Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Sep;33(9):1419-1422.
doi: 10.1007/s11606-018-4479-6.

Chronic Multisymptom Illness Among Iraq/Afghanistan-Deployed US Veterans and Their Healthcare Utilization Within the Veterans Health Administration

April F Mohanty  1   2 , Lisa M McAndrew  3   4 , Drew Helmer  3 , Matthew H Samore  5   6   7 , Adi V Gundlapalli  5   6   7
Affiliations

Chronic Multisymptom Illness Among Iraq/Afghanistan-Deployed US Veterans and Their Healthcare Utilization Within the Veterans Health Administration

April F Mohanty et al. J Gen Intern Med. 2018 Sep.
No abstract available

Keywords: chronic disease; chronic pain; deployment health; utilization; veterans.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Veterans Health Administration outpatient care utilization by OEF/OIF/OND veterans after their last deployment end date, fiscal years 2002–2011. a CMI-related visits/veteran by setting and sex*†. b All outpatient visits/veteran by CMI-related diagnosis status and sex. a *CMI-related visits defined as VHA outpatient encounters associated with one or more ICD-9-CM code of chronic fatigue (780.71), fibromyalgia (729.1), or irritable bowel (564.1) syndrome. †Primary care visits defined by primary stop codes: primary care (342, 348, 350, and 323) and women’s primary care (322, 339, 404, 525, 704). Specialty care visits defined by primary stop codes: gastrointestinal (307, 321, 337); pain clinic (420); rheumatology/arthritis (314). All CMI-related encounters are counted in the numerator, including those occurring on the same day. Denominator includes veterans with ≥ 1 CMI-related ICD-9-CM code in the corresponding fiscal year. b Outpatient encounters counted as no more than one/day. Denominator includes all veterans with ≥ 1 VHA outpatient encounter during the corresponding fiscal year. CMI, chronic multisymptom illness; ICD-9-CM, International Classification of Diseases, 9th revision, Clinical Modification; OEF, Operation Enduring Freedom; OIF, Operation Iraqi Freedom; OND, Operation New Dawn; VHA, Veterans Health Administration.
See this image and copyright information in PMC

References

    1. McAndrew LM, Phillips LA, Helmer DA, Maestro K, Engel CC, Greenberg LM, et al. High healthcare utilization near the onset of medically unexplained symptoms. J Psychosom Res. 2017;98:98–105. doi: 10.1016/j.jpsychores.2017.05.001. - DOI - PubMed
    1. Smith TC, Powell TM, Jacobson IG, Smith B, Hooper TI, Boyko EJ, et al. Chronic multisymptom illness: a comparison of Iraq and Afghanistan deployers with veterans of the 1991 Gulf War. American journal of epidemiology. 2014;180(12):1176–87. doi: 10.1093/aje/kwu240. - DOI - PubMed
    1. VA/DoD Clinical Practice Guideline for the Management of Chronic Multisymptom Illness. Version 2.0 ed: Department of Veterans Affairs and the Departoment of Defense; 2014.
    1. Vincent A, Lahr BD, Wolfe F, Clauw DJ, Whipple MO, Oh TH, et al. Prevalence of fibromyalgia: a population-based study in Olmsted County, Minnesota, utilizing the Rochester Epidemiology Project. Arthritis Care Res (Hoboken). 2013;65(5):786–92. doi: 10.1002/acr.21896. - DOI - PMC - PubMed
    1. Vincent A, Brimmer DJ, Whipple MO, Jones JF, Boneva R, Lahr BD, et al. Prevalence, incidence, and classification of chronic fatigue syndrome in Olmsted County, Minnesota, as estimated using the Rochester Epidemiology Project. Mayo Clin Proc. 2012;87(12):1145–52. doi: 10.1016/j.mayocp.2012.08.015. - DOI - PMC - PubMed

Publication types

MeSH terms

LinkOut - more resources