MP79-13 GENITOURINARY INJURY IN MALE VETERANS RECEIVING VA HEALTH CARE: THE IMPORTANCE OF LINKING DOD AND VA DATA

Abstract

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma (including transgender surgery) I1 Apr 2017MP79-13 GENITOURINARY INJURY IN MALE VETERANS RECEIVING VA HEALTH CARE: THE IMPORTANCE OF LINKING DOD AND VA DATA Steven Hudak, Jean Orman, Megan Amuan, Mary Jo Pugh, Nina Nnamani, Douglas Soderdahl, Judson Janak, and Michael Liss Steven HudakSteven Hudak More articles by this author , Jean OrmanJean Orman More articles by this author , Megan AmuanMegan Amuan More articles by this author , Mary Jo PughMary Jo Pugh More articles by this author , Nina NnamaniNina Nnamani More articles by this author , Douglas SoderdahlDouglas Soderdahl More articles by this author , Judson JanakJudson Janak More articles by this author , and Michael LissMichael Liss More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2497AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Outcomes of military genitourinary injuries (GUI) have not been well-studied. Although US servicemen with GUI sustained during Operations Iraqi and Enduring Freedom (OIF/OEF) have been identified separately in the Department of Defense Trauma Registry (DoDTR) and VA electronic medical records, no previous studies have linked DoD and VA data to investigate outcomes in the population of Veterans with combat deployment-related GUI. METHODS VA electronic medical records were searched for male OIF/OEF Veterans receiving VA care at least once between 1 October 2001 and 30 September 2011. VA records were linked with DoDTR records for male US service members injured while deployed to OIF/OEF during the same time period. Variables extracted from the DoDTR included type of GUI, severity of GUI, and Injury Severity Scores (ISS). Outcome diagnoses from VA electronic medical records included sexual dysfunction, urinary symptoms, and neuropsychiatric conditions. Injury characteristics and prevalence of outcomes among those with and without GUI were compared. RESULTS Of the 12,923 injured male OIF/OEF Veterans identified in both VA electronic medical records and the DoDTR, n=591 (4.6%) had a diagnosis of combat deployment-related GUI in the DoDTR. Of note, only 3.0% of patients with a GUI diagnosis in the DoDTR also had a GUI diagnosis documented in VA medical records. The 591 patients with GUI were injured early in OIF/OEF, with 80.0% injured before 2008. A total of 30.3% had severe GUI. Overall injury severity was greater (ISS ≥ 16: 58.5% vs. 14.9%; p<0.01) and the prevalence of both urinary symptoms (6.3% vs. 3.1%; p<0.01) and sexual dysfunction (13.5% vs. 7.1%; p<0.01) higher among those with GUI vs. without GUI, respectively. Traumatic brain injury prevalence was higher among those with vs. without GUI (48.0 % vs. 40.0%; p<0.01) and post-traumatic stress disorder (PTSD) was common among both groups (51.6% vs. 50.6%; p=0.64). CONCLUSIONS A minority of VA patients with GUI sustained during OIF/OEF have GUI documented in their VA medical record. However, VA patients with GUI have substantially higher rates of urinary and sexual problems treated at VA facilities. Thus, comprehensive care for OIF/OEF Veterans could be improved with better documentation of GUI upon transfer from DoD to VA care. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1077 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Steven Hudak More articles by this author Jean Orman More articles by this author Megan Amuan More articles by this author Mary Jo Pugh More articles by this author Nina Nnamani More articles by this author Douglas Soderdahl More articles by this author Judson Janak More articles by this author Michael Liss More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...