ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2021
Changes in Health Care Use by Mexican American Medicare Beneficiaries Before and After a Diagnosis of Dementia.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 35 citations in OpenAlex.
- The Effects of Pomegranate Seed Oil on Mild Cognitive Impairment.Journal of Alzheimer's disease : JAD · 2024Trial
- Annual Wellness Visits and Early Dementia Diagnosis Among Medicare Beneficiaries.JAMA network open · 2024Article
- Population-level trends in self-reported healthcare utilization among older adults in Mexico with and without cognitive impairment.BMC geriatrics · 2024Article
- Care sequences leading to the diagnosis of Alzheimer's disease and related dementias: An analysis of electronic health records.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Which factors preceding dementia identification impact future healthcare use trajectories: multilevel analyses in administrative data.BMC geriatrics · 2024Observational
- Utilization of Health Services Before and After Diagnosis in a Specialist Rural and Remote Memory Clinic.Canadian geriatrics journal : CGJ · 2023Article
- Hospitalizations and Emergency Room Admissions by Mexican American Older Adults with and without Dementia and Caregiver Mental Health.Journal of Alzheimer's disease : JAD · 2023Article
- Effects of Medicare comprehensive medication review on racial/ethnic disparities in nonadherence to statin medications among patients with Alzheimer's Disease: an observational analysis.BMC health services research · 2022Observational
- "What Matters" to Community-Dwelling Older Adults With Dementia and Their Family Caregivers: A Qualitative Pilot Study.Sage open agingArticle
- Caregivers' Perspectives on Preventive Services for Medicare Beneficiaries with Cognitive Impairment: A Secondary Analysis of Qualitative Data.Nursing economic$Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundEvidence from predominantly non-Hispanic White cohorts indicates health care utilization increases before Alzheimer's disease and related dementias (ADRD) is diagnosed. We investigated trends in health care utilization by Mexican American Medicare beneficiaries before and after an incident diagnosis of ADRD.
methodsData came from the Hispanic Established Populations for the Epidemiological Study of the Elderly that has been linked with Medicare claims files from 1999 to 2016 (n = 558 matched cases and controls). Piecewise regression and generalized linear mixed models were used to compare the quarterly trends in any (ie, one or more) hospitalizations, emergency room (ER) admissions, and physician visits for 1 year before and 1 year after ADRD diagnosis.
resultsThe piecewise regression models showed that the per-quarter odds for any hospitalizations (odds ratio [OR] = 1.62, 95% CI = 1.43-1.84) and any ER admissions (OR = 1.40, 95% CI = 1.27-1.54) increased before ADRD was diagnosed. Compared to participants without ADRD, the percentage of participants with ADRD who experienced any hospitalizations (27.2% vs 14.0%) and any ER admissions (19.0% vs 11.7%) was significantly higher at 1 quarter and 3 quarters before ADRD diagnosis, respectively. The per-quarter odds for any hospitalizations (OR = 0.88, 95% CI = 0.80-0.97) and any ER admissions (OR = 0.89, 95% CI = 0.82-0.97) decreased after ADRD was diagnosed. Trends for any physician visits before or after ADRD diagnosis were not statistically significant.
conclusionsOlder Mexican Americans show an increase in hospitalizations and ER admissions before ADRD is diagnosed, which is followed by a decrease after ADRD diagnosis. These findings support the importance of a timely diagnosis of ADRD for older Mexican Americans.
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