Evidence map›Paper›PMID 27023420›Full record

ArticlePain2016

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

Joseph L Goulet, Robert D Kerns, Matthew Bair, William C Becker, Penny Brennan, Diana J Burgess, Constance M Carroll, Steven Dobscha, Mary A Driscoll, Brenda T Fenton and 12 more

Registry-linked trialAbstract read
In one paragraph

Article in Pain, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03593772 (Mission Reconnect), which is not on this map. Cited by 104 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 2 pooled it
13.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03593772 nacompletednot on this mapstarted 2019, after this paper: background citation

Mission Reconnect: Delivering a Mobile and Web Based Self Directed Complementary and Integrative Health Program to Veterans and Their Partners to Manage Pain and PTSD

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2019 to 2022Enrolled730ConditionsPTSD, Chronic Musculoskeletal PainArmsMission Reconnect
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 2 syntheses or guidelines pooled it, 167 citations in OpenAlex.

  1. Pooled it
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  9. Moderated mediation for exercise maintenance in pain and posttraumatic stress disorder: A randomized trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
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  17. Daily Associations Between Perceived Stress, Pain Intensity, and Alcohol Use Among Veterans With and Without Moderate-to-Severe Chronic Pain.Stress and health : journal of the International Society for the Investigation of Stress · 2026
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  20. Rural specialty care for Veterans with the chronic overlapping pain conditions: Fibromyalgia, migraine, or irritable bowel syndrome.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article

44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 8 institutions in 1 country.

Joseph L GouletPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Robert D KernsPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Matthew BairVA Center of Health Information and Communication, Richard L. Roudebush VAMC, Indianapolis, IN, USA.
William C BeckerPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Penny BrennanHSR&D Center of Innovation to Implementation, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Diana J BurgessCenter for Chronic Disease Outcomes Research, Minneapolis Veterans Affairs Healthcare System, Minneapolis, MN, USA.
Constance M CarrollPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Steven DobschaCenter to Improve Veteran Involvement in Care (CIVIC), VA Portland Health care System, Portland, OR, USA.
Mary A DriscollPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Brenda T FentonPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Liana FraenkelPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Sally G HaskellPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Alicia A HeapyPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Diana M HigginsAnesthesiology, Critical Care, and Pain Medicine Service/Research Service, VA Boston Healthcare System, Boston, MA, USA.
Rani A HoffPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Ula HwangGeriatrics Research, Education and Clinical Center, James J. Peters VAMC, Bronx, NY, USA.
Amy C JusticePain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
John D PietteVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann arbor, MI, USA.
Patsi SinnottHealth Economics Resource Center, VA Palo Alto Health Care System, Menlo Park, CA, USA.
Laura WandnerPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Julie A WomackPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
Cynthia A BrandtPain Research, Informatics, Multi-morbidities, and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, USA.
VA Connecticut Healthcare System · USVA Palo Alto Health Care System · USIndiana University – Purdue University Indianapolis · USJames J. Peters VA Medical Center · USMinneapolis VA Health Care System · USVA Boston Healthcare System · USVA Center for Clinical Management Research · USVA Portland Health Care System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Musculoskeletal Diagnoses Cohort: Examining Pain and Pain Care in the VAI01HX000971 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI BRANDT, CYNTHIA A., GOULET, JOSEPH LUCIEN · 2013 to 2013
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HSRD VA I01 HX000971Intramural VA VA999999NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

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.

Indexed as

VeteransAdultAgedAged, 80 and overDatabases, FactualFemaleHumansMaleMiddle AgedMusculoskeletal DiseasesMusculoskeletal PainPain ManagementSeverity of Illness IndexUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID27023420
PMCPMC4949131
OpenAlexW2328235743

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.