scholarly journals Prevalence and incidence of narcolepsy in a US health care claims database, 2008–2010

SLEEP ◽  
2019 ◽  
Vol 42 (7) ◽  
Author(s):  
Darren Scheer ◽  
Skai W Schwartz ◽  
Maria Parr ◽  
Janice Zgibor ◽  
Aurora Sanchez-Anguiano ◽  
...  
Keyword(s):  
Health Care ◽  
Age Groups ◽  
Annual Incidence ◽  
Health Claims ◽  
Claims Database ◽  
The North ◽  
Average Annual Incidence ◽  
Central United States ◽  
Estimate Prevalence ◽  
Health Care Claims

AbstractStudy ObjectivesTo determine the prevalence and incidence of narcolepsy using a large US health care claims database.MethodsThe Truven Health MarketScan Commercial Dissertation Database (THMCDD) was used to estimate prevalence and incidence of narcolepsy, with and without cataplexy, by age groups, gender, and region among patients under age 66 years with continuous enrollment for years 2008–2010. THMCDD contains health claims information for more than 18 million people. Prevalence was expressed as cases/100 000 persons. Average annual incidence (using varying criteria for latency between the diagnostic tests, polysomnograph coupled with multiple sleep latency test [MSLT], and the diagnosis) was expressed as new cases/100 000 persons/year.ResultsThere were 8 444 517 continuously enrolled patients and 6703 diagnosed with narcolepsy (prevalence overall: 79.4/100 000; without cataplexy: 65.4/100 000; with cataplexy: 14.0/100 000). On the basis of the three definitions of incidence, overall average annual incidence was 7.67, 7.13, and 4.87/100 000 persons/year. Incidence for narcolepsy without cataplexy was generally several times higher than narcolepsy with cataplexy. Prevalence and incidence were approximately 50% greater for females compared to males across most age groups. Prevalence was highest among the 21–30 years age group, with incidence highest among enrollees in their early 20s and late teens. Regionally, the North Central United States had the highest prevalence and incidence, whereas the West was the lowest.ConclusionWe found greater prevalence and incidence of narcolepsy (including without cataplexy) than most previous studies. The increased proportions in females, enrollees in their early 20s, and US regional differences require further study. Increased awareness and early identification is critical in the management of this burdensome condition.

scholarly journals Association of Hypovitaminosis D With Increased Risk of Uveitis in a Large Health Care Claims Database

2018 ◽  
Vol 136 (5) ◽  
pp. 548 ◽  
Author(s):  
Lucia Sobrin ◽  
Lynn K. Stanwyck ◽  
Wei Pan ◽  
Rebecca A. Hubbard ◽  
John H. Kempen ◽  
...  
Keyword(s):  
Health Care ◽  
Hypovitaminosis D ◽  
Claims Database ◽  
Increased Risk ◽  
Health Care Claims

scholarly journals Educational strategies for human resources in home health care: 8 years’ experience from Brazil

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Leonardo Cancado Monteiro Savassi ◽  
Mariana Borges Dias ◽  
Antonio Fernando Boing ◽  
Marta Verdi ◽  
Alysson Feliciano Lemos
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Online Courses ◽  
Age Groups ◽  
Home Health ◽  
Health Facilities ◽  
National Database ◽  
Completion Rates ◽  
Health Care Teams ◽  
The North

Objective. To analyze characteristics, enrollments and completion rates of healthcare professionals enrolled in Self-Instructional Online Courses of the Home Health Care Multicentre Qualification Program, developed by the Ministry of Health and the Universidade Aberta do SUS (UNASUS), and its relationship with Home Health Care Teams implementation. Methods. Data were extracted from the Self-Instructional Online Courses’ UNASUS enrollment platform database (2012-2018), cross-referenced with the Health Facilities’ National Database and compared to Home Care General Coordination team’s database. Main outcomes were completion rates and number of courses enrollments, analyzed by sex, age, region, location, profession, workplace, health teams and course type. Results. Men applied to courses slightly more than women and completion rates were higher (37.1 vs 30.5, p < 0.001); there was a small decline in completion rates by age groups (from 32.8% in 18-29 yr to 31.1% in 46-50 yr age group, p < 0.001) and a rise in course enrollment number, probably related to progressively “digital native” generations. Self-Instructional Online Courses were attended in all Brazilian states and reached all municipality sizes, with completion rates rising from 29.9% in the North to 37.3 in the South; 30-hour courses were completed by almost twice as many professionals as 45-hour and 60-hour courses, suggesting that modularity may improve completion rates. State distribution and national coverage suggest adequate range and coincidence between enrollment and Home Health Care Teams distribution. Conclusions. Regional aspects influence professional interaction with courses; the feminization of health professions and women’s lower completion rates suggest the need for a deeper gender perspective in health facilities and training services. Self- Instructional Online Courses for Home Health Care were an important outreach strategy, with professional’s doubts answered more contextually.

scholarly journals High prevalence of SARS-CoV-2 swab positivity and increasing R number in England during October 2020: REACT-1 round 6 interim report

2020 ◽  
Author(s):  
Steven Riley ◽  
Kylie E. C. Ainslie ◽  
Oliver Eales ◽  
Caroline E. Walters ◽  
Haowei Wang ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Temporal Trends ◽  
Age Groups ◽  
North West ◽  
The North ◽  
East Midlands ◽  
High Prevalence ◽  
Previous Round ◽  
Time Critical ◽  
Estimate Prevalence

AbstractBackgroundREACT-1 measures prevalence of SARS-CoV-2 infection in representative samples of the population in England using PCR testing from self-administered nose and throat swabs. Here we report interim results for round 6 of observations for swabs collected from the 16th to 25th October 2020 inclusive.MethodsREACT-1 round 6 aims to collect data and swab results from 160,000 people aged 5 and above. Here we report results from the first 86,000 individuals. We estimate prevalence of PCR-confirmed SARS-CoV-2 infection, reproduction numbers (R) and temporal trends using exponential growth or decay models. Prevalence estimates are presented both unweighted and weighted to be representative of the population of England, accounting for response rate, region, deprivation and ethnicity. We compare these interim results with data from round 5, based on swabs collected from 18th September to 5th October 2020 inclusive.ResultsOverall prevalence of infection in the community in England was 1.28% or 128 people per 10,000, up from 60 per 10,000 in the previous round. Infections were doubling every 9.0 (6.1, 18) days with a national reproduction number (R) estimated at 1.56 (1.27, 1.88) compared to 1.16 (1.05, 1.27) in the previous round. Prevalence of infection was highest in Yorkshire and The Humber at 2.72% (2.12%, 3.50%), up from 0.84% (0.60%, 1.17%), and the North West at 2.27% (1.90%, 2.72%), up from 1.21% (1.01%, 1.46%), and lowest in South East at 0.55% (0.45%, 0.68%), up from 0.29% (0.23%, 0.37%). Clustering of cases was more prevalent in Lancashire, Manchester, Liverpool and West Yorkshire, West Midlands and East Midlands. Interim estimates of R were above 2 in the South East, East of England, London and South West, but with wide confidence intervals. Nationally, prevalence increased across all age groups with the greatest increase in those aged 55-64 at 1.20% (0.99%, 1.46%), up 3-fold from 0.37% (0.30%, 0.46%). In those aged over 65, prevalence was 0.81% (0.58%, 0.96%) up 2-fold from 0.35% (0.28%, 0.43%). Prevalence remained highest in 18 to 24-year olds at 2.25% (1.47%, 3.42%).ConclusionThe co-occurrence of high prevalence and rapid growth means that the second wave of the epidemic in England has now reached a critical stage. Whether via regional or national measures, it is now time-critical to control the virus and turn R below one if further hospital admissions and deaths from COVID-19 are to be avoided.

Incidence, prevalence, and economic burden of sarcoidosis in Puerto Rico: Estimates from a government health insurance claims database

2021 ◽  
pp. 174239532110431
Author(s):  
Ramón Scharbaai-Vázquez ◽  
Raymond L Tremblay
Keyword(s):  
Health Care ◽  
Puerto Rico ◽  
Health Insurance ◽  
Incidence Rate ◽  
Economic Burden ◽  
Health Care Services ◽  
Annual Incidence ◽  
Care Utilization ◽  
Annual Incidence Rate ◽  
Claims Database

Objectives To estimate the epidemiology of sarcoidosis in Puerto Rico. Methods Patients with a diagnosis of sarcoidosis between January 2015 and December 2018 were selected from the Puerto Rico Health Insurance Administration Administración de Seguros de Salud de Puerto Rico claims database. The International Classification of Diseases-Tenth Revision coding for sarcoidosis was used for case detection and utilization of health care services. Cases by sex and age were evaluated. Results A total of 488 individuals with sarcoidosis were identified over the 4-year study. The median age at diagnosis was 59 years old. The average annual incidence rate was 9.9/100,000. The baseline prevalence was 14.9 per 100,000. Females represented 68.4% of the cases. Patients with lung and unspecified sarcoidosis predominate with 45.6% and 28.2% of cases, respectively. Overall, the yearly cost of health care utilization and medications per patient was $234 and $13,638, respectively. Conclusions Annual incidence rate and the median age of sarcoidosis in Puerto Ricans are among the highest and oldest reported globally. The demographic profile of sarcoidosis in Puerto Rico presents a patient in the mid-to advanced age, mostly female. While costs for medications were relatively high for a patient with sarcoidosis, the economic burden of the disease to the national health care system is not substantial.

scholarly journals Hepatic outcomes among adults taking duloxetine: a retrospective cohort study in a US health care claims database

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Nancy D. Lin ◽  
Heather Norman ◽  
Arie Regev ◽  
David G. Perahia ◽  
Hu Li ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Claims Database ◽  
Health Care Claims
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