Time trends of incidence of age-associated diseases in the US elderly population: medicare-based analysis.
Objectives: time trends of age-adjusted incidence rates of 19 ageing-related diseases were evaluated for 1992–2005 period with the National Long Term Care Survey and the Surveillance, Epidemiology and End Results Registry data both linked to Medicare data (NLTCS-Medicare and SEER-Medicare, respectiv...
| Publicado en: | Age & Ageing Vol. 42; no. 4; pp. 494 - 501 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2013
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=88268472&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 88268472 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2013 vid: 42 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 88268472 10.1093/ageing/aft032 ppf: 494 ppct: 7 formats: tig: atl: Time trends of incidence of age-associated diseases in the US elderly population: medicare-based analysis. aug: au: Akushevich, Igor Kravchenko, Julia Ukraintseva, Svetlana Arbeev, Konstantin Yashin, Anatoly I. affil: Center for Population Health and Aging , Duke University , Durham, NC 27708 , USA Department of Surgery, Division of Surgical Sciences, Duke University Medical Center, Durham, NC 27705, USA su: United States Age distribution Aging Diseases Medicare Old age Nosology Age factors in disease Longitudinal method Research funding Time Statistical models Descriptive statistics sug: subj: Age distribution Aging Diseases Medicare Old age United States Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Nosology Age factors in disease Longitudinal method Research funding Time Statistical models Descriptive statistics keyword: age-associated disease comorbidity disease onset older people time trends age-associated disease comorbidity disease onset older people time trends ab: Objectives: time trends of age-adjusted incidence rates of 19 ageing-related diseases were evaluated for 1992–2005 period with the National Long Term Care Survey and the Surveillance, Epidemiology and End Results Registry data both linked to Medicare data (NLTCS-Medicare and SEER-Medicare, respectively).Methods: the rates were calculated using individual medical histories (34,077 individuals from NLTCS-Medicare and 199,418 from SEER-Medicare) reconstructed using information on diagnoses coded in Medicare data, dates of medical services/procedures and Medicare enrolment/disenrolment.Results: increases of incidence rates were dramatic for renal disease [the average annual percent change (APC) is 8.56%, 95% CI = 7.62, 9.50%], goiter (APC = 6.67%, 95% CI = 5, 90, 7, 44%), melanoma (APC = 6.15%, 95% CI = 4.31, 8.02%) and Alzheimer's disease (APC = 3.96%, 95% CI = 2.67, 5.26%), and less prominent for diabetes and lung cancer. Decreases of incidence rates were remarkable for angina pectoris (APC = −6.17%, 95% CI = −6.96, −5.38%); chronic obstructive pulmonary disease (APC = −5.14%, 95% CI = −6.78,−3.47%), and ulcer (APC = −5.82%, 95% CI = −6.77,−4.86%) and less dramatic for carcinomas of colon and prostate, stroke, hip fracture and asthma. Incidence rates of female breast carcinoma, myocardial infarction, Parkinson's disease and rheumatoid arthritis were almost stable. For most diseases, an excellent agreement was observed for incidence rates between NLTCS-Medicare and SEER-Medicare. A sensitivity analysis proved the stability of the evaluated time trends.Conclusion: time trends of the incidence of diseases common in the US elderly population were evaluated. The results show dramatic increase in incidence rates of melanoma, goiter, chronic renal and Alzheimer's disease in 1992–2005. Besides specifying widely recognised time trends on age-associated diseases, new information was obtained for trends of asthma, ulcer and goiter among the older adults in the USA. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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