|Title||Analysis of dementia in the US population using Medicare claims: Insights from linked survey and administrative claims data.|
|Publication Type||Journal Article|
|Year of Publication||2019|
|Authors||Chen, Y, Tysinger, B, Crimmins, EM, Zissimopoulos, JM|
|Journal||Alzheimers Dement (N Y)|
|Keywords||Cognitive Ability, Dementia, Education, Medicare claims, Medicare linkage, Racial/ethnic differences|
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.
|User Guide Notes|
|Alternate Journal||Alzheimers Dement (N Y)|
|PubMed Central ID||PMC6556828|
|Grant List||P30 AG024968 / AG / NIA NIH HHS / United States |
P30 AG043073 / AG / NIA NIH HHS / United States
R01 AG055401 / AG / NIA NIH HHS / United States