Predicting and Planning for Musculoskeletal Service-Connected Disabilities in VA Using Disability for Active Duty OEF/OIF Military Service Members.
Predicting and Planning for Musculoskeletal Service-Connected Disabilities in VA Using Disability for Active Duty OEF/OIF Military Service Members.
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DOI：
10.1093/milmed/usz223
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发表时间：
2020-01-07
影响因子：
1.2
通讯作者：
Stewart, Ian J.
中科院分区：
文献类型：
--
作者：
Gundlapalli, Adi, V;Redd, Andrew M.;Suo, Ying;Pettey, Warren B. P.;Brignone, Emily;Chin, David L.;Walker, Lauren E.;Poltayskiy, Eduard A.;Janak, Jud C.;Howard, Jeffrey T.;Sosnov, Jonathan A.;Stewart, Ian J.
肌肉骨骼（MSK）疾病常见于军人（SM）和退伍军人。我们探讨了在退伍军人事务部（VA）医院寻求护理的SM之间授予MSK相关服务相关残疾福利（SCDB）的相关性。2001年10月1日至2017年5月期间离职的SM的国防部数据与VA行政数据相关联。使用调整的逻辑回归模型，我们确定了接受MSK SCDB的几率。在研究期间，共有1，558，449人（79%的分离SM）至少有一次VA遭遇（7.8%的残疾分离）。总体而言，该队列中有51%至少有一个MSK SCDB（残疾分离中为88%，正常分离中为48%）。残疾分离（与正常分离相比）的人更有可能接受MSK SCDB（比值比2.37），女性（与男性相比，比值比1.15）。虽然现役SM与残疾分离更有可能收到MSK相关的服务连接残疾评级在VA，那些正常的分离也收到这样的奖项。确定那些最有可能发生MSK相关残疾的人，可以改善国防部和VA医疗保健系统的监测和预防策略，以防止进一步的损害和残疾。
Musculoskeletal (MSK) conditions are commonly seen among military service members (SM) and Veterans. We explored correlates of award of MSK-related service-connected disability benefits (SCDB) among SM seeking care in Veterans Affairs (VA) hospitals. Department of Defense data on SM who separated from October 1, 2001 to May 2017 were linked to VA administrative data. Using adjusted logistic regression models, we determined the odds of receiving MSK SCDB. A total of 1,558,449 (79% of separating SM) had at least one encounter in VA during the study period (7.8% disability separations). Overall, 51% of this cohort had at least one MSK SCDB (88% among disability separations, 48% among normal). Those with disability separations (as compared to normal separations) were significantly more likely to receive MSK SCDB (odds ratio 2.37) as were females (compared to males, odds ratio 1.15). Although active duty SM with disability separations were more likely to receive MSK-related service-connected disability ratings in the VA, those with normal separations also received such awards. Identifying those at highest risk for MSK-related disability could lead to improved surveillance and prevention strategies in the Department of Defense and VA health care systems to prevent further damage and disability.
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影响因子：
37.8
作者：
Stewart, Ian J.;Sosnov, Jonathan A.;Chung, Kevin K.
通讯作者：
Chung, Kevin K.
影响因子：
5.5
作者：
Hauret, Keith G.;Jones, Bruce H.;Canada, Sara
通讯作者：
Canada, Sara
影响因子：
5.5
作者：
Jones, Bruce H.;Canham-Chervak, Michelle;Moore, Sean
通讯作者：
Moore, Sean
影响因子：
1.2
作者：
Sikorski, Cynthia;Emerson, Maura A.;Niebuhr, David W.
通讯作者：
Niebuhr, David W.
影响因子：
1.2
作者：
Gubata, Marlene E.;Piccirillo, Amanda L.;Cowan, David N.
通讯作者：
Cowan, David N.