ArticleDiabetes care2009
Performance of comorbidity, risk adjustment, and functional status measures in expenditure prediction for patients with diabetes.
Article in Diabetes care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- A Multidisciplinary Intervention Utilizing Virtual Communication Tools to Reduce Health Disparities: A Pilot Randomized Controlled Trial.International journal of environmental research and public health · 2015Trial
- PTSD is negatively associated with physical performance and physical function in older overweight military Veterans.Journal of rehabilitation research and development · 2014Trial
- Predictors of enrollment in a virtual diabetes prevention program among women veterans: a retrospective analysis.BMC women's health · 2024Article
- Comparison of diagnosis-based risk adjustment methods for episode-based costs to apply in efficiency measurement.BMC health services research · 2023Article
- Association Between Bariatric Surgery and Long-term Health Care Expenditures Among Veterans With Severe Obesity.JAMA surgery · 2019Article
- Comorbidity Type and Health Care Costs in Type 2 Diabetes: A Retrospective Claims Database Analysis.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018Article
- Linking individual medicare health claims data with work-life claims and other administrative data.BMC public health · 2015Article
- Using "big data" to capture overall health status: properties and predictive value of a claims-based health risk score.PloS one · 2015Article
- The intersection of patient complexity, prescriber continuity and acute care utilization.Journal of general internal medicine · 2014Article
- Potential bias in medication adherence studies of prevalent users.Health services research · 2013Article
- Comparison of outcomes for veterans receiving dialysis care from VA and non-VA providers.BMC health services research · 2013Article
- Does medication adherence following a copayment increase differ by disease burden?Health services research · 2011Article
- Using information on clinical conditions to predict high-cost patients.Health services research · 2010Article
- Non-psychiatric hospitalization length-of-stay for patients with psychotic disorders: A mixed methods study.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the ability of generic comorbidity and risk adjustment measures, a diabetes-specific measure, and a self-reported functional status measure to explain variation in health care expenditures for individuals with diabetes. RESEARCH DESIGN AND
methodsThis study included a retrospective cohort of 3,092 diabetic veterans participating in a multisite trial. Two comorbidity measures, four risk adjusters, a functional status measure, a diabetes complication count, and baseline expenditures were constructed from administrative and survey data. Outpatient, inpatient, and total expenditure models were estimated using ordinary least squares regression. Adjusted R(2) statistics and predictive ratios were compared across measures to assess overall explanatory power and explanatory power of low- and high-cost subgroups.
resultsAdministrative data-based risk adjusters performed better than the comorbidity, functional status, and diabetes-specific measures in all expenditure models. The diagnostic cost groups (DCGs) measure had the greatest predictive power overall and for the low- and high-cost subgroups, while the diabetes-specific measure had the lowest predictive power. A model with DCGs and the diabetes-specific measure modestly improved predictive power.
conclusionsExisting generic measures can be useful for diabetes-specific research and policy applications, but more predictive diabetes-specific measures are needed.
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