ArticleMedical care2008
Ability of Medicare claims data to identify nursing home patients: a validation study.
Article in Medical care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 37 citations in OpenAlex.
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- Inconsistent Medicaid Coverage is Associated with Negative Health Events for People with Epilepsy.Journal of health care for the poor and underserved · 2022Article
- Claims-Based Frailty and Outcomes: Applying an Aging Measure to Older Adults with Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2021Observational
- Observational
- Use of Post-Acute Care Services and Readmissions After Acute Myocardial Infarction Complicated by Cardiac Arrest and Cardiogenic Shock.Mayo Clinic proceedings. Innovations, quality & outcomes · 2021Article
- Annual Prevalence of Use of Potentially Inappropriate Medications for Treatment of Affective Disorders in Parkinson's Disease.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- Thirty-day readmission and mortality among Medicare beneficiaries discharged to skilled nursing facilities after vascular surgery.The Journal of surgical research · 2018Article
- Exploring the concurrent validity of the nationwide assessment of permanent nursing home residence in Denmark - A cross-sectional data analysis using two administrative registries.BMC health services research · 2017Article
- Comparison of methods to identify long term care nursing home residence with administrative data.BMC health services research · 2017Article
- Use of Post-acute Care Services and Readmissions After Left Ventricular Assist Device Implantation in Privately Insured Patients.Journal of cardiac failure · 2015Observational
- Nursing home and end-of-life care in Parkinson disease.Neurology · 2015Article
- Lasting Effects of the Breast and Cervical Cancer Early Detection Program on Breast Cancer Detection and Outcomes, Ohio, 2000-2009.Preventing chronic disease · 2015Article
- Underreporting of nursing home utilization on the CMS-2728 in older incident dialysis patients and implications for assessing mortality risk.BMC nephrology · 2015Article
- Characteristics of primary care providers who adopted the hospitalist model from 2001 to 2009.Journal of hospital medicine · 2015Article
- Receipt of chemotherapy among medicare patients with cancer by type of supplemental insurance.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015Observational
- Hypoglycemia after antimicrobial drug prescription for older patients using sulfonylureas.JAMA internal medicine · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThere are currently no Medicare claims-based algorithms to identify patients receiving nursing home care (NHC). This constitutes an important limitation in outcome studies using population-based data.
objectivesTo assess the ability of claims data to identify patients receiving NHC, using the nursing home Minimum Data Set (MDS) as the gold standard. We hypothesized that physician claims carrying relevant Evaluation and Management (E&M) procedure codes would be an adequate source to identify nursing home patients. RESEARCH
designCross-sectional study using the Ohio Cancer-Aging Linked Database, developed by linking records from the Ohio Cancer Incidence Surveillance System with multiple sources of data, including Medicare enrollment and claims files, and the MDS. SUBJECTS: Patients 65 years of age or older residing in Ohio, and diagnosed with incident breast, prostate, or colorectal cancer during years 1997-2001. We limited our study cohort to fee-for-service patients receiving NHC during calendar year 2002, with a look-back period in the claims data to November 2001. MEASURES: Sensitivity and positive predictive value (PPV).
resultsSensitivity, or the proportion of patients identified through the MDS file who were also successfully identified through the claims data was 88.1%. PPV, or the proportion of patients with the relevant E&M codes who were also identified in the MDS file was 83.9%.
conclusionsCarrier files may be an acceptable data source to identify nursing home patients, paving the way for future risk adjustment techniques to account for nursing home status.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.