Vilija R. Joyce
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View article: Healthcare costs and use before and after opioid overdose in Veterans Health Administration patients with opioid use disorder
Healthcare costs and use before and after opioid overdose in Veterans Health Administration patients with opioid use disorder Open
Aims To compare healthcare costs and use between United States (US) Veterans Health Administration (VHA) patients with opioid use disorder (OUD) who experienced an opioid overdose (OD cohort) and patients with OUD who did not experience an…
View article: A call for better validation of opioid overdose risk algorithms
A call for better validation of opioid overdose risk algorithms Open
Clinical decision support (CDS) systems powered by predictive models have the potential to improve the accuracy and efficiency of clinical decision-making. However, without sufficient validation, these systems have the potential to mislead…
View article: Cost-effectiveness of Treatments for Opioid Use Disorder
Cost-effectiveness of Treatments for Opioid Use Disorder Open
In this cost-effectiveness analysis, expanded access to MAT, combined with OEND and CM, was associated with cost-saving reductions in morbidity and mortality from OUD. Lack of widespread MAT availability limits access to a cost-saving medi…
View article: Differences in body mass index based on self‐reported versus measured data from women veterans
Differences in body mass index based on self‐reported versus measured data from women veterans Open
Summary Objective The objective was to compare differences in body mass index (BMI) calculated with self‐reported versus clinically measured pre‐conception data from women veterans in California. Methods Veterans Health Administration (VHA…
View article: Selection of Higher Risk Pregnancies into Veterans Health Administration Programs: Discoveries from Linked Department of Veterans Affairs and California Birth Data
Selection of Higher Risk Pregnancies into Veterans Health Administration Programs: Discoveries from Linked Department of Veterans Affairs and California Birth Data Open
Objective To describe variation in payer and outcomes in Veterans’ births. Data/Setting Secondary data analyses of deliveries in California, 2000–2012. Study Design We performed a retrospective, population‐based study of all live births to…
View article: Simulating realistically complex comparative effectiveness studies with time-varying covariates and right-censored outcomes
Simulating realistically complex comparative effectiveness studies with time-varying covariates and right-censored outcomes Open
Simulation studies are useful for evaluating and developing statistical methods for the analyses of complex problems. Performance of methods may be affected by multiple complexities present in real scenarios. Generating sufficiently realis…
View article: Mapping MOS-HIV to HUI3 and EQ-5D-3L in Patients With HIV
Mapping MOS-HIV to HUI3 and EQ-5D-3L in Patients With HIV Open
Objectives: The Medical Outcomes Study HIV Health Survey (MOS-HIV) is frequently used in HIV clinical trials; however, scores generated from the MOS-HIV are not suited for cost-effectiveness analyses as they do not assign utility values to…
View article: Cost-Effectiveness of Treatments for Genotype 1 Hepatitis C Virus Infection in Non-VA and VA Populations
Cost-Effectiveness of Treatments for Genotype 1 Hepatitis C Virus Infection in Non-VA and VA Populations Open
Background: Chronic hepatitis C viral (HCV) infection affects millions of Americans. Health care systems face complex choices between highly efficacious, costly treatments. This study assessed the cost-effectiveness of treatments for chron…
View article: Risk of Cardiovascular Events Associated With Current Exposure to HIV Antiretroviral Therapies in a US Veteran Population
Risk of Cardiovascular Events Associated With Current Exposure to HIV Antiretroviral Therapies in a US Veteran Population Open
In the VA cohort, exposure to both individual drugs and drug combinations was associated with modestly increased risk of a cardiovascular event.