Identification of Dementia in Medicare Claims Compared to Rigorous Clinical Assessments in African Americans.

ABSTRACT:

Background

Evidence indicates the health care system disproportionately misses dementia in African American compared to White individuals. In preliminary data, we examined factors related to dementia identification by the health care system among African Americans.

Methods

We leveraged linked Medicare fee-for-service claims and detailed annual cohort evaluations in African Americans from 4 cohorts at Rush Alzheimer's Disease Center.

Results

Among 88 African Americans with cognitive impairment (mean = 10 years follow-up), Medicare claims identified dementia <2 years from cohort diagnosis in 55%; 27% were identified 2-9.9 years after cohort diagnosis, and in 18% there was either no claims diagnosis during the study period, or claims identified dementia 10+ years after c

SUBMITTER: Grodstein F 

PROVIDER: S-EPMC10733208 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature