Work

Analysis of dementia in the US population using Medicare claims: Insights from linked survey and administrative claims data

Year: 2019

Type: article

Abstract: INTRODUCTION: Medicare claims data may be a rich data source for tracking population dementia rates. Insufficient understanding of completeness of diagnosis, and for whom, limits their use. METHODS: We analyzed agreement in prevalent and incident dementia based on cognitive assessment from the Health and Retirement Study for persons with linked Medicare claims from 2000 to 2008 (N = 10,450 persons). Multinomial logistic regression identified sociodemographic factors associated with disagreement. RESULTS: Survey-based cognitive tests and claims-based dementia diagnosis yielded equal prevalence estimates, yet only half were identified by both measures. Race and education were associated with disagreement. Eighty-five percent of respondents with incident dementia measured by cognitive decline received a diagnosis or died within the study period, with lower odds among blacks and Hispanics than among whites. DISCUSSIONS: Claims data are valuable for tracking dementia in the US population and improve over time. Delayed diagnosis may underestimate rates within black and Hispanic populations.

Source: Alzheimer s & Dementia Translational Research & Clinical Interventions

DOI: 10.1016/j.trci.2019.04.003

Authors: Yi Chen, Bryan Tysinger, Eileen Crimmins, Julie M. Zissimopoulos

Institution: University of Southern California

Language: English

Topic: Dementia and Cognitive Impairment Research

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: gold

Estimated APC paid: $2,000