Dementia Coding, Workup, and Treatment in the VA New England Healthcare System
Joint Authors
Lanes, Stephan
Altincatal, Arman
Lawler, Elizabeth V.
Kosik, Nicole
Cho, Kelly
Gagnon, David R.
Driver, Jane A.
Source
International Journal of Alzheimer's Disease
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-18
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Growing evidence suggests that Alzheimer’s disease and other types of dementia are underdiagnosed and poorly documented.
In our study, we describe patterns of dementia coding and treatment in the Veteran’s Administration New England Healthcare System.
We conducted a retrospective cohort study with new outpatient ICD-9 codes for several types of dementia between 2002 and 2009.
We examined healthcare utilization, medication use, initial dementia diagnoses, and changes in diagnoses over time by provider type.
8,999 veterans received new dementia diagnoses during the study period.
Only 18.3% received a code for cognitive impairment other than dementia, most often “memory loss” (65.2%) prior to dementia diagnosis.
Two-thirds of patients received their initial code from a PCP.
The etiology of dementia was often never specified by ICD-9 code, even by specialists.
Patients followed up exclusively by PCPs had lower rates of neuroimaging and were less likely to receive dementia medication.
Emergency room visits and hospitalizations were frequent in all patients but highest in those seen by dementia specialists.
Dementia medications are commonly used off-label.
Our results suggest that, for the majority the patients, no prodrome of the dementia syndrome is documented with diagnostic code, and patients who do not see dementia specialists have less extensive diagnostic assessment and treatment.
American Psychological Association (APA)
Cho, Kelly& Gagnon, David R.& Driver, Jane A.& Altincatal, Arman& Kosik, Nicole& Lanes, Stephan…[et al.]. 2014. Dementia Coding, Workup, and Treatment in the VA New England Healthcare System. International Journal of Alzheimer's Disease،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1035952
Modern Language Association (MLA)
Cho, Kelly…[et al.]. Dementia Coding, Workup, and Treatment in the VA New England Healthcare System. International Journal of Alzheimer's Disease No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1035952
American Medical Association (AMA)
Cho, Kelly& Gagnon, David R.& Driver, Jane A.& Altincatal, Arman& Kosik, Nicole& Lanes, Stephan…[et al.]. Dementia Coding, Workup, and Treatment in the VA New England Healthcare System. International Journal of Alzheimer's Disease. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1035952
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1035952