Accuracy of diagnosis and health service codes in identifying frailty in Medicare data.

ABSTRACT:

Background

Capturing frailty within administrative claims data may help to identify high-risk patients and inform population health management strategies. Although it is common to ascertain frailty status utilizing claims-based surrogates (e.g. diagnosis and health service codes) selected according to clinical knowledge, the accuracy of this approach has not yet been examined. We evaluated the accuracy of claims-based surrogates against two clinical definitions of frailty.

Methods

This cross-sectional study was conducted in a Health and Retirement Study subsample of 3097 participants, aged 65 years or older and with at least 12-months of continuous fee-for-service Medicare enrollment. We defined 18 previously utilized claims-based surrogates of frailty from Medicare data and

SUBMITTER: Festa N 

PROVIDER: S-EPMC7487915 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature