COIN Investigators & Staff
COIN Investigators
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Laura C. Feemster, MD, MS
- Title: Associate Director (Seattle); Core Investigator
Associate Professor, University of Washington School of Medicine - Contact: Laura.Feemster@va.gov
- Location: Seattle
- University of Washington webpage
- See Dr. Feemster's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials
Dr. Feemster is a Core Investigator and Assistant Professor, Department of Medicine, Division of Pulmonary and Critical Care at the University of Washington. Her research interests include studying the effect of patient health behaviors (e.g. smoking, alcohol use, and obesity) on clinical outcomes among patients with lung disease and improving the quality of care for patients with chronic obstructive pulmonary disease. She is currently funded through a NIH K23 award that seeks to improve quality and delivery of care provided within primary care settings. Dr. Feemster received her MD from the University of Texas, Southwestern Medical School at Dallas. She received an MS from the University of Washington, School of Public Health, Department of Epidemiology.
Recent Publications
2024
McDermott CL, Feemster LC, Engelberg RA, Spece LJ, Donovan LM, Curtis JR. Fall Risk and Medication Use Near End of Life Among Adults With Chronic Obstructive Pulmonary Disease. Chronic Obstr Pulm Dis. 2024 Oct 25. doi: 10.15326/jcopdf.2024.0551. Epub ahead of print.
PMID: 39480990.
Spece LJ, Hee Wai T, Donovan LM, Duan KI, Plumley R, Crothers KA, Thakur N, Baugh A, Hayes S, Picazo F, Feemster LC, Au DH. The Impact of Changing Race-Specific Equations for Lung Function Tests among Veterans with COPD. Ann Am Thorac Soc. 2024 May 31. doi: 10.1513/AnnalsATS.202312-1020OC. Epub ahead of print.
PMID: 38820262.
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Hayes S, Duan KI, Wai TH, Picazo F, Donovan LM, Spece LJ, Plumley R, Slatore CG, Thakur N, Crothers K, Au DH, Feemster LC. Association Between Neighborhood Socioeconomic Disadvantage and Chronic Obstructive Pulmonary Disease Prevalence Among U.S. Veterans. Ann Am Thorac Soc. 2024 Jan 22. doi: 10.1513/AnnalsATS.202308-668RL. Epub ahead of print.
PMID: 38252425.
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2023
Donovan LM, Keller TL, Stewart NH, Wright J, Spece LJ, Duan KI, Leonhard A, Palen BN, Billings ME, Au DH, Feemster LC. Assessment of Obstructive Sleep Apnea Among Patients With Chronic Obstructive Pulmonary Disease in Primary Care. Chronic Obstr Pulm Dis. 2023 Dec 13. doi: 10.15326/jcopdf.2023.0438. Epub ahead of print.
PMID: 38095613.
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Duan KI, Donovan LM, Spece LJ, Wong ES, Feemster LC, Bryant AD, Plumley R, Crothers K, Au DH. Inhaler Formulary Change in COPD and the Association with Exacerbations, Health Care Utilization, and Costs. Chronic Obstr Pulm Dis. 2023 Nov 6. doi: 10.15326/jcopdf.2023.0425. Epub ahead of print.
PMID: 37931593.
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Castaneda JM, Hee Wai T, Spece LJ, Duan KI, Leonhard A, Griffith MF, Plumley R, Palen BN, Feemster LC, Au DH, Donovan LM. Risks of Zolpidem among Patients with Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2023 Nov 2. doi: 10.1513/AnnalsATS.202307-654OC. Epub ahead of print. PMID: 37916873.
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Au DH, Gleason E, Hunter-Merrill R, Barón AE, Collins M, Ronneberg C, Lv N, Rise P, Wai TH, Plumley R, Wisniewski SR, Sciurba F, Kim DY, Simonelli P, Krishnan JA, Wendt CH, Feemster LC, Criner GJ, Maddipati V, Mohan A, Ma J; Pulmonary Trials Cooperative. Lifestyle Intervention and Excess Weight in COPD: INSIGHT COPD Randomized Clinical Trial. Ann Am Thorac Soc. 2023 Sep 28. doi: 10.1513/AnnalsATS.202305-458OC. Epub ahead of print. PMID: 37769182.
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Donovan LM, Wai T, Spece LJ, Duan KI, Griffith MF, Leonhard A, Plumley R, Hayes SA, Picazo F, Crothers K, Kapur VK, Palen BN, Au DH, Feemster LC. Sleep Testing and Mortality in a Propensity-matched Cohort of Patients with Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2023 Aug 14. doi: 10.1513/AnnalsATS.202303-275OC. Epub ahead of print. PMID: 37579136.
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Duan KI, Donovan LM, Spece LJ, Feemster LC, Bryant AD, Plumley R, Collins MP, Au DH. Trends and Rural-Urban Differences in the Initial Prescription of Low-Value Inhaled Corticosteroids among US Veterans with COPD. Ann Am Thorac Soc. 2023 Feb 27. doi: 10.1513/AnnalsATS.202205-458OC. Epub ahead of print. PMID: 36867427.
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2022
Spece LJ, Weppner WG, Weiner BJ, Collins M, Adamson R, Berger DB, Nelson KM, McDowell J, Epler E, Carvalho PG, Woo DM, Donovan LM, Feemster LC, Au DH, Au DH, Sayre G. Primary Care Provider Experience With Proactive E-Consults to Improve COPD Outcomes and Access to Specialty Care. Chronic Obstr Pulm Dis. 2022 Dec 5. doi: 10.15326/jcopdf.2022.0357. Epub ahead of print. PMID: 36472622.
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Fawzy A, Baker JR, Keller TL, Feemster LC, Donnelly LE, Hansel NN. Selected Bibliography of Recent Research in COPD. Am J Respir Crit Care Med. 2022 Sep 30. doi: 10.1164/rccm.202202-0335UP. Epub ahead of print. PMID: 36178396.
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Duan KI, Birger M, Au DH, Spece LJ, Feemster LC, Dieleman JL. U.S. Health Care Spending on Respiratory Diseases, 1996-2016. Am J Respir Crit Care Med. 2022 Aug 23. doi: 10.1164/rccm.202202-0294OC. Epub ahead of print. PMID: 35997678.
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Au DH, Chang JA, Davidson TA, Donovan LM, Goss CH, Feemster LC, Stapleton RD. Translating Individual Mentorship to Generalizable Action: Lessons Learned From J Randall Curtis. J Pain Symptom Manage. 2022 Jun;63(6):e641-e642. doi: 10.1016/j.jpainsymman.2022.03.014. PMID: 35595377.
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Donovan LM, Parsons EC, McCall CA, He K, Sharma R, Gamache J, Pannick AP, McDowell JA, Pai J, Epler E, Duan KI, Spece LJ, Feemster LC, Kapur VK, Au DH, Palen BN. Impact of mail-based continuous positive airway pressure initiation on treatment usage and effectiveness. Sleep Breath. 2022 Mar 26. doi: 10.1007/s11325-022-02608-z. Epub ahead of print. PMID: 35347655.
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2021
Keller TL, Wright J, Donovan LM, Spece LJ, Duan K, Sulayman N, Dominitz A, Curtis JR, Au DH, Feemster LC. Association of Patient and Primary Care Provider Factors with Outpatient COPD Care Quality. Chronic Obstr Pulm Dis. 2021 Dec 16. doi: 10.15326/jcopdf.2021.0232. Epub ahead of print. PMID: 34915603.
Murphy RC, Mak G, Feemster LC, Hallstrand TS. Selecting the Optimal Therapy for Mild Asthma. Ann Am Thorac Soc. 2021 Dec;18(12):1955-1957. doi: 10.1513/AnnalsATS.202106-697ED. PMID: 34851246.
Heffner JL, Coggeshall S, Wheat CL, Krebs P, Feemster LC, Klein DE, Nici L, Johnson H, Zeliadt SB. Receipt of Tobacco Treatment and One-Year Smoking Cessation Rates Following Lung Cancer Screening in the Veterans Health Administration. J Gen Intern Med. 2021 Jul 19. doi: 10.1007/s11606-021-07011-0. Epub ahead of print. PMID: 34282533.
Dixon AE, Blake KV, DiMango EA, Dransfield MT, Feemster LC, Johnson O, Roy G, Hazucha H, Harvey J, McCormack MC, Wise RA, Holbrook JT. The challenge of addressing obesity in people with poorly controlled asthma. Obes Sci Pract. 2021 May 25;7(6):682-689. doi: 10.1002/osp4.533. PMCID: PMC8633940. PMID: 34877007.
LaBedz SL, Krishnan JA, Chung YC, Lindenauer PK, Spece LJ, Feemster LC, Stein EM, Buhr RG, Basu S, Prieto-Centurion V. Chronic Obstructive Pulmonary Disease Outcomes at Veterans Affairs Versus Non-Veterans Affairs Hospitals. Chronic Obstr Pulm Dis. 2021 May 11. doi: 10.15326/jcopdf.2021.0201. Epub ahead of print. PMID: 33975417.
Donovan L, Parsons E, Epler E, McCall C, He K, Sharma R, Duan K, Spece L, Feemster L, Kapur V, Au D, Palen B. 677 Impact of Remote Continuous Positive Airway Pressure Set-up on Treatment Usage and Effectiveness. Sleep. 2021 May 3;44(Suppl2):A264–A265.
doi:10.1093/sleep/zsab072.675.
2020
Donovan LM, Palen BN, Syed A, Blankenhorn R, Blanchard K, Feser WJ, Magid K, Gamache J, Spece LJ, Feemster LC, Fernandes L, Kirsh S, Au DH. Nurse-led triage of new sleep referrals is associated with lower risk of potentially contraindicated sleep testing: a retrospective cohort study. BMJ Qual Saf. 2020 Dec 22:bmjqs-2020-011817. doi: 10.1136/bmjqs-2020-011817. Epub ahead of print. PMID: 33443226.
Duan KI, Spece LJ, Wong ES, Feemster LC, Donovan LM, Griffith MF, Keller TL, Bryant AD, Au DH. Low-value Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease and the Association with Health Care Utilization and Costs. Ann Am Thorac Soc. 2020 Dec 8. doi: 10.1513/AnnalsATS.202009-1128OC. Epub ahead of print. PMID: 33290180.
Spece LJ, Epler EM, Duan K, Donovan LM, Griffith MF, LaBedz S, Thakur N, Wiener RS, Krishnan JA, Au DH, Feemster LC. Reassessment of Home Oxygen Prescription after Hospitalization for COPD: A Potential Target for De-implementation. Ann Am Thorac Soc. 2020 Oct 19. doi: 10.1513/AnnalsATS.202004-364OC. Epub ahead of print. PMID: 33075243.
McDermott CL, Engelberg RA, Khandelwal N, Steiner JM, Feemster LC, Sibley J, Lober WB, Curtis JR. The Association of Advance Care Planning Documentation and End-of-Life Healthcare Use Among Patients With Multimorbidity. Am J Hosp Palliat Care. 2020 Oct 21:1049909120968527. doi: 10.1177/1049909120968527. Epub ahead of print. PMID: 33084357.
Press VG, Myers LC, Feemster LC. Preventing COPD readmissions under the Hospital Readmissions Reduction Program: How far have we come? Chest. 2020 Oct 13:S0012-3692(20)34897-2. doi: 10.1016/j.chest.2020.10.008. Epub ahead of print. PMID: 33065106.
Wenger DS, Triplette M, Shahrir S, Akgun KM, Wongtrakool C, Brown ST, Kim JW, Soo Hoo GW, Rodriguez-Barradas MC, Huang L, Feemster LC, Zifodya J, Crothers K. Associations of marijuana with markers of chronic lung disease in people living with HIV. HIV Med. 2020 Oct 6. doi: 10.1111/hiv.12966. Epub ahead of print. PMID: 33022830.
Parikh TJ, Stryczek KC, Gillespie C, Sayre GG, Feemster L, Udris E, Majerczyk B, Rinne ST, Wiener RS, Au DH, Helfrich CD. Provider anticipation and experience of patient reaction when deprescribing guideline discordant inhaled corticosteroids. PLoS One. 2020 Sep 17;15(9):e0238511. doi: 10.1371/journal.pone.0238511. PMCID: PMC7498097. PMID: 32941462.
Spece LJ, Donovan LM, Griffith MF, Keller T, Feemster LC, Smith NL, Au DH. Initiating Low-Value Inhaled Corticosteroids in an Inception Cohort with Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2020 May;17(5):589-595. doi: 10.1513/AnnalsATS.201911-854OC. PMID: 31899652.
Keller T, Spece LJ, Donovan LM, Udris E, Coggeshall SS, Griffith M, Bryant AD, Casaburi R, Cooper JA Jr, Criner GJ, Diaz PT, Fuhlbrigge AL, Gay SE, Kanner RE, Martinez FJ, Panos RJ, Shade D, Sternberg A, Stibolt T, Stoller JK, Tonascia J, Wise R, Yusen RD, Au DH, Feemster LC. Association of Guideline-Recommended COPD Inhaler Regimens With Mortality, Respiratory Exacerbations, and Quality of Life: A Secondary Analysis of the Long-Term Oxygen Treatment Trial. Chest. 2020 Aug;158(2):529-538. doi: 10.1016/j.chest.2020.02.073. Epub 2020 Apr 9. PMCID: PMC7417382. PMID: 32278779.
Donovan LM, Fernandes LA, Williams KM, Parsons EC, O'Hearn DJ, He K, McCall CA, Johnson KA, Kennedy MW, Syed AS, Thompson WH, Spece LJ, Feemster LC, Kirsh S, Au DH, Palen BN. Agreement of sleep specialists with registered nurses' sleep study orders in supervised clinical practice. J Clin Sleep Med. 2020 Feb 15;16(2):279-283. doi: 10.5664/jcsm.8182. Epub 2020 Jan 13. PMCID: PMC7053017. PMID: 31992435.
2019
Griffith MF, Feemster LC, Zeliadt SB, Donovan LM, Spece LJ, Udris EM, Au DH. Overuse and Misuse of Inhaled Corticosteroids Among Veterans with COPD: a Cross-sectional Study Evaluating Targets for De-implementation. J Gen Intern Med. 2020 Mar;35(3):679-686. doi: 10.1007/s11606-019-05461-1. Epub 2019 Nov 11. PMCID: PMC7080925. PMID: 31713043.
Stryczek K, Lea C, Gillespie C, Sayre G, Wanner S, Rinne ST, Wiener RS, Feemster L, Udris E, Au DH, Helfrich CD. De-implementing Inhaled Corticosteroids to Improve Care and Safety in COPD Treatment: Primary Care Providers' Perspectives. J Gen Intern Med. 2020 Jan;35(1):51-56. doi: 10.1007/s11606-019-05193-2. Epub 2019 Aug 8. PMCID: PMC6957635. PMID: 31396814.
Donovan LM, Coggeshall SS, Spece LJ, Griffith MF, Palen BN, Parsons EC, Todd-Stenberg JA, Glorioso TJ, Carey EP, Feemster LC, Zeliadt SB, Kirsh S, Au DH. Use of In-Laboratory Sleep Studies in the Veterans Health Administration and Community Care. Am J Respir Crit Care Med. 2019 Sep 15;200(6):779-782. doi: 10.1164/rccm.201902-0313LE. PMC7330508 PMID: 31206308.
Donovan LM, Malte CA, Spece LJ, Griffith MF, Feemster LC, Zeliadt SB, Au DH, Hawkins EJ. Center Predictors of Long-Term Benzodiazepine Use in Chronic Obstructive Pulmonary Disease and Post-traumatic Stress Disorder. Ann Am Thorac Soc. 2019 Sep;16(9):1151-1157. doi: 10.1513/AnnalsATS.201901-048OC. PMC6812159 PMID: 31113231.
Griffith MF, Feemster LC, Donovan LM, Spece LJ, Krishnan JA, Lindenauer PK, McBurnie MA, Mularski RA, Au DH. Poor Metered-Dose Inhaler Technique Is Associated with Overuse of Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2019 Jun;16(6):765-768. doi: 10.1513/AnnalsATS.201812-889RL. PMC6543465 PMID: 30763114.
Spece LJ, Feemster LC. Aligning Prescribing Practices with Chronic Obstructive Pulmonary Disease Guidelines: A Sisyphean Struggle?. Ann Am Thorac Soc. 2019 Feb;16(2):187-188. doi: 10.1513/AnnalsATS.201811-797ED. PMID: 30707064.
Press VG, Au DH, Bourbeau J, Dransfield MT, Gershon AS, Krishnan JA, Mularski RA, Sciurba FC, Sullivan J, Feemster LC. Reducing Chronic Obstructive Pulmonary Disease Hospital Readmissions. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc. 2019 Feb;16(2):161-170. doi: 10.1513/AnnalsATS.201811-755WS. PMC6812156 PMID: 30707066.
Donovan LM, Feemster LC, Udris EM, Griffith MF, Spece LJ, Palen BN, He K, Parthasarathy S, Strohl KP, Kapur VK, Au DH. Poor Outcomes Among Patients With Chronic Obstructive Pulmonary Disease With Higher Risk for Undiagnosed Obstructive Sleep Apnea in the LOTT Cohort. J Clin Sleep Med. 2019 Jan 15;15(1):71-77. doi: 10.5664/jcsm.7574. PMC6329538 PMID: 30621828.
Rinne ST, Wiener RS, Chen Y, Rise P, Udris E, Feemster LC, Au DH. Reply to Kardos: Extent of Overuse of Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2019 Jan 15;199(2):249-250. doi: 10.1164/rccm.201809-1732LE. PMID: 30278144.
Donovan LM, Malte CA, Spece LJ, Griffith MF, Feemster LC, Engelberg RA, Au DH, Hawkins EJ. Risks of Benzodiazepines in Chronic Obstructive Pulmonary Disease with Comorbid Posttraumatic Stress Disorder. Ann Am Thorac Soc. 2019 Jan;16(1):82-90. doi: 10.1513/AnnalsATS.201802-145OC. PMC6344455 PMID: 30309243.
Donovan LM, Feemster LC, Billings ME, Spece LJ, Griffith MF, Rise PJ, Parsons EC, Palen BN, O'Hearn DJ, Redline S, Au DH, Kapur VK. Risk of Cardiovascular Disease Related to Smoking Is Greater Among Women With Sleep-Disordered Breathing. J Clin Sleep Med. 2018 Nov 15;14(11):1929-1935. doi: 10.5664/jcsm.7496. PMC6223561 PMID: 30373694.
Rinne ST, Wiener RS, Chen Y, Rise P, Udris E, Feemster LC, Au DH. Impact of Guideline Changes on Indications for Inhaled Corticosteroids among Veterans with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2018 Nov 1;198(9):1226-1228. doi: 10.1164/rccm.201803-0554LE. PMC6221578 PMID: 29969041.
Spece LJ, Donovan LM, Griffith MF, Collins MP, Feemster LC, Au DH. Quality of Care Delivered to Veterans with COPD Exacerbation and the Association with 30-Day Readmission and Death. COPD. 2018 Oct;15(5):489-495. doi: 10.1080/15412555.2018.1543390. PMC6400327 PMID: 30822247.
Grants & Funding
post-REcovery LIbEration From Oxygen in Exacerbated COPD (RELIEF)
NIH website: https://reporter.nih.gov/project-details/10299667
