterans and Service Members (V/SMs). Setting V/SMs enrolled in the Department of Veter...

Moderators of the Effects of Telehealth Mindfulness-based Interventions for Chronic Pain

OBJECTIVES: Little is known about who benefits most from Mindfulness-Based Interventions (MBIs), and whether certain groups differentially benefit from different types of MBI formats (group-based versus non-group based). The present study uses data from a three-arm randomized con...

Enhancing Evidence Generation by Linking Randomized Clinical Trials to Real‐World Data: The INVESTED‐Medicare Linkage Study

Real‐world evidence (RWE) derived from real‐world data (RWD) can complement randomized controlled trials (RCTs), yet the validity of RWD relative to RCT data remains insufficiently characterized. We obtained post hoc consent and linked individual participant data from the US‐base...