Trends of hospitalizations among patients with both cancer and dementia diagnoses in New York 2007-2017.
Trends of hospitalizations among patients with both cancer and dementia diagnoses in New York 2007-2017.
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纽约2007-2017年癌症和痴呆诊断患者的住院趋势。
DOI：
10.1016/j.hjdsi.2021.100565
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Taioli E
中科院分区：
文献类型：
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作者：
Liu B;Ornstein KA;Alpert N;Schwartz RM;Dharmarajan KV;Kelley AS;Taioli E
癌症和痴呆症通常被孤立地研究。我们的目的是检查与癌症和痴呆诊断住院的时空趋势。使用全州范围内的住院索赔数据，我们确定了2007-2017年纽约州年龄≥50岁的癌症和痴呆诊断患者的所有住院情况。我们研究了时空趋势的录取使用一种新的贝叶斯层次模型调整社会经济因素，衡量Yost指数。同时患有癌症和痴呆症的入院人数占所有癌症诊断入院人数的8.5%，这一比例从2007年的7.1%增加到2017年的9.7%。中位住院率为每1000名年龄≥50岁的人群3.5次（四分位距：2.2-5.2）住院，从2007年的2.9次增加到2017年的3.7次。录取率在2010年首次达到峰值，随后在2014年达到一个较小的峰值，然后稳定在高于2010年之前的水平。考虑到时空异质性，我们发现癌症和痴呆诊断患者的住院与较高的社会经济地位相关（Yost指数的后验中位数相对风险= 1.046（95%可信区间：1.033-1.058））。随着时间的推移，癌症和痴呆症患者的住院人数增加。癌症护理提供者和医疗保健系统应准备好提供预防和管理策略，并为这一日益常见的癌症和痴呆患者群体参与复杂的医疗决策。
Cancer and dementia have often been studied in isolation. We aimed to examine the spatiotemporal trend of inpatient admissions with both cancer and dementia diagnoses. Using state-wide inpatient claims data, we identified all hospital admissions for patients aged ≥50 years with both cancer and dementia diagnoses in New York State, 2007–2017. We examined the spatiotemporal trend of the admission using a novel Bayesian hierarchical model adjusting for socioeconomic factor, as measured by Yost index. Admissions with the presence of both cancer and dementia diagnoses represented 8.5% of all admissions with a cancer diagnosis, and the proportion increased from 7.1% in 2007 to 9.7% in 2017. The median admission rate was 3.5 (interquartile range: 2.2–5.2) hospitalizations per 1000 population aged ≥50 years, which increased from 2.9 in 2007 to 3.7 in 2017. The admission rate peaked first in 2010 followed by a smaller peak in 2014, before stabilizing at a level higher than the pre-2010 period. Taking into account the spatiotemporal heterogeneity, we found that hospitalizations among those with both cancer and dementia diagnoses were associated with a higher socioeconomic status (the posterior median relative risk for Yost index= 1.046 (95% credible interval: 1.033–1.058)). Hospitalizations of patients with both cancer and dementia increased over time. Cancer care providers and healthcare systems should be prepared to provide prevention and management strategies and engage in complex medical decision-making for this increasingly common patient population comprised of individuals with cancer and dementia.
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影响因子：
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作者：
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DOI：
10.1093/jnci/djx030
发表时间：
2017-09-01
期刊：
Journal of the National Cancer Institute
影响因子：
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作者：
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通讯作者：
Weir HK