Krista R Schaefer1, Carolyn Noonan2, Michael Mosley3, Julia Smith3, Donna Galbreath4, David Fenn5, Renee F Robinson6, Spero M Manson7. 1. Research Department, Southcentral Foundation, Anchorage, AK, USA. Electronic address: kschaefer@southcentralfoundation.com. 2. Institute for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA. 3. Data Service Department, Southcentral Foundation, Anchorage, AK, USA. 4. Medical Service Administration, Southcentral Foundation, Anchorage, AK, USA. 5. Organizational Development and Innovation, Southcentral Foundation, Anchorage, AK, USA. 6. College of Pharmacy, Idaho State University, Anchorage, AK, USA. 7. Colorado School of Public Health, University of Colorado, Aurora, CO, USA.
Abstract
INTRODUCTION: The prevalence, mortality, and healthcare impact of Alaska Native and American Indian (ANAI) people with Alzheimer's disease and related dementias (ADRD) are unknown. METHODS: We conducted a cohort study of electronic health record data that compared healthcare service utilization in patients with and without an ADRD diagnosis. Zero-inflated negative binomial regression with robust standard errors was used to estimate utilization rates. RESULTS: Compared with patients without ADRD, utilization rates were similar before but higher after ADRD diagnosis. For those with diagnosed ADRD, utilization increased gradually over time with sharp upward change during the year of diagnosis. DISCUSSION: This is the only study quantifying changes in healthcare service utilization before and after ADRD diagnosis among ANAI people, which is crucial for tailoring geriatric care for ANAI populations.
INTRODUCTION: The prevalence, mortality, and healthcare impact of Alaska Native and American Indian (ANAI) people with Alzheimer's disease and related dementias (ADRD) are unknown. METHODS: We conducted a cohort study of electronic health record data that compared healthcare service utilization in patients with and without an ADRD diagnosis. Zero-inflated negative binomial regression with robust standard errors was used to estimate utilization rates. RESULTS: Compared with patients without ADRD, utilization rates were similar before but higher after ADRD diagnosis. For those with diagnosed ADRD, utilization increased gradually over time with sharp upward change during the year of diagnosis. DISCUSSION: This is the only study quantifying changes in healthcare service utilization before and after ADRD diagnosis among ANAI people, which is crucial for tailoring geriatric care for ANAI populations.
Authors: R N Rosenberg; R W Richter; R C Risser; K Taubman; I Prado-Farmer; E Ebalo; J Posey; D Kingfisher; D Dean; M F Weiner; D Svetlik; P Adams; L S Honig; C M Cullum; F V Schaefer; G D Schellenberg Journal: Arch Neurol Date: 1996-10
Authors: Elizabeth R Mayeda; M Maria Glymour; Charles P Quesenberry; Julene K Johnson; Eliseo J Pérez-Stable; Rachel A Whitmer Journal: Alzheimers Dement Date: 2017-02-05 Impact factor: 21.566
Authors: Arijita Deb; Usha Sambamoorthi; James Douglas Thornton; Bernard Schreurs; Kim Innes Journal: Aging Ment Health Date: 2017-02-08 Impact factor: 3.658
Authors: Bryan D James; Sue E Leurgans; Liesi E Hebert; Paul A Scherr; Kristine Yaffe; David A Bennett Journal: Neurology Date: 2014-03-05 Impact factor: 9.910
Authors: Christopher M Black; Howard Fillit; Lin Xie; Xiaohan Hu; M Furaha Kariburyo; Baishali M Ambegaonkar; Onur Baser; Huseyin Yuce; Rezaul K Khandker Journal: J Alzheimers Dis Date: 2018 Impact factor: 4.472
Authors: Diana G Redwood; Anne P Lanier; Janet M Johnston; Elvin D Asay; Martha L Slattery Journal: Prev Chronic Dis Date: 2010-06-15 Impact factor: 2.830
Authors: Vanessa Y Hiratsuka; Julie A Beans; Renee F Robinson; Jennifer L Shaw; Ileen Sylvester; Denise A Dillard Journal: Int J Environ Res Public Health Date: 2017-10-31 Impact factor: 3.390
Authors: Jennifer L Shaw; Julie A Beans; Carolyn Noonan; Julia J Smith; Mike Mosley; Kate M Lillie; Jaedon P Avey; Rebecca Ziebell; Gregory Simon Journal: Suicide Life Threat Behav Date: 2022-03-15
Authors: Jaedon P Avey; Krista R Schaefer; Carolyn J Noonan; Clemma J Muller; Michael Mosley; James E Galvin Journal: J Alzheimers Dis Rep Date: 2022-07-11