Evidence map›Paper›PMID 31382958›Full record

ArticleBMC health services research2019

Trends in tobacco use and tobacco cessation counselling codes among Medicare beneficiaries, 2001-2014.

Shawn P E Nishi, Jie Zhou, Young-Fang Kuo, Gulshan Sharma, James Goodwin

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shawn P E NishiDepartment of Internal Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA. spnishi@utmb.edu.ORCID http://orcid.org/0000-0002-7510-2664
Jie ZhouDepartment of Preventive Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Young-Fang KuoDepartment of Preventive Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Gulshan SharmaDepartment of Internal Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
James GoodwinDepartment of Internal Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.

Funding

Cancer Prevention and Research Institute of Texas RP1607674National Cancer Institute K05CA135923
6 · The paper itself

Abstract

backgroundAnalysis of Medicare data is often used to determine epidemiology, healthcare utilization and effectiveness of disease treatments. We were interested in whether Medicare data could be used to estimate prevalence of tobacco use. Currently, data regarding tobacco use is derived from Behavioral Risk Factor Surveillance System (BRFSS) survey data. We compare administrative claims data for tobacco diagnosis among Medicare beneficiaries to survey (BRFSS) estimates of tobacco use from 2001 to 2014.

methodsRetrospective cross-sectional study comparing tobacco diagnoses using International Classification of Disease, Ninth Revision (ICD-9) codes for tobacco use in Medicare data to BRFSS data from 2001 to 2014 in adults age ≥ 65 years. Beneficiary data included age, gender, race, socioeconomic status, and comorbidities. Tobacco cessation counselling was also examined using Healthcare Common Procedure Coding System codes.

resultsThe prevalence of Medicare enrollees aged ≥65 years who had a diagnosis of current tobacco use increased from 2.01% in 2001 to 4.8% in 2014, while the estimates of current tobacco use from BRFSS decreased somewhat (10.03% in 2001 vs. 8.77% in 2014). However, current tobacco use based on Medicare data remained well below the estimates from BRFSS. Use of tobacco cessation counselling increased over the study period with largest increases after 2010.

conclusionsThe use of tobacco-related diagnosis codes increased from 2001 to 2014 in Medicare but still substantially underestimated the prevalence of tobacco use compared to BRFSS data.

Indexed as

AgedAged, 80 and overComorbidityCounselingCross-Sectional StudiesFemaleHumansMaleMedicareMiddle AgedPrevalenceRetrospective StudiesTobacco UseTobacco Use CessationUnited StatesMedicareTobacco cessationTobacco counsellingTobacco prevalenceTobacco use

Identifiers

PMID31382958
PMCPMC6683517

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Registered trials

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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.