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- W2085773977 abstract "To evaluate the economic burden and health care utilization of general cardiovascular disease (CVD) patients in the U.S. Medicare population. A retrospective database analysis was conducted using Medicare data (2008-2010). General CVD patients were identified using myocardial infarction (International Classification of Disease, 9th Revision, Clinical Modification [ICD-9-CM] codes 410.xx, 412.xx), unstable angina (411.1x, 411.81, 411.89), ischemic stroke (434.xx, 436.xx, 437.0x, 437.1x, 438.xx, 997.02), transient ischemic attack (435.xx), heart failure (428.xx) and percutaneous coronary intervention (ICD-9 procedure codes 00.66, 36.09). The first diagnosis date was designated as the index date. One-year continuous enrollment pre- and post-index date was required. Charlson Comorbidity Index (CCI) score and comorbid conditions were examined for the baseline period. Prescribed medications were evaluated within 60 days post-diagnosis. Health care utilization and costs were measured for the follow-up period. A total of 203,865 patients were identified for study (mean age 78.9 years). CVD patients were more often female (60.7%), Caucasian (86.0%) and resided in the Southern U.S. region. (39.5%). The baseline CCI score was 1.86, and the most frequently diagnosed comorbid conditions were diabetes (32.8%), tumor (31.0%) and chronic obstructive pulmonary disease (25.6%). Furosemide (13.6%) was most often prescribed within 60 days after diagnosis, followed by simvastatin (11.4%) and lisinopril (10.6%). Health care utilization including Medicare carrier (98.3%), Durable Medical Equipment (DME, 43.9%), Home Health Agency (HHA, 25.6%), outpatient visits (80.5%) and inpatient hospital (52.8%), Skilled Nursing Facility (SNF, 17.7%) and hospice admissions (8.4%) and prescription claims (54.4%) were observed for the follow-up period. CVD patients incurred higher Medicare carrier ($5,679), DME ($534), HHA ($1,506), outpatient ($16,455), inpatient ($12,230), SNF ($3,489), hospice ($822), pharmacy ($1,818) and total costs ($42,533). General CVD Medicare patients utilized a high percentage of Medicare carrier, outpatient and inpatient utilizations, and incurred high health care expenses." @default.
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- W2085773977 date "2014-05-01" @default.
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- W2085773977 title "Evaluation Of The Burden Of General Cardiovascular Disease Among United States Medicare Patients" @default.
- W2085773977 doi "https://doi.org/10.1016/j.jval.2014.03.648" @default.
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