Titre : Cystectomie

Cystectomie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Veterans

Questions fréquentes et termes MeSH associés

Diagnostic 5

#1

Comment diagnostiquer un cancer de la vessie ?

Un cystoscopie, des biopsies et des examens d'imagerie sont utilisés.
Cancer de la vessie Cystoscopie
#2

Quels tests précèdent une cystectomie ?

Des analyses sanguines, des examens d'imagerie et une évaluation de la fonction rénale.
Analyses sanguines Imagerie médicale
#3

Quels symptômes indiquent une cystectomie ?

Sang dans les urines, douleurs pelviennes, et symptômes urinaires persistants.
Hématurie Symptômes urinaires
#4

Quel rôle joue l'échographie dans le diagnostic ?

L'échographie aide à visualiser la vessie et détecter des anomalies.
Échographie Anomalies de la vessie
#5

Quand une cystoscopie est-elle nécessaire ?

Elle est nécessaire pour examiner la vessie et prélever des biopsies.
Cystoscopie Biopsie

Symptômes 5

#1

Quels sont les symptômes d'un cancer de la vessie ?

Hématurie, douleurs lors de la miction, et besoin fréquent d'uriner.
Hématurie Symptômes urinaires
#2

Comment se manifeste une infection urinaire ?

Brûlures, besoin urgent d'uriner, et urine trouble ou malodorante.
Infection urinaire Symptômes
#3

Quels signes indiquent une complication post-opératoire ?

Fièvre, douleurs abdominales sévères, ou saignements excessifs.
Complications chirurgicales Saignement
#4

Quels symptômes nécessitent une consultation urgente ?

Sang dans les urines, douleurs intenses, ou incapacité à uriner.
Urgence médicale Hématurie
#5

Comment reconnaître une obstruction urinaire ?

Difficulté à uriner, douleur abdominale, et distension abdominale.
Obstruction urinaire Symptômes

Prévention 5

#1

Comment prévenir le cancer de la vessie ?

Éviter le tabac, hydrater suffisamment et réduire l'exposition aux produits chimiques.
Prévention du cancer Tabagisme
#2

Quels facteurs de risque sont évitables ?

Le tabagisme et l'exposition à des produits chimiques industriels.
Facteurs de risque Tabagisme
#3

Quel rôle joue l'hydratation dans la prévention ?

Une bonne hydratation aide à diluer les substances cancérigènes dans l'urine.
Hydratation Prévention du cancer
#4

Comment le dépistage aide-t-il à prévenir le cancer ?

Le dépistage précoce permet de détecter des anomalies avant qu'elles ne deviennent graves.
Dépistage Cancer de la vessie
#5

Quels aliments peuvent réduire le risque ?

Les fruits, légumes et aliments riches en antioxydants peuvent aider.
Alimentation Antioxydants

Traitements 5

#1

Quelles sont les indications pour une cystectomie ?

Cancer de la vessie, lésions graves ou maladies de la vessie.
Cystectomie Cancer de la vessie
#2

Quels types de cystectomie existent ?

Cystectomie partielle et cystectomie radicale, selon l'étendue de la maladie.
Cystectomie partielle Cystectomie radicale
#3

Quels soins post-opératoires sont nécessaires ?

Surveillance des signes vitaux, gestion de la douleur et soins des plaies.
Soins post-opératoires Gestion de la douleur
#4

Comment se déroule une cystectomie ?

Elle se fait sous anesthésie générale, avec une incision abdominale ou laparoscopique.
Anesthésie générale Chirurgie laparoscopique
#5

Quels traitements alternatifs à la cystectomie ?

Chimiothérapie, radiothérapie ou immunothérapie selon le stade du cancer.
Chimiothérapie Radiothérapie

Complications 5

#1

Quelles sont les complications possibles d'une cystectomie ?

Infections, saignements, et complications urinaires comme l'incontinence.
Complications chirurgicales Infection
#2

Comment gérer une infection post-opératoire ?

Antibiotiques et soins appropriés de la plaie sont nécessaires.
Infection Antibiotiques
#3

Quels signes indiquent une complication grave ?

Fièvre élevée, douleurs abdominales intenses, ou saignements importants.
Complications chirurgicales Saignement
#4

Comment prévenir les complications après une cystectomie ?

Suivre les instructions post-opératoires et surveiller les signes d'infection.
Prévention des complications Soins post-opératoires
#5

Quels sont les effets à long terme d'une cystectomie ?

Incontinence, changements dans la fonction urinaire et risque accru d'infections.
Effets à long terme Incontinence

Facteurs de risque 5

#1

Quels sont les principaux facteurs de risque du cancer de la vessie ?

Tabagisme, exposition à des produits chimiques, et antécédents familiaux.
Facteurs de risque Cancer de la vessie
#2

Comment l'âge influence-t-il le risque ?

Le risque de cancer de la vessie augmente avec l'âge, surtout après 55 ans.
Âge Cancer de la vessie
#3

Quel rôle joue le sexe dans le risque de cancer de la vessie ?

Les hommes sont plus susceptibles de développer un cancer de la vessie que les femmes.
Sexe Cancer de la vessie
#4

Comment les infections urinaires fréquentes affectent-elles le risque ?

Des infections urinaires répétées peuvent augmenter le risque de cancer de la vessie.
Infections urinaires Cancer de la vessie
#5

Quel impact a l'alimentation sur le risque ?

Une alimentation pauvre en fruits et légumes peut augmenter le risque de cancer.
Alimentation Facteurs de risque
{ "@context": "https://schema.org", "@graph": [ { "@type": "MedicalWebPage", "name": "Cystectomie : Questions médicales les plus fréquentes", "headline": "Cystectomie : Comprendre les symptômes, diagnostics et traitements", "description": "Guide complet et accessible sur les Cystectomie : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.", "datePublished": "2024-07-05", "dateModified": "2026-03-27", "inLanguage": "fr", "medicalAudience": [ { "@type": "MedicalAudience", "name": "Grand public", "audienceType": "Patient", "healthCondition": { "@type": "MedicalCondition", "name": "Cystectomie" }, "suggestedMinAge": 18, "suggestedGender": "unisex" }, { "@type": "MedicalAudience", "name": "Médecins", "audienceType": "Physician", "geographicArea": { "@type": "AdministrativeArea", "name": "France" } }, { "@type": "MedicalAudience", "name": "Chercheurs", "audienceType": "Researcher", "geographicArea": { "@type": "AdministrativeArea", "name": "International" } } ], "reviewedBy": { "@type": "Person", "name": "Dr Olivier Menir", "jobTitle": "Expert en Médecine", "description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale", "url": "/static/pages/docteur-olivier-menir.html", "alumniOf": { "@type": "EducationalOrganization", "name": "Université Paris Descartes" } }, "isPartOf": { "@type": "MedicalWebPage", "name": "Procédures de chirurgie urologique", "url": "https://questionsmedicales.fr/mesh/D013520", "about": { "@type": "MedicalCondition", "name": "Procédures de chirurgie urologique", "code": { "@type": "MedicalCode", "code": "D013520", "codingSystem": "MeSH" }, "identifier": { "@type": "PropertyValue", "propertyID": "MeSH Tree", "value": "E04.950.774" } } }, "about": { "@type": "MedicalCondition", "name": "Cystectomie", "alternateName": "Cystectomy", "code": { "@type": "MedicalCode", "code": "D015653", "codingSystem": "MeSH" } }, "author": [ { "@type": "Person", "name": "James W F Catto", "url": "https://questionsmedicales.fr/author/James%20W%20F%20Catto", "affiliation": { "@type": "Organization", "name": "Academic Urology Unit, University of Sheffield, Sheffield, UK." } }, { "@type": "Person", "name": "Prokar Dasgupta", "url": "https://questionsmedicales.fr/author/Prokar%20Dasgupta", "affiliation": { "@type": "Organization", "name": "The Urology Centre, Guy's and St. Thomas' NHS Foundation Trust Guy's Hospital London UK." } }, { "@type": "Person", "name": "Matthew Mossanen", "url": "https://questionsmedicales.fr/author/Matthew%20Mossanen", "affiliation": { "@type": "Organization", "name": "Division of Urologic Surgery, Brigham and Women's Hospital, Boston, MA; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA; Dana-Farber Cancer Institute, Boston, MA; Harvard Medical School, Boston, MA. Electronic address: mjhuynh9@gmail.com." } }, { "@type": "Person", "name": "None None", "url": "https://questionsmedicales.fr/author/None%20None", "affiliation": { "@type": "Organization", "name": "" } }, { "@type": "Person", "name": "Peter Wiklund", "url": "https://questionsmedicales.fr/author/Peter%20Wiklund", "affiliation": { "@type": "Organization", "name": "Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "Outcomes of Veterans Treated in Veterans Affairs Hospitals vs Non-Veterans Affairs Hospitals.", "datePublished": "2023-12-01", "url": "https://questionsmedicales.fr/article/38039003", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1001/jamanetworkopen.2023.45898" } }, { "@type": "ScholarlyArticle", "name": "Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration.", "datePublished": "2024-06-07", "url": "https://questionsmedicales.fr/article/38848139", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1097/MLR.0000000000002017" } }, { "@type": "ScholarlyArticle", "name": "Chronic disease multimorbidity and substance use among African American men: veteran-non-veteran differences.", "datePublished": "2023-06-18", "url": "https://questionsmedicales.fr/article/37331990", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1080/13557858.2023.2224949" } }, { "@type": "ScholarlyArticle", "name": "Psychological Resilience in U.S. Military Veterans: Results from the 2019-2020 National Health and Resilience in Veterans Study.", "datePublished": "2023-07-13", "url": "https://questionsmedicales.fr/article/37438571", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1007/s11126-023-10041-y" } }, { "@type": "ScholarlyArticle", "name": "Intensity, Characteristics, and Factors Associated With Receipt of Care Coordination Among High-Risk Veterans in the Veterans Health Administration.", "datePublished": "2024-06-17", "url": "https://questionsmedicales.fr/article/38967995", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1097/MLR.0000000000002020" } } ], "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "questionsmedicales.fr", "item": "https://questionsmedicales.fr" }, { "@type": "ListItem", "position": 2, "name": "Procédures de chirurgie opératoire", "item": "https://questionsmedicales.fr/mesh/D013514" }, { "@type": "ListItem", "position": 3, "name": "Procédures de chirurgie urogénitale", "item": "https://questionsmedicales.fr/mesh/D013519" }, { "@type": "ListItem", "position": 4, "name": "Procédures de chirurgie urologique", "item": "https://questionsmedicales.fr/mesh/D013520" }, { "@type": "ListItem", "position": 5, "name": "Cystectomie", "item": "https://questionsmedicales.fr/mesh/D015653" } ] } }, { "@type": "MedicalWebPage", "name": "Article complet : Cystectomie - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Cystectomie", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2026-06-09", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Cystectomie", "description": "Comment diagnostiquer un cancer de la vessie ?\nQuels tests précèdent une cystectomie ?\nQuels symptômes indiquent une cystectomie ?\nQuel rôle joue l'échographie dans le diagnostic ?\nQuand une cystoscopie est-elle nécessaire ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Veterans#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Cystectomie", "description": "Quels sont les symptômes d'un cancer de la vessie ?\nComment se manifeste une infection urinaire ?\nQuels signes indiquent une complication post-opératoire ?\nQuels symptômes nécessitent une consultation urgente ?\nComment reconnaître une obstruction urinaire ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Veterans#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Cystectomie", "description": "Comment prévenir le cancer de la vessie ?\nQuels facteurs de risque sont évitables ?\nQuel rôle joue l'hydratation dans la prévention ?\nComment le dépistage aide-t-il à prévenir le cancer ?\nQuels aliments peuvent réduire le risque ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Veterans#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Cystectomie", "description": "Quelles sont les indications pour une cystectomie ?\nQuels types de cystectomie existent ?\nQuels soins post-opératoires sont nécessaires ?\nComment se déroule une cystectomie ?\nQuels traitements alternatifs à la cystectomie ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Veterans#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Cystectomie", "description": "Quelles sont les complications possibles d'une cystectomie ?\nComment gérer une infection post-opératoire ?\nQuels signes indiquent une complication grave ?\nComment prévenir les complications après une cystectomie ?\nQuels sont les effets à long terme d'une cystectomie ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Veterans#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Cystectomie", "description": "Quels sont les principaux facteurs de risque du cancer de la vessie ?\nComment l'âge influence-t-il le risque ?\nQuel rôle joue le sexe dans le risque de cancer de la vessie ?\nComment les infections urinaires fréquentes affectent-elles le risque ?\nQuel impact a l'alimentation sur le risque ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Veterans#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer un cancer de la vessie ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un cystoscopie, des biopsies et des examens d'imagerie sont utilisés." } }, { "@type": "Question", "name": "Quels tests précèdent une cystectomie ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des analyses sanguines, des examens d'imagerie et une évaluation de la fonction rénale." } }, { "@type": "Question", "name": "Quels symptômes indiquent une cystectomie ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Sang dans les urines, douleurs pelviennes, et symptômes urinaires persistants." } }, { "@type": "Question", "name": "Quel rôle joue l'échographie dans le diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'échographie aide à visualiser la vessie et détecter des anomalies." } }, { "@type": "Question", "name": "Quand une cystoscopie est-elle nécessaire ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Elle est nécessaire pour examiner la vessie et prélever des biopsies." } }, { "@type": "Question", "name": "Quels sont les symptômes d'un cancer de la vessie ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Hématurie, douleurs lors de la miction, et besoin fréquent d'uriner." } }, { "@type": "Question", "name": "Comment se manifeste une infection urinaire ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Brûlures, besoin urgent d'uriner, et urine trouble ou malodorante." } }, { "@type": "Question", "name": "Quels signes indiquent une complication post-opératoire ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, douleurs abdominales sévères, ou saignements excessifs." } }, { "@type": "Question", "name": "Quels symptômes nécessitent une consultation urgente ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Sang dans les urines, douleurs intenses, ou incapacité à uriner." } }, { "@type": "Question", "name": "Comment reconnaître une obstruction urinaire ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Difficulté à uriner, douleur abdominale, et distension abdominale." } }, { "@type": "Question", "name": "Comment prévenir le cancer de la vessie ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Éviter le tabac, hydrater suffisamment et réduire l'exposition aux produits chimiques." } }, { "@type": "Question", "name": "Quels facteurs de risque sont évitables ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Le tabagisme et l'exposition à des produits chimiques industriels." } }, { "@type": "Question", "name": "Quel rôle joue l'hydratation dans la prévention ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne hydratation aide à diluer les substances cancérigènes dans l'urine." } }, { "@type": "Question", "name": "Comment le dépistage aide-t-il à prévenir le cancer ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Le dépistage précoce permet de détecter des anomalies avant qu'elles ne deviennent graves." } }, { "@type": "Question", "name": "Quels aliments peuvent réduire le risque ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Les fruits, légumes et aliments riches en antioxydants peuvent aider." } }, { "@type": "Question", "name": "Quelles sont les indications pour une cystectomie ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Cancer de la vessie, lésions graves ou maladies de la vessie." } }, { "@type": "Question", "name": "Quels types de cystectomie existent ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Cystectomie partielle et cystectomie radicale, selon l'étendue de la maladie." } }, { "@type": "Question", "name": "Quels soins post-opératoires sont nécessaires ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Surveillance des signes vitaux, gestion de la douleur et soins des plaies." } }, { "@type": "Question", "name": "Comment se déroule une cystectomie ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Elle se fait sous anesthésie générale, avec une incision abdominale ou laparoscopique." } }, { "@type": "Question", "name": "Quels traitements alternatifs à la cystectomie ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Chimiothérapie, radiothérapie ou immunothérapie selon le stade du cancer." } }, { "@type": "Question", "name": "Quelles sont les complications possibles d'une cystectomie ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Infections, saignements, et complications urinaires comme l'incontinence." } }, { "@type": "Question", "name": "Comment gérer une infection post-opératoire ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Antibiotiques et soins appropriés de la plaie sont nécessaires." } }, { "@type": "Question", "name": "Quels signes indiquent une complication grave ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre élevée, douleurs abdominales intenses, ou saignements importants." } }, { "@type": "Question", "name": "Comment prévenir les complications après une cystectomie ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Suivre les instructions post-opératoires et surveiller les signes d'infection." } }, { "@type": "Question", "name": "Quels sont les effets à long terme d'une cystectomie ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Incontinence, changements dans la fonction urinaire et risque accru d'infections." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque du cancer de la vessie ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Tabagisme, exposition à des produits chimiques, et antécédents familiaux." } }, { "@type": "Question", "name": "Comment l'âge influence-t-il le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Le risque de cancer de la vessie augmente avec l'âge, surtout après 55 ans." } }, { "@type": "Question", "name": "Quel rôle joue le sexe dans le risque de cancer de la vessie ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les hommes sont plus susceptibles de développer un cancer de la vessie que les femmes." } }, { "@type": "Question", "name": "Comment les infections urinaires fréquentes affectent-elles le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Des infections urinaires répétées peuvent augmenter le risque de cancer de la vessie." } }, { "@type": "Question", "name": "Quel impact a l'alimentation sur le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation pauvre en fruits et légumes peut augmenter le risque de cancer." } } ] } ] }
Dr Olivier Menir

Contenu validé par Dr Olivier Menir

Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale


Validation scientifique effectuée le 27/03/2026

Contenu vérifié selon les dernières recommandations médicales

Auteurs principaux

Matthew Mossanen

4 publications dans cette catégorie

Affiliations :
  • Division of Urologic Surgery, Brigham and Women's Hospital, Boston, MA; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA; Dana-Farber Cancer Institute, Boston, MA; Harvard Medical School, Boston, MA. Electronic address: mjhuynh9@gmail.com.

Jonathan L Wright

3 publications dans cette catégorie

Affiliations :
  • Department of Urology, University of Washington, Seattle, WA; Fred Hutchinson Cancer Research Center, Seattle, WA.

Shahrokh F Shariat

3 publications dans cette catégorie

Affiliations :
  • Department of Urology, Medical University of Vienna, Vienna, Austria.
  • Department of Urology, Weill Cornell Medical College, New York, New York.
  • Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
  • Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria.

Mark D Tyson

3 publications dans cette catégorie

Affiliations :
  • Department of Urology, Mayo Clinic Hospital, Phoenix, AZ.

Francesco Montorsi

3 publications dans cette catégorie

Affiliations :
  • Department of Urology and Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, 20132 Milan, Italy.

Sources (1694 au total)

Outcomes of Veterans Treated in Veterans Affairs Hospitals vs Non-Veterans Affairs Hospitals.

Many veterans enrolled in the Veterans Affairs (VA) health care system have access to non-VA care through insurance and VA-purchased community care. Prior comparisons of VA and non-VA hospital outcome... To compare outcomes for 6 acute conditions in VA and non-VA hospitals for younger and older veterans using VA and all-payer discharge data.... This cohort study used a repeated cross-sectional analysis of hospitalization records for acute myocardial infarction (AMI), coronary artery bypass graft (CABG), gastrointestinal (GI) hemorrhage, hear... Treatment in VA or non-VA hospital.... Thirty-day mortality, 30-day readmission, length of stay (LOS), and costs. Average treatment outcomes of VA hospitals were estimated using inverse probability weighted regression adjustment to account... There was a total of 593 578 hospitalizations and 414 861 patients with mean (SD) age 75 (12) years, 405 602 males (98%), 442 297 hospitalizations of non-Hispanic White individuals (75%) and 73 155 ho... In this cohort study of veterans, VA hospitalizations had lower mortality for HF and stroke and lower readmissions, longer LOS, and higher costs for most conditions compared with non-VA hospitalizatio...

Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration.

Residential mobility, or a change in residence, can influence health care utilization and outcomes. Health systems can leverage their patients' residential addresses stored in their electronic health ... We conducted a cross-sectional analysis to examine the association of sociodemographics, clinical conditions, and residential mobility. We defined residential mobility by the number of VHA EHR residen... In our sample, 84.4% (n=3,803,475) veterans had no move, 13.0% (n=587,765) had 1 move, and 2.6% (n=117,680) had ≥2 moves. In the multivariable analyses, women had greater odds of moving [aOR=1.11 (95%... Our study suggests about 16% of veterans seen at VHA had at least 1 residential move in 2018. VHA data can be a resource to examine relationships between place, residential mobility, and health....

Chronic disease multimorbidity and substance use among African American men: veteran-non-veteran differences.

The purpose of the study was to explore the extent to which prior military service may moderate the relationship between chronic disease multimorbidity and substance use among African American men in ... Data for this cross-sectional study was downloaded from the 2016 -2019 United States (US) National Survey on Drug Use and Health. We estimated three survey-weighted multivariable logistic regression m... From the 37,203,237 (weighted N) African American men in the sample, approximately 17% reported prior military service. Veterans with ≥ 2 chronic diseases had higher rates of illicit drug use (aOR = 1... Chronic disease multi-morbidity appears to be a context in which African American veterans may be at greater risk for certain undesirable health behaviors than African American non-veterans and at low...

Psychological Resilience in U.S. Military Veterans: Results from the 2019-2020 National Health and Resilience in Veterans Study.

Following exposure to traumatic life events, most individuals are psychologically resilient, and experience minimal-to-no symptoms of posttraumatic stress, major depressive, or generalized anxiety dis...

Intensity, Characteristics, and Factors Associated With Receipt of Care Coordination Among High-Risk Veterans in the Veterans Health Administration.

The Veterans Health Administration (VHA) has initiatives underway to enhance the provision of care coordination (CC), particularly among high-risk Veterans. Yet, evidence detailing the characteristics... We examined intensity, timing, setting, and factors associated with VHA CC among high-risk Veterans.... We conducted a retrospective observational cohort study, following Veterans for 1 year after being identified as high-risk for hospitalization or mortality, to characterize their CC. Demographic and c... A total of 1,843,272 VHA-enrolled high-risk Veterans in fiscal years 2019-2021.... We measured 5 CC variables during the year after Veterans were identified as high risk: (1) receipt of any service, (2) number of services received, (3) number of days to first service, (4) number of ... Overall, 31% of high-risk Veterans in the sample received CC during one-year follow-up. Among Veterans who received ≥1 service, a median of 2 [IQR (1, 6)] services were received. Among Veterans who re... A minority of Veterans received CC in the year after being identified as high-risk, and there was variation in intensity, timing, and setting of CC. Research is needed to examine the fit between Veter...

Care Retention Among Veterans with Serious Mental Illness who were once lost-to-Veterans Health Administration care.

To evaluate care retention among Veterans with serious mental illness (SMI) who were lost to Veterans Health Administration (VHA) care for at least one year and subsequently returned to VHA care via t... For the 410 Veterans with SMI who returned to care via SMI Re-Engagement between April 4th, 2016 and January 31, 2018, we assessed VHA in-person and telehealth utilization (overall, primary care, ment... Care retention was common: 70.2% of Veterans had at least one encounter in each year of the two-year follow-up period and an additional 22.7% had at least one encounter during one of the two years. Du... Most Veterans who return to care via the SMI Re-Engagement program remain in VHA care for the subsequent two years....

Fall-related Injuries and Opioid Administration Among Veterans With Dementia in US Department of Veterans Affairs Community Living Centers.

Opioid use is associated with fall-related injuries (FRI) among older adults, especially those with dementia. We examined FRI following changes in national opioid safety initiatives over 3 regulatory ... VA provided and purchased care records, Medicare claims, CLC Minimum Data Set (MDS) assessments. VA bar-code medication administration data, VA outpatient prescription refill data, and Medicare Part D... A total of 12,229 long-stay CLC residents with dementia between October 2012 and September 2018.... We applied Veteran-regulatory period level (1) generalized linear model to examine the unadjusted and adjusted trends of FRI, and (2) difference-in-difference model with propensity score weighting to ... FRI prevalence per month among CLC residents with Alzheimer disease and related dementias decreased from 3.1% in period 1 to 1.6% and 1.2% in periods 2 and 3, and the adjusted probability of FRI was 1... FRI was reduced among CLC residents with Alzheimer disease and related dementias receiving care in VA CLCs over the 3 regulatory periods, but the FRI reduction was not significantly associated with op...

Hormonal changes in veterans with Gulf War Illness.

Gulf War Illness (GWI) is a multi-system condition of complex etiology and pathophysiology without specific treatment. There is an overlap between the symptoms of GWI and endocrinopathies. This study ... Data from 81 GW veterans (54 with GWI and 27 controls without GWI) was analyzed in a cross-sectional, case-control observational study. Participants completed multiple questionnaires, neuropsychiatric... The GWI group had lower quality of life and greater severity of all symptoms compared to controls. Pain intensity and pain-related interference with general activity were also higher in the GWI group.... The frequency of AGHD was significantly higher in veterans with GWI compared to controls. Recombinant human growth hormone replacement therapy (GHRT) may become a breakthrough therapeutic option for t...