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Katharine Bradley, MD, MPH

TitlePhysician
InstitutionWashington Permanente Medical Group
DepartmentInternal Medicine
ORCID ORCID Icon0000-0003-1933-4425 Additional info
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    Other Positions
    TitlePhysician, Washington Permanente Medical Group, Internal Medicine
    InstitutionKaiser Permanente Washington
    DepartmentHealth Research Institute


    Collapse Overview 
    Collapse overview
    Kathy Bradley, MD, MPH, is a senior investigator and general internist whose research focuses on identifying and addressing unhealthy alcohol use in primary care. Since joining Kaiser Permanente Washington Health Research Institute (KPWHRI) in 2011, Dr. Bradley has conducted research that is having a lasting impact on how patients with alcohol use disorders are cared for at Kaiser Permanente Washington and beyond.

    While at the Veterans Affairs (VA) Puget Sound Health Care System, Dr. Bradley discovered ways to more efficiently identify unhealthy alcohol use. Her team validated the “AUDIT-C” three-item alcohol screen and a single-question screen in VA patients as well as non-VA patient populations. They also linked high AUDIT-C scores with adverse health outcomes, including decreased medication adherence and increases in fractures and trauma; hospitalizations for liver disease, gastrointestinal bleeding and pancreatitis; surgical complications and post-op health care utilization; and mortality. An ongoing VA study is evaluating whether changes in AUDIT-C scores are associated with changes in health outcomes. If so, AUDIT-C scores could be used as a “vital sign” to monitor drinking.

    Dr. Bradley was instrumental in helping implement alcohol screening and brief alcohol counseling at more than 900 VA sites—and in developing the VA's national performance measures. Using performance measures and decision support in an electronic health record (EHR), yearly alcohol screening rates in the VA have been high since 2007. Her team also developed and tested an EHR-based clinical reminder that provides decision support for brief alcohol counseling, as well as performance measures for counseling. Together, the EHR tools and the performance measures recently resulted in high rates of alcohol counseling.

    Currently, Dr. Bradley is evaluating performance measures of brief alcohol counseling. She recently turned her attention to management of alcohol use disorders in primary care settings, as well as identifying and addressing drug use disorders with proactive outreach. She is leading the National Institute of Health's National Institute on Alcohol Abuse and Alcoholism Study on Collaborative Care for Primary Care Patients with unhealthy drinking: "Considering Healthier Drinking Options in Collaborative Care" (CHOICE) trial, which has finished enrollment and will be completed in October 2015. She and her clinical partners are also funded by the Agency for Health Research and Quality to implement alcohol screening, brief alcohol counseling, and shared decision-making for alcohol use disorders in a sustainable manner at all 25 primary care clinics within Kaiser Permanente Washington. In addition, she has ongoing research developing a patient decision aid for shared decision-making for alcohol use disorders, and with her clinical partners, has obtained a Partnership for Innovation grant to test proactive outreach from primary care teams to patients with alcohol or drug use disorders.

    Dr. Bradley is an affiliate professor in the University of Washington departments of Medicine and Health Services.

    Collapse Research 
    Collapse research activities and funding
    K23AA000313     (BRADLEY, KATHARINE ANTHONY)Apr 1, 2000 - Mar 31, 2006
    NIH/NIAAA
    EFFECTIVENESS OF PRIMARY CARE ALCOHOL INTERVENTIONS
    Role: Principal Investigator

    R21AA014672     (BRADLEY, KATHARINE ANTHONY)Apr 10, 2005 - Mar 31, 2008
    NIH/NIAAA
    Evaluation of the AUDIT-C in a Primary Care Population
    Role: Principal Investigator

    I01HX000115     (BRADLEY, KATHARINE ANTHONY)Oct 1, 2009 - Mar 31, 2013
    VA
    Using the AUDIT-C to Monitor Outcomes in Patients with Alcohol Misuse
    Role: Principal Investigator

    R01AA018702     (BRADLEY, KATHARINE ANTHONY)Sep 25, 2010 - Aug 31, 2015
    NIH/NIAAA
    Collaborative Care for Primary Care Patients with Alcohol Use Disorders
    Role: Principal Investigator

    R21AA020894     (BRADLEY, KATHARINE ANTHONY)Jul 5, 2012 - Jun 30, 2014
    NIH/NIAAA
    Evaluation of Quality Measures for Brief Alcohol Intervention
    Role: Principal Investigator

    R18HS023173     (BRADLEY, KATHARINE ANTHONY)Sep 1, 2014 - Aug 31, 2018
    AHRQ
    Sustained Implementation of Patient-Centered Care for Alcohol Misuse
    Role: Principal Investigator

    R21AA023037     (BRADLEY, KATHARINE ANTHONY)Sep 20, 2014 - Aug 31, 2016
    NIH/NIAAA
    A Novel Patient-centered Decision Aid to Inform Alcohol Treatment Choices
    Role: Principal Investigator

    R21AA022866     (BRADLEY, KATHARINE ANTHONY)Feb 15, 2015 - Jan 31, 2017
    NIH/NIAAA
    Alcohol-related Care & Outcomes for Outpatients with HIV in a National VA Cohort
    Role: Principal Investigator

    UG1DA040314     (CAMPBELL, CYNTHIA I)Sep 1, 2015 - May 31, 2020
    NIH/NIDA
    Integrating Addiction Research in Health Systems: The Addiction Research Network
    Role: Principal Investigator

    K24AA022128     (BRADLEY, KATHARINE ANTHONY)Feb 1, 2016 - Jan 31, 2021
    NIH/NIAAA
    Training Clinicians in Implementation Research to Improve Alcohol-related Care
    Role: Principal Investigator

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. Lapham GT, Lee AK, Caldeiro RM, Glass JE, Carrell DS, Richards JE, Bradley KA. Prevalence of Behavioral Health Conditions Across Frequency of Cannabis Use Among Adult Primary Care Patients in Washington State. J Gen Intern Med. 2018 Nov; 33(11):1833-1835. PMID: 29992423.
      View in: PubMed
    2. Curran GM, Freeman PR, Martin BC, Teeter BS, Drummond KL, Bradley K, Thannisch MM, Mosley CL, Schoenberg N, Edlund M. Communication between pharmacists and primary care physicians in the midst of a U.S. opioid crisis. Res Social Adm Pharm. 2018 Aug 10. PMID: 30170901.
      View in: PubMed
    3. Glass JE, Bobb JF, Lee AK, Richards JE, Lapham GT, Ludman E, Achtmeyer C, Caldeiro RM, Parrish R, Williams EC, Lozano P, Bradley KA. Study protocol: a cluster-randomized trial implementing Sustained Patient-centered Alcohol-related Care (SPARC trial). Implement Sci. 2018 08 06; 13(1):108. PMID: 30081930.
      View in: PubMed
    4. Williams EC, McGinnis KA, Edelman EJ, Matson TE, Gordon AJ, Marshall BDL, Bryant KJ, Rubinsky AD, Lapham GT, Satre DD, Richards JE, Catz SL, Fiellin DA, Justice AC, Bradley KA. Level of Alcohol Use Associated with HIV Care Continuum Targets in a National U.S. Sample of Persons Living with HIV Receiving Healthcare. AIDS Behav. 2018 Jul 09. PMID: 29995206.
      View in: PubMed
    5. Williams EC, McGinnis KA, Bobb JF, Rubinsky AD, Lapham GT, Skanderson M, Catz SL, Bensley KM, Richards JE, Bryant KJ, Edelman EJ, Satre DD, Marshall BDL, Kraemer KL, Blosnich JR, Crystal S, Gordon AJ, Fiellin DA, Justice AC, Bradley KA. Changes in alcohol use associated with changes in HIV disease severity over time: A national longitudinal study in the Veterans Aging Cohort. Drug Alcohol Depend. 2018 08 01; 189:21-29. PMID: 29859388.
      View in: PubMed
    6. Bradley KA, Bobb JF, Ludman EJ, Chavez LJ, Saxon AJ, Merrill JO, Williams EC, Hawkins EJ, Caldeiro RM, Achtmeyer CE, Greenberg DM, Lapham GT, Richards JE, Lee AK, Kivlahan DR. Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Trial. JAMA Intern Med. 2018 May 01; 178(5):613-621. PMID: 29582088.
      View in: PubMed
    7. Williams EC, Bryson CL, Sun H, Au DH, Bradley KA. Association Between Alcohol Use and Angina Symptoms Among Outpatients From the Veterans Health Administration. J Addict Med. 2018 Mar/Apr; 12(2):143-149. PMID: 29334512.
      View in: PubMed
    8. Bradley K, Williams EC. Necessary Clarifications Concerning Results of the SUMMIT Trial. JAMA Intern Med. 2018 Mar 01; 178(3):428-429. PMID: 29507976.
      View in: PubMed
    9. Lapham GT, Lee AK, Caldeiro RM, McCarty D, Browne KC, Walker DD, Kivlahan DR, Bradley KA. Frequency of Cannabis Use Among Primary Care Patients in Washington State. J Am Board Fam Med. 2017 Nov-Dec; 30(6):795-805. PMID: 29180554.
      View in: PubMed
    10. Williams EC, Achtmeyer CE, Young JP, Berger D, Curran G, Bradley KA, Richards J, Siegel MB, Ludman EJ, Lapham GT, Forehand M, Harris AHS. Barriers to and Facilitators of Alcohol Use Disorder Pharmacotherapy in Primary Care: A Qualitative Study in Five VA Clinics. J Gen Intern Med. 2018 Mar; 33(3):258-267. PMID: 29086341.
      View in: PubMed
    11. Berger D, Lapham GT, Shortreed SM, Hawkins EJ, Rubinsky AD, Williams EC, Achtmeyer CE, Kivlahan DR, Bradley KA. Increased Rates of Documented Alcohol Counseling in Primary Care: More Counseling or Just More Documentation? J Gen Intern Med. 2018 Mar; 33(3):268-274. PMID: 29047076.
      View in: PubMed
    12. Chavez LJ, Liu CF, Tefft N, Hebert PL, Devine B, Bradley KA. The Association Between Unhealthy Alcohol Use and Acute Care Expenditures in the 30 Days Following Hospital Discharge Among Older Veterans Affairs Patients with a Medical Condition. J Behav Health Serv Res. 2017 Oct; 44(4):602-624. PMID: 27585803.
      View in: PubMed
    13. Bobb JF, Lee AK, Lapham GT, Oliver M, Ludman E, Achtmeyer C, Parrish R, Caldeiro RM, Lozano P, Richards JE, Bradley KA. Evaluation of a Pilot Implementation to Integrate Alcohol-Related Care within Primary Care. Int J Environ Res Public Health. 2017 09 08; 14(9). PMID: 28885557.
      View in: PubMed
    14. Williams EC, Lapham GT, Rubinsky AD, Chavez LJ, Berger D, Bradley KA. Influence of a targeted performance measure for brief intervention on gender differences in receipt of brief intervention among patients with unhealthy alcohol use in the Veterans Health Administration. J Subst Abuse Treat. 2017 10; 81:11-16. PMID: 28847450.
      View in: PubMed
    15. Takahashi T, Lapham G, Chavez LJ, Lee AK, Williams EC, Richards JE, Greenberg D, Rubinsky A, Berger D, Hawkins EJ, Merrill JO, Bradley KA. Comparison of DSM-IV and DSM-5 criteria for alcohol use disorders in VA primary care patients with frequent heavy drinking enrolled in a trial. Addict Sci Clin Pract. 2017 07 18; 12(1):17. PMID: 28716049.
      View in: PubMed
    16. Bradley KA, Ludman EJ, Chavez LJ, Bobb JF, Ruedebusch SJ, Achtmeyer CE, Merrill JO, Saxon AJ, Caldeiro RM, Greenberg DM, Lee AK, Richards JE, Thomas RM, Matson TE, Williams EC, Hawkins E, Lapham G, Kivlahan DR. Patient-centered primary care for adults at high risk for AUDs: the Choosing Healthier Drinking Options In primary CarE (CHOICE) trial. Addict Sci Clin Pract. 2017 05 17; 12(1):15. PMID: 28514963.
      View in: PubMed
    17. Glass JE, Andréasson S, Bradley KA, Finn SW, Williams EC, Bakshi AS, Gual A, Heather N, Sainz MT, Benegal V, Saitz R. Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA). Addict Sci Clin Pract. 2017 05 10; 12(1):14. PMID: 28490342.
      View in: PubMed
    18. Williams EC, Lapham GT, Bobb JF, Rubinsky AD, Catz SL, Shortreed SM, Bensley KM, Bradley KA. Documented brief intervention not associated with resolution of unhealthy alcohol use one year later among VA patients living with HIV. J Subst Abuse Treat. 2017 07; 78:8-14. PMID: 28554608.
      View in: PubMed
    19. Williams EC, Lapham GT, Shortreed SM, Rubinsky AD, Bobb JF, Bensley KM, Catz SL, Richards JE, Bradley KA. Among patients with unhealthy alcohol use, those with HIV are less likely than those without to receive evidence-based alcohol-related care: A national VA study. Drug Alcohol Depend. 2017 05 01; 174:113-120. PMID: 28324813.
      View in: PubMed
    20. McClure JB, Anderson ML, Bradley K, An LC, Catz SL. Evaluating an Adaptive and Interactive mHealth Smoking Cessation and Medication Adherence Program: A Randomized Pilot Feasibility Study. JMIR Mhealth Uhealth. 2016 Aug 03; 4(3):e94. PMID: 27489247; PMCID: PMC4989120.
    21. Bradley KA, Rubinsky AD, Lapham GT, Berger D, Bryson C, Achtmeyer C, Hawkins EJ, Chavez LJ, Williams EC, Kivlahan DR. Predictive validity of clinical AUDIT-C alcohol screening scores and changes in scores for three objective alcohol-related outcomes in a Veterans Affairs population. Addiction. 2016 11; 111(11):1975-1984. PMID: 27349855.
      View in: PubMed
    22. Grossbard J, Malte CA, Lapham G, Pagulayan K, Turner AP, Rubinsky AD, Bradley KA, Saxon AJ, Hawkins EJ. Prevalence of Alcohol Misuse and Follow-Up Care in a National Sample of OEF/OIF VA Patients With and Without TBI. Psychiatr Serv. 2017 01 01; 68(1):48-55. PMID: 27476804.
      View in: PubMed
    23. Bachhuber MA, Bradley KA. Evidence-Based Care for People with Unhealthy Alcohol Use-Still Elusive. J Gen Intern Med. 2016 07; 31(7):710-1. PMID: 27071398.
      View in: PubMed
    24. Chavez LJ, Williams EC, Lapham GT, Rubinsky AD, Kivlahan DR, Bradley KA. Changes in Patient-Reported Alcohol-Related Advice Following Veterans Health Administration Implementation of Brief Alcohol Interventions. J Stud Alcohol Drugs. 2016 05; 77(3):500-8. PMID: 27172583; PMCID: PMC4869906 [Available on 05/01/17].
    25. Bradley KA, Lapham GT. Is it time for a more ambitious research agenda for decreasing alcohol-related harm among young adults? Addiction. 2016 09; 111(9):1531-2. PMID: 26948421.
      View in: PubMed
    26. Chavez LJ, Bradley K, Tefft N, Liu CF, Hebert P, Devine B. Preference weights for the spectrum of alcohol use in the U.S. Population. Drug Alcohol Depend. 2016 Apr 01; 161:206-13. PMID: 26900145.
      View in: PubMed
    27. Lehavot K, Williams EC, Millard SP, Bradley KA, Simpson TL. Association of Alcohol Misuse With Sexual Identity and Sexual Behavior in Women Veterans. Subst Use Misuse. 2016 Jan 28; 51(2):216-29. PMID: 26800263.
      View in: PubMed
    28. Clark BJ, Rubinsky AD, Ho PM, Au DH, Chavez LJ, Moss M, Bradley KA. Alcohol screening scores and the risk of intensive care unit admission and hospital readmission. Subst Abus. 2016 Jul-Sep; 37(3):466-473. PMID: 26730984.
      View in: PubMed
    29. Chavez LJ, Liu CF, Tefft N, Hebert PL, Clark BJ, Rubinsky AD, Lapham GT, Bradley KA. Unhealthy alcohol use in older adults: Association with readmissions and emergency department use in the 30 days after hospital discharge. Drug Alcohol Depend. 2016 Jan 01; 158:94-101. PMID: 26644137; PMCID: PMC4749399 [Available on 01/01/17].
    30. Berger D, Bradley KA. Primary Care Management of Alcohol Misuse. Med Clin North Am. 2015 Sep; 99(5):989-1016. PMID: 26320043.
      View in: PubMed
    31. Williams EC, Achtmeyer CE, Young JP, Rittmueller SE, Ludman EJ, Lapham GT, Lee AK, Chavez LJ, Berger D, Bradley KA. Local Implementation of Alcohol Screening and Brief Intervention at Five Veterans Health Administration Primary Care Clinics: Perspectives of Clinical and Administrative Staff. J Subst Abuse Treat. 2016 Jan; 60:27-35. PMID: 26297322.
      View in: PubMed
    32. Lapham GT, Rubinsky AD, Shortreed SM, Hawkins EJ, Richards J, Williams EC, Berger D, Chavez LJ, Kivlahan DR, Bradley KA. Comparison of provider-documented and patient-reported brief intervention for unhealthy alcohol use in VA outpatients. Drug Alcohol Depend. 2015 Aug 01; 153:159-66. PMID: 26072218; PMCID: PMC4620927.
    33. Roth JA, Bradley K, Thummel KE, Veenstra DL, Boudreau D. Alcohol misuse, genetics, and major bleeding among warfarin therapy patients in a community setting. Pharmacoepidemiol Drug Saf. 2015 Jun; 24(6):619-27. PMID: 25858232; PMCID: PMC4478047.
    34. Williams EC, Achtmeyer CE, Thomas RM, Grossbard JR, Lapham GT, Chavez LJ, Ludman EJ, Berger D, Bradley KA. Factors Underlying Quality Problems with Alcohol Screening Prompted by a Clinical Reminder in Primary Care: A Multi-site Qualitative Study. J Gen Intern Med. 2015 Aug; 30(8):1125-32. PMID: 25731916; PMCID: PMC4510245.
    35. Bradley K, Kivlahan D. Medications for alcohol use disorder--reply. JAMA. 2014 Oct 01; 312(13):1352. PMID: 25268449.
      View in: PubMed
    36. Rittmueller SE, Frey MS, Williams EC, Sun H, Bryson CL, Bradley KA. Association between alcohol use and cardiovascular self-care behaviors among male hypertensive Veterans Affairs outpatients: a cross-sectional study. Subst Abus. 2015; 36(1):6-12. PMID: 24964087.
      View in: PubMed
    37. Lapham GT, Rubinsky AD, Williams EC, Hawkins EJ, Grossbard J, Chavez LJ, Kivlahan DR, Bradley KA. Decreasing sensitivity of clinical alcohol screening with the AUDIT-C after repeated negative screens in VA clinics. Drug Alcohol Depend. 2014 Sep 01; 142:209-15. PMID: 25034900.
      View in: PubMed
    38. Williams EC, Rubinsky AD, Chavez LJ, Lapham GT, Rittmueller SE, Achtmeyer CE, Bradley KA. An early evaluation of implementation of brief intervention for unhealthy alcohol use in the US Veterans Health Administration. Addiction. 2014 Sep; 109(9):1472-81. PMID: 24773590; PMCID: PMC4257468.
    39. Bradley KA, Kivlahan DR. Bringing patient-centered care to patients with alcohol use disorders. JAMA. 2014 May 14; 311(18):1861-2. PMID: 24825640; PMCID: PMC4097878.
    40. Callegari LS, Zhao X, Nelson KM, Lehavot K, Bradley KA, Borrero S. Associations of mental illness and substance use disorders with prescription contraception use among women veterans. Contraception. 2014 Jul; 90(1):97-103. PMID: 24731860.
      View in: PubMed
    41. Delaney KE, Lee AK, Lapham GT, Rubinsky AD, Chavez LJ, Bradley KA. Inconsistencies between alcohol screening results based on AUDIT-C scores and reported drinking on the AUDIT-C questions: prevalence in two US national samples. Addict Sci Clin Pract. 2014 Jan 27; 9:2. PMID: 24468406; PMCID: PMC3946205.
    42. Williams EC, Bradley KA, Balderson BH, McClure JB, Grothaus L, McCoy K, Rittmueller SE, Catz SL. Alcohol and associated characteristics among older persons living with human immunodeficiency virus on antiretroviral therapy. Subst Abus. 2014; 35(3):245-53. PMID: 24625188; PMCID: PMC4249664.
    43. Williams EC, Rubinsky AD, Lapham GT, Chavez LJ, Rittmueller SE, Hawkins EJ, Grossbard JR, Kivlahan DR, Bradley KA. Prevalence of clinically recognized alcohol and other substance use disorders among VA outpatients with unhealthy alcohol use identified by routine alcohol screening. Drug Alcohol Depend. 2014 Feb 01; 135:95-103. PMID: 24360928.
      View in: PubMed
    44. Liu Y, Webber S, Bowgen K, Schmaltz L, Bradley K, Halvarsson P, Abdelgadir M, Griesser M. Environmental factors influence both abundance and genetic diversity in a widespread bird species. Ecol Evol. 2013 Nov; 3(14):4683-95. PMID: 24363897; PMCID: PMC3867904.
    45. Lapham GT, Rubinsky AD, Heagerty PJ, Achtmeyer C, Williams EC, Hawkins EJ, Maynard C, Kivlahan DR, Au D, Bradley KA. Probability and predictors of patients converting from negative to positive screens for alcohol misuse. Alcohol Clin Exp Res. 2014 Feb; 38(2):564-71. PMID: 24118025.
      View in: PubMed
    46. Chan YF, Huang H, Bradley K, Unützer J. Referral for substance abuse treatment and depression improvement among patients with co-occurring disorders seeking behavioral health services in primary care. J Subst Abuse Treat. 2014 Feb; 46(2):106-12. PMID: 24095002.
      View in: PubMed
    47. Lapham GT, Rubinsky AD, Heagerty PJ, Williams EC, Hawkins EJ, Maynard C, Kivlahan DR, Bradley KA. Annual rescreening for alcohol misuse: diminishing returns for some patient subgroups. Med Care. 2013 Oct; 51(10):914-21. PMID: 23969582.
      View in: PubMed
    48. Bradley KA, Rubinsky AD. Why not add consumption measures to current definitions of substance use disorders? Commentary on Rehm et al.: 'Defining substance use disorders: do we really need more than heavy use?'. Alcohol Alcohol. 2013 Nov-Dec; 48(6):642-3. PMID: 23955834.
      View in: PubMed
    49. Grossbard JR, Hawkins EJ, Lapham GT, Williams EC, Rubinsky AD, Simpson TL, Seal KH, Kivlahan DR, Bradley KA. Follow-up care for alcohol misuse among OEF/OIF veterans with and without alcohol use disorders and posttraumatic stress disorder. J Subst Abuse Treat. 2013 Nov-Dec; 45(5):409-15. PMID: 23906670.
      View in: PubMed
    50. Berger D, Williams EC, Bryson CL, Rubinsky AD, Bradley KA. Alcohol questionnaires and HDL: screening scores as scaled markers of alcohol consumption. Alcohol. 2013 Sep; 47(6):439-45. PMID: 23886863.
      View in: PubMed
    51. Clark BJ, Williams A, Feemster LM, Bradley KA, Macht M, Moss M, Burnham EL. Alcohol screening scores and 90-day outcomes in patients with acute lung injury. Crit Care Med. 2013 Jun; 41(6):1518-25. PMID: 23538449; PMCID: PMC4048714.
    52. Rubinsky AD, Bishop MJ, Maynard C, Henderson WG, Hawn MT, Harris AH, Beste LA, Tønnesen H, Bradley KA. Postoperative risks associated with alcohol screening depend on documented drinking at the time of surgery. Drug Alcohol Depend. 2013 Oct 01; 132(3):521-7. PMID: 23683792.
      View in: PubMed
    53. Rubinsky AD, Dawson DA, Williams EC, Kivlahan DR, Bradley KA. AUDIT-C scores as a scaled marker of mean daily drinking, alcohol use disorder severity, and probability of alcohol dependence in a U.S. general population sample of drinkers. Alcohol Clin Exp Res. 2013 Aug; 37(8):1380-90. PMID: 23906469.
      View in: PubMed
    54. Thomas RM, Francis Gerstel PA, Williams EC, Sun H, Bryson CL, Au DH, Bradley KA. Association between alcohol screening scores and diabetic self-care behaviors. Fam Med. 2012 Sep; 44(8):555-63. PMID: 22930120.
      View in: PubMed
    55. Lapham GT, Hawkins EJ, Chavez LJ, Achtmeyer CE, Williams EC, Thomas RM, Ludman EJ, Kypri K, Hunt SC, Bradley KA. Feedback from recently returned veterans on an anonymous web-based brief alcohol intervention. Addict Sci Clin Pract. 2012 Aug 28; 7:17. PMID: 23186354; PMCID: PMC3507636.
    56. Williams EC, Bradley KA, Gupta S, Harris AH. Association between alcohol screening scores and mortality in black, Hispanic, and white male veterans. Alcohol Clin Exp Res. 2012 Dec; 36(12):2132-40. PMID: 22676340; PMCID: PMC3443543.
    57. Chavez LJ, Williams EC, Lapham G, Bradley KA. Association between alcohol screening scores and alcohol-related risks among female veterans affairs patients. J Stud Alcohol Drugs. 2012 May; 73(3):391-400. PMID: 22456244.
      View in: PubMed
    58. Harris AH, Lembke A, Henderson P, Gupta S, Moos R, Bradley KA. Risk of future trauma based on alcohol screening scores: a two-year prospective cohort study among US veterans. Addict Sci Clin Pract. 2012; 7:6. PMID: 22966411; PMCID: PMC3414833.
    59. Cecere LM, Williams EC, Sun H, Bryson CL, Clark BJ, Bradley KA, Au DH. Smoking cessation and the risk of hospitalization for pneumonia. Respir Med. 2012 Jul; 106(7):1055-62. PMID: 22541719.
      View in: PubMed
    60. Bradley KA, Rubinsky AD, Sun H, Blough DK, Tønnesen H, Hughes G, Beste LA, Bishop MJ, Hawn MT, Maynard C, Harris AS, Hawkins EJ, Bryson CL, Houston TK, Henderson WG, Kivlahan DR. Prevalence of alcohol misuse among men and women undergoing major noncardiac surgery in the Veterans Affairs health care system. Surgery. 2012 Jul; 152(1):69-81. PMID: 22503319.
      View in: PubMed
    61. Williams EC, Lapham GT, Hawkins EJ, Rubinsky AD, Morales LS, Young BA, Bradley KA. Variation in documented care for unhealthy alcohol consumption across race/ethnicity in the Department of Veterans Affairs Healthcare System. Alcohol Clin Exp Res. 2012 Sep; 36(9):1614-22. PMID: 22404130.
      View in: PubMed
    62. Lapham GT, Achtmeyer CE, Williams EC, Hawkins EJ, Kivlahan DR, Bradley KA. Increased documented brief alcohol interventions with a performance measure and electronic decision support. Med Care. 2012 Feb; 50(2):179-87. PMID: 20881876.
      View in: PubMed
    63. Rubinsky AD, Sun H, Blough DK, Maynard C, Bryson CL, Harris AH, Hawkins EJ, Beste LA, Henderson WG, Hawn MT, Hughes G, Bishop MJ, Etzioni R, Tønnesen H, Kivlahan DR, Bradley KA. AUDIT-C alcohol screening results and postoperative inpatient health care use. J Am Coll Surg. 2012 Mar; 214(3):296-305.e1. PMID: 22244208.
      View in: PubMed
    64. Bradley KA, Johnson ML, Williams EC. Commentary on Nilsen et al. (2011): the importance of asking patients-the potential value of patient report of brief interventions. Addiction. 2011 Oct; 106(10):1757-9. PMID: 21917038.
      View in: PubMed
    65. Williams EC, Bryson CL, Sun H, Chew RB, Chew LD, Blough DK, Au DH, Bradley KA. Association between alcohol screening results and hospitalizations for trauma in Veterans Affairs outpatients. Am J Drug Alcohol Abuse. 2012 Jan; 38(1):73-80. PMID: 21797815.
      View in: PubMed
    66. Williams EC, Johnson ML, Lapham GT, Caldeiro RM, Chew L, Fletcher GS, McCormick KA, Weppner WG, Bradley KA. Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review. Psychol Addict Behav. 2011 Jun; 25(2):206-14. PMID: 21517141.
      View in: PubMed
    67. Lembke A, Bradley KA, Henderson P, Moos R, Harris AH. Alcohol screening scores and the risk of new-onset gastrointestinal illness or related hospitalization. J Gen Intern Med. 2011 Jul; 26(7):777-82. PMID: 21455813; PMCID: PMC3138581.
    68. Harris AH, Reeder R, Ellerbe L, Bradley KA, Rubinsky AD, Giori NJ. Preoperative alcohol screening scores: association with complications in men undergoing total joint arthroplasty. J Bone Joint Surg Am. 2011 Feb 16; 93(4):321-7. PMID: 21325583.
      View in: PubMed
    69. Bradley KA, Rubinsky AD, Sun H, Bryson CL, Bishop MJ, Blough DK, Henderson WG, Maynard C, Hawn MT, Tønnesen H, Hughes G, Beste LA, Harris AH, Hawkins EJ, Houston TK, Kivlahan DR. Alcohol screening and risk of postoperative complications in male VA patients undergoing major non-cardiac surgery. J Gen Intern Med. 2011 Feb; 26(2):162-9. PMID: 20878363; PMCID: PMC3019325.
    70. Chew RB, Bryson CL, Au DH, Maciejewski ML, Bradley KA. Are smoking and alcohol misuse associated with subsequent hospitalizations for ambulatory care sensitive conditions? J Behav Health Serv Res. 2011 Jan; 38(1):3-15. PMID: 20464519.
      View in: PubMed
    71. Harris AH, Bradley KA, Bowe T, Henderson P, Moos R. Associations between AUDIT-C and mortality vary by age and sex. Popul Health Manag. 2010 Oct; 13(5):263-8. PMID: 20879907; PMCID: PMC3135896.
    72. Bradley KA, Williams EC. What can general medical providers do for hospitalized patients with alcohol dependence after discharge? J Gen Intern Med. 2010 Oct; 25(10):1000-2. PMID: 20632122; PMCID: PMC2955484.
    73. Bradley KA, Lapham GT, Hawkins EJ, Achtmeyer CE, Williams EC, Thomas RM, Kivlahan DR. Quality concerns with routine alcohol screening in VA clinical settings. J Gen Intern Med. 2011 Mar; 26(3):299-306. PMID: 20859699; PMCID: PMC3043188.
    74. Williams EC, Achtmeyer CE, Kivlahan DR, Greenberg D, Merrill JO, Wickizer TM, Koepsell TD, Heagerty PJ, Bradley KA. Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care. J Stud Alcohol Drugs. 2010 Sep; 71(5):720-5. PMID: 20731977; PMCID: PMC2930502.
    75. Williams EC, Palfai T, Cheng DM, Samet JH, Bradley KA, Koepsell TD, Wickizer TM, Heagerty PJ, Saitz R. Physical health and drinking among medical inpatients with unhealthy alcohol use: a prospective study. Alcohol Clin Exp Res. 2010 Jul; 34(7):1257-65. PMID: 20477765; PMCID: PMC2911969.
    76. Williams EC, Peytremann-Bridevaux I, Fan VS, Bryson CL, Blough DK, Kivlahan DR, Bradley KA. The association between alcohol screening scores and health status in male veterans. J Addict Med. 2010 Mar; 4(1):27-37. PMID: 21769021.
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    77. Hawkins EJ, Lapham GT, Kivlahan DR, Bradley KA. Recognition and management of alcohol misuse in OEF/OIF and other veterans in the VA: a cross-sectional study. Drug Alcohol Depend. 2010 Jun 01; 109(1-3):147-53. PMID: 20167440.
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    78. Williams EC, Lapham G, Achtmeyer CE, Volpp B, Kivlahan DR, Bradley KA. Use of an electronic clinical reminder for brief alcohol counseling is associated with resolution of unhealthy alcohol use at follow-up screening. J Gen Intern Med. 2010 Jan; 25 Suppl 1:11-7. PMID: 20077146; PMCID: PMC2806961.
    79. Rubinsky AD, Kivlahan DR, Volk RJ, Maynard C, Bradley KA. Estimating risk of alcohol dependence using alcohol screening scores. Drug Alcohol Depend. 2010 Apr 01; 108(1-2):29-36. PMID: 20042299; PMCID: PMC2835806.
    80. Bradley KA, Kivlahan DR, Williams EC. Brief approaches to alcohol screening: practical alternatives for primary care. J Gen Intern Med. 2009 Jul; 24(7):881-3. PMID: 19495888; PMCID: PMC2695519.
    81. Takahashi TA, Maciejewski ML, Bradley K. US hospitalizations and costs for illicit drug users with soft tissue infections. J Behav Health Serv Res. 2010 Oct; 37(4):508-18. PMID: 19381818.
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    82. Kinder LS, Bryson CL, Sun H, Williams EC, Bradley KA. Alcohol screening scores and all-cause mortality in male Veterans Affairs patients. J Stud Alcohol Drugs. 2009 Mar; 70(2):253-60. PMID: 19261237.
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    83. Au DH, Bryson CL, Chien JW, Sun H, Udris EM, Evans LE, Bradley KA. The effects of smoking cessation on the risk of chronic obstructive pulmonary disease exacerbations. J Gen Intern Med. 2009 Apr; 24(4):457-63. PMID: 19194768; PMCID: PMC2659150.
    84. Harris AH, Bryson CL, Sun H, Blough D, Bradley KA. Alcohol screening scores predict risk of subsequent fractures. Subst Use Misuse. 2009; 44(8):1055-69. PMID: 19544147.
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    85. Bryson CL, Au DH, Sun H, Williams EC, Kivlahan DR, Bradley KA. Alcohol screening scores and medication nonadherence. Ann Intern Med. 2008 Dec 02; 149(11):795-804. PMID: 19047026.
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    86. Binswanger IA, Takahashi TA, Bradley K, Dellit TH, Benton KL, Merrill JO. Drug users seeking emergency care for soft tissue infection at high risk for subsequent hospitalization and death. J Stud Alcohol Drugs. 2008 Nov; 69(6):924-32. PMID: 18925351; PMCID: PMC2583377.
    87. Greene CC, Bradley KA, Bryson CL, Blough DK, Evans LE, Udris EM, Au DH. The association between alcohol consumption and risk of COPD exacerbation in a veteran population. Chest. 2008 Oct; 134(4):761-7. PMID: 18625671.
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    88. Frank D, DeBenedetti AF, Volk RJ, Williams EC, Kivlahan DR, Bradley KA. Effectiveness of the AUDIT-C as a screening test for alcohol misuse in three race/ethnic groups. J Gen Intern Med. 2008 Jun; 23(6):781-7. PMID: 18421511; PMCID: PMC2517893.
    89. Chew LD, Griffin JM, Partin MR, Noorbaloochi S, Grill JP, Snyder A, Bradley KA, Nugent SM, Baines AD, Vanryn M. Validation of screening questions for limited health literacy in a large VA outpatient population. J Gen Intern Med. 2008 May; 23(5):561-6. PMID: 18335281; PMCID: PMC2324160.
    90. Kinder LS, Bradley KA, Katon WJ, Ludman E, McDonell MB, Bryson CL. Depression, posttraumatic stress disorder, and mortality. Psychosom Med. 2008 Jan; 70(1):20-6. PMID: 17991816.
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    91. Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR. AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res. 2007 Jul; 31(7):1208-17. PMID: 17451397.
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    92. Au DH, Kivlahan DR, Bryson CL, Blough D, Bradley KA. Alcohol screening scores and risk of hospitalizations for GI conditions in men. Alcohol Clin Exp Res. 2007 Mar; 31(3):443-51. PMID: 17295729.
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    93. Micek MA, Bradley KA, Braddock CH, Maynard C, McDonell M, Fihn SD. Complementary and alternative medicine use among Veterans Affairs outpatients. J Altern Complement Med. 2007 Mar; 13(2):190-3. PMID: 17388760.
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    94. Takahashi TA, Baernstein A, Binswanger I, Bradley K, Merrill JO. Predictors of hospitalization for injection drug users seeking care for soft tissue infections. J Gen Intern Med. 2007 Mar; 22(3):382-8. PMID: 17356973; PMCID: PMC1824763.
    95. Bradley K. Naltrexone increased abstinence and reduced heavy drinking during treatment. Evid Based Med. 2007 Feb; 12(1):20. PMID: 17264268.
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    96. Hawkins EJ, Kivlahan DR, Williams EC, Wright SM, Craig T, Bradley KA. Examining quality issues in alcohol misuse screening. Subst Abus. 2007; 28(3):53-65. PMID: 18077303.
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    97. Bradley KA, Williams EC, Achtmeyer CE, Hawkins EJ, Harris AH, Frey MS, Craig T, Kivlahan DR. Measuring performance of brief alcohol counseling in medical settings:a review of the options and lessons from the Veterans Affairs (VA) health care system. Subst Abus. 2007; 28(4):133-49. PMID: 18077309.
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    98. Bradley KA, Williams EC, Achtmeyer CE, Volpp B, Collins BJ, Kivlahan DR. Implementation of evidence-based alcohol screening in the Veterans Health Administration. Am J Manag Care. 2006 Oct; 12(10):597-606. PMID: 17026414.
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    99. Chew RB, Chew LD, Bradley K. The association between number of Pap smears performed and self-reported confidence in an internal medicine residency. J Womens Health (Larchmt). 2006 Oct; 15(8):928-33. PMID: 17087616.
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    100. McCormick KA, Cochran NE, Back AL, Merrill JO, Williams EC, Bradley KA. How primary care providers talk to patients about alcohol: a qualitative study. J Gen Intern Med. 2006 Sep; 21(9):966-72. PMID: 16918743; PMCID: PMC1831591.
    101. Williams EC, Kivlahan DR, Saitz R, Merrill JO, Achtmeyer CE, McCormick KA, Bradley KA. Readiness to change in primary care patients who screened positive for alcohol misuse. Ann Fam Med. 2006 May-Jun; 4(3):213-20. PMID: 16735522; PMCID: PMC1479439.
    102. Dobie DJ, Maynard C, Kivlahan DR, Johnson KM, Simpson T, David AC, Bradley K. Posttraumatic stress disorder screening status is associated with increased VA medical and surgical utilization in women. J Gen Intern Med. 2006 Mar; 21 Suppl 3:S58-64. PMID: 16637948; PMCID: PMC1513171.
    103. Johnson KM, Bradley KA, Bush K, Gardella C, Dobie DJ, Laya MB. Frequency of mastalgia among women veterans. Association with psychiatric conditions and unexplained pain syndromes. J Gen Intern Med. 2006 Mar; 21 Suppl 3:S70-5. PMID: 16637950; PMCID: PMC1513174.
    104. Johnson KM, Nelson KM, Bradley KA. Television viewing practices and obesity among women veterans. J Gen Intern Med. 2006 Mar; 21 Suppl 3:S76-81. PMID: 16637951; PMCID: PMC1513172.
    105. Chew LD, Nelson KM, Young BA, Bradley KA. Association between alcohol consumption and diabetes preventive practices. Fam Med. 2005 Sep; 37(8):589-94. PMID: 16145630.
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    106. Takahashi TA, Johnson KM, Bradley KA. A population-based study of HIV testing practices and perceptions in 4 U.S. states. J Gen Intern Med. 2005 Jul; 20(7):618-22. PMID: 16050856; PMCID: PMC1490154.
    107. Gardella C, Johnson KM, Dobie DJ, Bradley KA. Prevalence of hysterectomy and associated factors in women Veterans Affairs patients. J Reprod Med. 2005 Mar; 50(3):166-72. PMID: 15841928.
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    108. Epler AJ, Kivlahan DR, Bush KR, Dobie DJ, Bradley KA. A brief readiness to change drinking algorithm: concurrent validity in female VA primary care patients. Addict Behav. 2005 Feb; 30(2):389-95. PMID: 15621412.
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    109. Bridevaux IP, Bradley KA, Bryson CL, McDonell MB, Fihn SD. Alcohol screening results in elderly male veterans: association with health status and mortality. J Am Geriatr Soc. 2004 Sep; 52(9):1510-7. PMID: 15341553.
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    110. Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Fam Med. 2004 Sep; 36(8):588-94. PMID: 15343421.
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    111. Chew LD, Bradley KA, Flum DR, Cornia PB, Koepsell TD. The impact of low health literacy on surgical practice. Am J Surg. 2004 Sep; 188(3):250-3. PMID: 15450829.
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    112. Burman ML, Kivlahan D, Buchbinder M, Broglio K, Zhou XH, Merrill JO, McDonell MB, Fihn SD, Bradley KA. Alcohol-related advice for Veterans Affairs primary care patients: Who gets it? Who gives it? J Stud Alcohol. 2004 Sep; 65(5):621-30. PMID: 15536772.
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    113. Bradley KA, Kivlahan DR, Zhou XH, Sporleder JL, Epler AJ, McCormick KA, Merrill JO, McDonell MB, Fihn SD. Using alcohol screening results and treatment history to assess the severity of at-risk drinking in Veterans Affairs primary care patients. Alcohol Clin Exp Res. 2004 Mar; 28(3):448-55. PMID: 15084903.
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    114. Dobie DJ, Kivlahan DR, Maynard C, Bush KR, Davis TM, Bradley KA. Posttraumatic stress disorder in female veterans: association with self-reported health problems and functional impairment. Arch Intern Med. 2004 Feb 23; 164(4):394-400. PMID: 14980990.
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    115. Fihn SD, McDonell MB, Diehr P, Anderson SM, Bradley KA, Au DH, Spertus JA, Burman M, Reiber GE, Kiefe CI, Cody M, Sanders KM, Whooley MA, Rosenfeld K, Baczek LA, Sauvigne A. Effects of sustained audit/feedback on self-reported health status of primary care patients. Am J Med. 2004 Feb 15; 116(4):241-8. PMID: 14969652.
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    116. Bush KR, Kivlahan DR, Davis TM, Dobie DJ, Sporleder JL, Epler AJ, Bradley KA. The TWEAK is weak for alcohol screening among female Veterans Affairs outpatients. Alcohol Clin Exp Res. 2003 Dec; 27(12):1971-8. PMID: 14691385.
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    117. Bradley KA, Bush KR, Epler AJ, Dobie DJ, Davis TM, Sporleder JL, Maynard C, Burman ML, Kivlahan DR. Two brief alcohol-screening tests From the Alcohol Use Disorders Identification Test (AUDIT): validation in a female Veterans Affairs patient population. Arch Intern Med. 2003 Apr 14; 163(7):821-9. PMID: 12695273.
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    118. Takahashi TA, Merrill JO, Boyko EJ, Bradley KA. Type and location of injection drug use-related soft tissue infections predict hospitalization. J Urban Health. 2003 Mar; 80(1):127-36. PMID: 12612102; PMCID: PMC3456115.
    119. Davis TM, Bush KR, Kivlahan DR, Dobie DJ, Bradley KA. Screening for substance abuse and psychiatric disorders among women patients in a VA Health Care System. Psychiatr Serv. 2003 Feb; 54(2):214-8. PMID: 12556603.
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    120. Dobie DJ, Kivlahan DR, Maynard C, Bush KR, McFall M, Epler AJ, Bradley KA. Screening for post-traumatic stress disorder in female Veteran's Affairs patients: validation of the PTSD checklist. Gen Hosp Psychiatry. 2002 Nov-Dec; 24(6):367-74. PMID: 12490337.
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    121. Bradley KA, Epler AJ, Bush KR, Sporleder JL, Dunn CW, Cochran NE, Braddock CH, McDonell MB, Fihn SD. Alcohol-related discussions during general medicine appointments of male VA patients who screen positive for at-risk drinking. J Gen Intern Med. 2002 May; 17(5):315-26. PMID: 12047727; PMCID: PMC1495044.
    122. Merrill JO, Rhodes LA, Deyo RA, Marlatt GA, Bradley KA. Mutual mistrust in the medical care of drug users: the keys to the "narc" cabinet. J Gen Intern Med. 2002 May; 17(5):327-33. PMID: 12047728; PMCID: PMC1495051.
    123. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002 Mar 05; 136(5):358-67. PMID: 11874308.
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    124. Bradley KA, Bush KR, Davis TM, Dobie DJ, Burman ML, Rutter CM, Kivlahan DR. Binge drinking among female Veterans Affairs patients: prevalence and associated risks. Psychol Addict Behav. 2001 Dec; 15(4):297-305. PMID: 11767260.
      View in: PubMed
    125. Bradley KA, Maynard C, Kivlahan DR, McDonell MB, Fihn SD. The relationship between alcohol screening questionnaires and mortality among male veteran outpatients. J Stud Alcohol. 2001 Nov; 62(6):826-33. PMID: 11838920.
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    126. Bradley KA, Kivlahan DR, Bush KR, McDonell And MB, Fihn SD. Variations on the CAGE alcohol screening questionnaire: strengths and limitations in VA general medical patients. Alcohol Clin Exp Res. 2001 Oct; 25(10):1472-8. PMID: 11696667.
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    127. Chew LD, O'Young TS, Hazlet TK, Bradley KA, Maynard C, Lessler DS. A physician survey of the effect of drug sample availability on physicians' behavior. J Gen Intern Med. 2000 Jul; 15(7):478-83. PMID: 10940134; PMCID: PMC1495488.
    128. Bradley KA, Merrill JO. "Doctor, is wine good for my heart?". Lancet. 1999 May 29; 353(9167):1815-6. PMID: 10359402.
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    129. Bradley KA, McDonell MB, Bush K, Kivlahan DR, Diehr P, Fihn SD. The AUDIT alcohol consumption questions: reliability, validity, and responsiveness to change in older male primary care patients. Alcohol Clin Exp Res. 1998 Nov; 22(8):1842-9. PMID: 9835306.
      View in: PubMed
    130. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998 Sep 14; 158(16):1789-95. PMID: 9738608.
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    131. Bradley KA, Badrinath S, Bush K, Boyd-Wickizer J, Anawalt B. Medical risks for women who drink alcohol. J Gen Intern Med. 1998 Sep; 13(9):627-39. PMID: 9754520; PMCID: PMC1497016.
    132. Bradley KA, Boyd-Wickizer J, Powell SH, Burman ML. Alcohol screening questionnaires in women: a critical review. JAMA. 1998 Jul 08; 280(2):166-71. PMID: 9669791.
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    133. Bradley KA, Bush KR, McDonell MB, Malone T, Fihn SD. Screening for problem drinking: comparison of CAGE and AUDIT. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. J Gen Intern Med. 1998 Jun; 13(6):379-88. PMID: 9669567; PMCID: PMC1496970.
    134. Bradley KA, Bush KR, McDonell MB, Malone T, Fihn SD. Screening for problem drinking : Comparison of CAGE and AUDIT. J Gen Intern Med. 1998 Jun; 13(6):379-88. PMID: 17551799.
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    135. Bradley KA. Brief physician advice for problem drinkers. JAMA. 1997 Oct 01; 278(13):1059; author reply 1060. PMID: 9315754.
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    136. Bradley KA, Curry SJ, Koepsell TD, Larson EB. Primary and secondary prevention of alcohol problems: U.S. internist attitudes and practices. J Gen Intern Med. 1995 Feb; 10(2):67-72. PMID: 7730941.
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    137. Bradley KA, Larson EB. Training physicians to help patients who drink too much. J Gen Intern Med. 1994 May; 9(5):296-8. PMID: 8046535.
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    138. Bradley KA. Management of alcoholism in the primary care setting. West J Med. 1992 Mar; 156(3):273-7. PMID: 1595243; PMCID: PMC1003233.
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