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Measuring Alzheimer's Disease and Other Dementias in Diverse Populations Using Medicare Claims Data.


ABSTRACT: We examined how methods used for identifying dementia in administrative claims affected dementia incidence across racial/ethnic populations using a 100% sample of Medicare beneficiaries (n?=?23,793,452). We found levels differed by method from 3.1% annual incidence to 3.6% in 2014. Dementia incidence declined from 2007 to 2014, but choice of method differentially impacted levels and trends by race/ethnicity. Methods using codes for dementia diagnosis and drugs to treat symptoms identified proportionally more Hispanics and Asians with dementia than other race/ethnicities, while codes for dementia diagnosis, drugs, and symptoms identified proportionally more whites and American Indians/Alaska Natives with dementia than other race/ethnicities.

SUBMITTER: Thunell J 

PROVIDER: S-EPMC6999832 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Measuring Alzheimer's Disease and Other Dementias in Diverse Populations Using Medicare Claims Data.

Thunell Johanna J   Ferido Patricia P   Zissimopoulos Julie J  

Journal of Alzheimer's disease : JAD 20190101 1


We examined how methods used for identifying dementia in administrative claims affected dementia incidence across racial/ethnic populations using a 100% sample of Medicare beneficiaries (n = 23,793,452). We found levels differed by method from 3.1% annual incidence to 3.6% in 2014. Dementia incidence declined from 2007 to 2014, but choice of method differentially impacted levels and trends by race/ethnicity. Methods using codes for dementia diagnosis and drugs to treat symptoms identified propor  ...[more]

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