ArticleMedical care2014
First in line: prioritizing receipt of Social Security disability benefits based on likelihood of death during adjudication.
Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Disability Rating and 1-Year Mortality Among Veterans With Service-Connected Health Conditions.Public health reports (Washington, D.C. : 1974) · 2018Article
- Asymptotic convergence in distribution of the area bounded by prevalence-weighted Kaplan-Meier curves using empirical process modelling.Royal Society open science · 2018Article
- Automatic health record review to help prioritize gravely ill Social Security disability applicants.Journal of the American Medical Informatics Association : JAMIA · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundGiven the complexity of the adjudication process and volume of applications to Social Security Administration's (SSA) disability programs, many individuals with serious medical conditions die while awaiting an application decision. Limitations of traditional survival methods called for a new empirical approach to identify conditions resulting in rapid mortality.
objectiveTo identify health conditions associated with significantly higher mortality than a key reference group among applicants for SSA disability programs. RESEARCH
designWe identified mortality patterns and generated a survival surface for a reference group using conditions already designated for expedited processing. We identified conditions associated with significantly higher mortality than the reference group and prioritized them by the expected likelihood of death during the adjudication process. SUBJECTS: Administrative records of 29 million Social Security disability applicants, who applied for benefits from 1996 to 2007, were analyzed. MEASURES: We computed survival spells from time of onset of disability to death, and from date of application to death. Survival data were organized by entry cohort.
resultsIn our sample, we observed that approximately 42,000 applicants died before a decision was made on their disability claims. We identified 24 conditions with survival profiles comparable with the reference group. Applicants with these conditions were not likely to survive adjudication.
conclusionsOur approach facilitates ongoing revision of the conditions SSA designates for expedited awards and has applicability to other programs where survival profiles are a consideration.
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Registered trials
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