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Anne C Looker, Mark S Eberhardt, Sharon H Saydah
OBJECTIVE: We examined the diabetes-fracture relationship by race/ethnicity, including the link between pre-diabetes and fracture. RESEARCH DESIGN AND METHODS: We used Medicare- and mortality-linked data for respondents aged 65years and older from the third National Health and Nutrition Examination Survey (NHANES III) and NHANES 1999-2004 for three race/ethnic groups: non-Hispanic whites (NHW), non-Hispanic blacks (NHB), and Mexican Americans (MA). Diabetes was defined as diagnosed diabetes (self-reported) and diabetes status: diagnosed and undiagnosed diabetes (positive diagnosis or hemoglobin A1c (A1C)≥6...
January 2016: Bone
Yelena Gorina, Susan Schappert, Anita Bercovitz, Nazik Elgaddal, Ellen Kramarow
Objective - This report presents national estimates of incontinence prevalence in the United States using data source-specific definitions of incontinence among persons aged 65 and over by sociodemographic characteristics during 2007-2010. Methods - Data are from the 2007-2010 National Health and Nutrition Examination Survey (NHANES), the 2010 National Survey of Residential Care Facilities (NSRCF), the 2007 National Home and Hospice Care Survey (NHHCS), and the 2009 Long Term Care Minimum Data Set (MDS). Findings are based on in-home interviews with 2,625 noninstitutionalized respondents (NHANES) and reports provided by designated facility or agency staff members for 6,856 residential care facility (RCF) residents (NSRCF), 3,226 current home health care patients (NHHCS), 3,918 hospice discharges (NHHCS), and 2,416,705 nursing home residents (MDS)...
June 2014: Vital & Health Statistics. Series 3, Analytical and Epidemiological Studies
A C Looker
SUMMARY: The relationship between hemoglobin and hip fracture was examined in older non-Hispanic white adults from the third National Health and Nutrition Examination Survey (NHANES III). Both low and high hemoglobin values were associated with increased hip fracture risk before and after adjusting for selected risk factors. INTRODUCTION: The few studies to date that have examined the relationship between hemoglobin and fracture risk have focused on low hemoglobin values...
October 2014: Osteoporosis International
Abimereki D Muzaale, Allan B Massie, Mei-Cheng Wang, Robert A Montgomery, Maureen A McBride, Jennifer L Wainright, Dorry L Segev
IMPORTANCE: Risk of end-stage renal disease (ESRD) in kidney donors has been compared with risk faced by the general population, but the general population represents an unscreened, high-risk comparator. A comparison to similarly screened healthy nondonors would more properly estimate the sequelae of kidney donation. OBJECTIVES: To compare the risk of ESRD in kidney donors with that of a healthy cohort of nondonors who are at equally low risk of renal disease and free of contraindications to live donation and to stratify these comparisons by patient demographics...
February 12, 2014: JAMA: the Journal of the American Medical Association
Lisa B Mirel, Alan E Simon, Cordell Golden, Catherine R Duran, Kenneth C Schoendorf
The National Health and Nutrition Examination Survey (NHANES) and the National Health Interview Survey (NHIS) are population-based surveys that have each been linked to administrative data from the Centers for Medicare and Medicaid Services (CMS): the Medicaid Analytic eXtract (MAX) files. These linked data were used to examine, among children under age 18 years, respondent-level concordance between Medicaid or the Children's Health Insurance Program (CHIP) enrollment as reported in each survey (NHANES and NHIS) and as indicated by administrative data from the MAX files...
January 6, 2014: National Health Statistics Reports
Kathryn Fitch, Bruce S Pyenson, Kosuke Iwasaki
BACKGROUND: Diabetes prevalence is increasing in the United States, yet the control of critical clinical metrics (e.g., hemoglobin A1c [A1c], blood pressure, and lipids) remains suboptimal. Lower A1c levels have been shown to be associated with lower diabetes complication rates, and reduced medical costs have been reported in individuals with diabetes who have improved glycemic control. While many studies have quantified the impact of A1c control on medical claim costs, this article provides new information on the cost and event impact of better control for all 3 metrics for the commercial population and Medicare population separately...
October 2013: Journal of Managed Care Pharmacy: JMCP
Anne C Looker
UNLABELLED: Differences in the relationship between femur neck bone mineral density (FNBMD) and fracture risk were examined by age, sex, and race/ethnicity in the third National Health and Nutrition Examination Survey (NHANES III) cohort. FNBMD had similar, significant predictive utility for fracture in the different subgroups, but it did not completely account for subgroup differences in risk. PURPOSE: Few previous studies of FNBMD and fracture risk examined the relationship by age, sex, and race within the same cohort...
2013: Archives of Osteoporosis
Anne C Looker
Results from previous prospective studies linking serum 25-hydroxyvitamin D (25OHD) with fracture risk have been inconsistent. The present study examined the relationship between serum 25OHD and risk of incident major osteoporotic fracture (hip, spine, radius, and humerus) in older U.S. adults. The study used a pooled cohort of 4749 men and women ages 65 years and older from the third National Health and Nutrition Examination Survey (NHANES III, 1988-1994) and NHANES 2000-2004. Incident fractures were identified using linked mortality and Medicare records that were obtained for participants from both surveys...
May 2013: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
Lisa B Mirel, Gloria Wheatcroft, Jennifer D Parker, Diane M Makuc
BACKGROUND: National Health and Nutrition Examination Survey (NHANES) records have been linked to health care use and expenditure information from Medicare records. Claims data are generally available only for traditional fee-for-service (FFS) enrollees and not for Medicare Advantage enrollees. Differences in health characteristics between Medicare Advantage and traditional FFS enrollees could affect conclusions from analyses of the linked files that are restricted to traditional FFS enrollees...
May 3, 2012: National Health Statistics Reports
Julia A Gaebler, Gerardo Soto-Campos, Peter Alperin, Marc Cohen, Amy Blickensderfer, Matthew Wintle, David Maggs, Byron Hoogwerf, Jenny Han, Richard Pencek, Barbara Peskin
BACKGROUND: Patients with type 2 diabetes (T2DM) are at risk of long-term vascular complications. In trials, exenatide once weekly (ExQW), a GLP-1R agonist, improved glycemia, weight, blood pressure (BP), and lipids in patients with T2DM. We simulated potential effects of ExQW on vascular complications, survival, and medical costs over 20 years versus standard therapies. PATIENTS AND METHODS: The Archimedes model was used to assess outcomes for ~25,000 virtual patients with T2DM (NHANES 1999-2006 [metformin ± sulfonylureas, age 57 years, body mass index 33 kg/m(2), weight 94 kg, duration T2DM 9 years, hemoglobin A1c [A1C] 8...
2012: Vascular Health and Risk Management
Eric Chak, Andrew H Talal, Kenneth E Sherman, Eugene R Schiff, Sammy Saab
The recent National Health and Nutrition Examination Survey (NHANES) sampled only the civilian, non-institutionalized population of USA and may have underestimated the prevalence of hepatitis C virus (HCV) in this country. We searched the database MEDLINE, the Bureau of Justice Statistics, Center for Medicare and Medicaid and individual states Department of Corrections for all epidemiological studies regarding the prevalence of HCV in populations not sampled by the NHANES survey namely the incarcerated, homeless, nursing home residents, hospitalized and those on active military duty...
September 2011: Liver International: Official Journal of the International Association for the Study of the Liver
Yelena Gorina, Ellen A Kramarow
OBJECTIVE: To examine the strengths and limitations of the Center for Medicare and Medicaid Services' Chronic Condition Data Warehouse (CCW) algorithm for identifying chronic conditions in older persons from Medicare beneficiary data. DATA SOURCES: Records from participants of the NHANES I Epidemiologic Follow-up Study (NHEFS 1971-1992) linked to Medicare claims data from 1991 to 2000. STUDY DESIGN: We estimated the percent of preexisting cases of chronic conditions correctly identified by the CCW algorithm during its reference period and the number of years of claims data necessary to find a preexisting condition...
October 2011: Health Services Research
F Javier Nieto, Paul E Peppard, Corinne D Engelman, Jane A McElroy, Loren W Galvao, Elliot M Friedman, Andrew J Bersch, Kristen C Malecki
BACKGROUND: Evidence-based public health requires the existence of reliable information systems for priority setting and evaluation of interventions. Existing data systems in the United States are either too crude (e.g., vital statistics), rely on administrative data (e.g., Medicare) or, because of their national scope (e.g., NHANES), lack the discriminatory power to assess specific needs and to evaluate community health activities at the state and local level. This manuscript describes the rationale and methods of the Survey of the Health of Wisconsin (SHOW), a novel infrastructure for population health research...
2010: BMC Public Health
A C Looker, B Dawson-Hughes, A N A Tosteson, H Johansson, J A Kanis, L J Melton
UNLABELLED: This analysis of National Health and Nutrition Examination Survey III data found a significant risk of incident hip fracture in adults aged 65 years and older who are candidates for treatment to lower fracture risk, according to the new National Osteoporosis Foundation Clinician's Guide. INTRODUCTION: The relationship between treatment eligibility by the new National Osteoporosis Foundation (NOF) Guide to the Prevention and Treatment of Osteoporosis and the risk of subsequent hip fracture is unknown...
February 2011: Osteoporosis International
Lesley A Stevens, Suying Li, Changchun Wang, Cindy Huang, Bryan N Becker, Andrew S Bomback, Wendy Weinstock Brown, Nilka Ríos Burrows, Claudine T Jurkovitz, Samy I McFarlane, Keith C Norris, Michael Shlipak, Adam T Whaley-Connell, Shu-Cheng Chen, George L Bakris, Peter A McCullough
BACKGROUND: Elderly individuals with chronic kidney disease (CKD) have high rates of comorbid conditions, including cardiovascular disease and its risk factors, and CKD-related complications. In individuals aged > or = 65 years, we sought to describe the prevalence of CKD determined from laboratory test results in the Kidney Early Evaluation Program (KEEP; n = 27,017) and National Health and Nutrition Examination Survey (NHANES) 1999-2006 (n = 5,538) and the prevalence of diagnosed CKD determined from billing codes in the Medicare 5% sample (n = 1,236,946)...
March 2010: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Lenny Lopez, E Francis Cook, Mark S Horng, LeRoi S Hicks
BACKGROUND: Lifestyle modification is recommended for all patients with the diagnosis of hypertension. METHODS: We examined 3,497 adult hypertensive participants (representing 42 million Americans), from the National Health and Nutrition Examination Survey (NHANES) 1999-2004. We analyzed the rate, demographic, and clinical factors of participants who reported receiving lifestyle counseling and their adherence. RESULTS: Of the 3,497 participants with hypertension, 84% reported receiving lifestyle modification counseling...
March 2009: American Journal of Hypertension
Brian K Irons, Brandi Flemming, Charles F Seifert, Donald E Wesson
BACKGROUND: This study assessed diabetes out-patient care at a single institution in Medicare patients with significant health care expenditures and correlated the control of these patients with hospital admission rates and charges. METHODS: A retrospective review was performed at a university health sciences center's clinics and affiliated hospital. Medicare patients with Type 2 diabetes, >65 years, and hospitalized >1 in the past year with annual incurred Medicare charges of >$6,000 were included in the study...
June 2008: American Journal of the Medical Sciences
Anne C Looker, Michael E Mussolino
UNLABELLED: We used serum 25(OH)D data from NHANES III and incident hip fracture cases identified using linked mortality and Medicare records, and found that serum 25(OH)D was significantly related to reduced hip fracture risk in non-Hispanic white adults >or=65 yr of age. INTRODUCTION: The role of vitamin D status in reducing fracture risk is unclear. We examined the relationship between serum 25 hydroxyvitamin D [25(OH)D] and incident hip fracture risk in older non-Hispanic white adults...
January 2008: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
O Kenrik Duru, Roberto B Vargas, Dulcie Kermah, Deyu Pan, Keith C Norris
BACKGROUND: In this study, we examined whether insurance status (private, Medicare, Medicaid, no insurance) was associated with the odds of blood pressure (BP) monitoring and control. METHODS: We used data from the National Health and Nutrition Examination Surveys (NHANES) conducted in 1999 through 2002, defining hypertension as either self-report of elevated BP or an elevated BP value on examination. We conducted multivariate analyses adjusting for age, income, race/ethnicity, body mass index, and medical comorbidities...
April 2007: American Journal of Hypertension
Jonathan Skinner, Weiping Zhou, James Weinstein
BACKGROUND: The associations among income, total knee arthroplasty, and underlying rates of knee osteoarthritis are not well understood. We studied whether high-income Medicare recipients are more likely to have a knee arthroplasty and less likely to suffer from knee osteoarthritis. METHODS: Two data sources were used: (1) the 2000 United States Medicare claims data measuring the incidence of total knee arthroplasty by race, ethnicity, zip (postal) code income, and region (n = 27...
October 2006: Journal of Bone and Joint Surgery. American Volume
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