Document Detail


Predictors of self-report of heart failure in a population-based survey of older adults.
MedLine Citation:
PMID:  22592753     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Little research has been conducted on the predictors of self-report or patient awareness of heart failure (HF) in a population-based survey. The objective of this study was to (1) test the agreement between Medicare administrative and Health and Retirement Study (HRS) survey data and (2) determine predictors associated with self-report of HF, using a validated Medicare claims algorithm as the reference standard. We hypothesized that those who self-reported HF were more likely to have a higher number of HF-related claims.
METHODS AND RESULTS: Secondary data analysis was conducted using the 2004 wave of the HRS linked to 2002 to 2004 Medicare claims (n=5573 respondents aged ≥ 67 years). Concordance between self-report of HF in the HRS and Medicare claims was calculated. Logistic regression was performed to identify predictors associated with self-report HF. HF prevalence by self-report was 4.6%. Self-report of HF and claims agreement was 87% (κ=0.34). The presence of >1 HF inpatient claims was associated with greater odds of self-report (odds ratio [OR], 1.92; 95% CI, 1.23-3.00). Greater odds of self-reporting HF was also associated with ≥ 4 HF claims (OR, 2.74; 95% CI, 1.36-5.52). Blacks (OR, 0.28; 95% CI, 0.14-0.55) and Hispanics (OR, 0.30; 95% CI, 0.11-0.83) were less likely to self-report HF compared with whites in the final model.
CONCLUSIONS: Self-report of HF is an insensitive method for accurately identifying HF cases, especially in those with less-severe disease and who are nonwhite. There may be limited awareness of HF among older minority patients despite having clinical encounters during which HF is coded as a diagnosis.
Authors:
Tanya R Gure; Ryan J McCammon; Christine T Cigolle; Todd M Koelling; Caroline S Blaum; Kenneth M Langa
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Circulation. Cardiovascular quality and outcomes     Volume:  5     ISSN:  1941-7705     ISO Abbreviation:  Circ Cardiovasc Qual Outcomes     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-17     Completed Date:  2012-09-11     Revised Date:  2013-06-25    
Medline Journal Info:
Nlm Unique ID:  101489148     Medline TA:  Circ Cardiovasc Qual Outcomes     Country:  United States    
Other Details:
Languages:  eng     Pagination:  396-402     Citation Subset:  IM    
Affiliation:
Division of Geriatric Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109-2007, USA. tanruff@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Algorithms
Awareness
Chi-Square Distribution
Comorbidity
Female
Health Knowledge, Attitudes, Practice*
Health Status
Health Surveys
Heart Failure / diagnosis*,  epidemiology,  psychology,  therapy
Humans
Insurance Claim Review
Logistic Models
Male
Medicare
Odds Ratio
Patients / psychology*
Predictive Value of Tests
Self Report*
Socioeconomic Factors
United States
Grant Support
ID/Acronym/Agency:
K08 AG031837/AG/NIA NIH HHS; K08 AG031837/AG/NIA NIH HHS; P30 AG024824/AG/NIA NIH HHS; R01 AG027010/AG/NIA NIH HHS; R01 AG027010/AG/NIA NIH HHS; R01 AG027010-02S1/AG/NIA NIH HHS; R01 AG030155/AG/NIA NIH HHS; U01 AG009740/AG/NIA NIH HHS; U01 AG09740/AG/NIA NIH HHS; UL1 RR024986/RR/NCRR NIH HHS; UL1 RR024986/RR/NCRR NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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