The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use - Bynum - 2004 - Journal of the American Geriatrics Society

<!DOCTYPE html> <html class="no-js" lang="en" data-application="loading">  <head><script type="text/javascript" src="https://web-static.archive.org/_static/js/bundle-playback.js?v=7YQSqjSh" charset="utf-8"></script> <script type="text/javascript" src="https://web-static.archive.org/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="https://web-static.archive.org/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52054.x/abstract","20170130155635","https://web.archive.org/","web","https://web-static.archive.org/_static/", "1485791795"); </script> <link rel="stylesheet" type="text/css" href="https://web-static.archive.org/_static/css/banner-styles.css?v=p7PEIJWi" /> <link rel="stylesheet" type="text/css" href="https://web-static.archive.org/_static/css/iconochive.css?v=3PDvdIFv" />  <meta charset="utf-8"/> <meta http-equiv="Content-Type" content="text/html;charset=UTF-8"/> <title>The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use - Bynum - 2004 - Journal of the American Geriatrics Society - Wiley Online Library</title> <script type="text/javascript" src="/web/20170130155635js_/http://onlinelibrary.wiley.com/dtagent6312_ICAp_1013.js" data-dtconfig="rid=RID_-235514427|rpid=-1571116204|domain=wiley.com|lab=1|reportUrl=dynaTraceMonitor"></script><link rel="shortcut icon" type="image/x-icon" href="/web/20170130155635im_/http://onlinelibrary.wiley.com/enhanced/static/images/brand/wiley/favicon.ico?version=1.13.3"/> <meta http-equiv="X-UA-Compatible" content="IE=edge, chrome=1"/> <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0"/> <meta name="description" content=""/> <meta name="robots" content="noarchive"/> <meta name="citation_doi" content="10.1111/j.1532-5415.2004.52054.x"/> <meta name="citation_journal_title" content="Journal of the American Geriatrics Society"/> <meta name="citation_title" content="The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use"/> <meta name="citation_keywords" content="dementia"/> <meta name="citation_keywords" content="comorbid illness"/> <meta name="citation_keywords" content="utilization"/> <meta name="citation_keywords" content="hospitalization"/> <meta name="citation_volume" content="52"/> <meta name="citation_issue" content="2"/> <meta name="citation_firstpage" content="187"/> <meta name="citation_lastpage" content="194"/> <meta name="citation_issn" content="1532-5415"/> <meta name="article_references" content="Bynum, J. P. W., Rabins, P. V., Weller, W., Niefeld, M., Anderson, G. F. and Wu, A. W. (2004), The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use. Journal of the American Geriatrics Society, 52: 187–194. doi:10.1111/j.1532-5415.2004.52054.x"/> <meta name="citation_publisher" content="Blackwell Science Inc"/> <meta name="citation_language" content="en"/> <meta name="citation_publication_date" content="2004/02/01"/> <meta name="citation_online_date" content="2004/01/22"/> <meta name="citation_author" content="Bynum, Julie P. W."/> <meta xmlns="http://www.w3.org/1999/xhtml" name="citation_author_institution" content="From the"/> <meta name="citation_author" content="Rabins, Peter V."/> <meta xmlns="http://www.w3.org/1999/xhtml" name="citation_author_institution" content="From the"/> <meta name="citation_author" content="Weller, Wendy"/> <meta xmlns="http://www.w3.org/1999/xhtml" name="citation_author_institution" content="From the"/> <meta name="citation_author" content="Niefeld, Marlene"/> <meta xmlns="http://www.w3.org/1999/xhtml" name="citation_author_institution" content="From the"/> <meta name="citation_author" content="Anderson, Gerard F."/> <meta xmlns="http://www.w3.org/1999/xhtml" name="citation_author_institution" content="From the"/> <meta name="citation_author" content="Wu, Albert W."/> <meta xmlns="http://www.w3.org/1999/xhtml" name="citation_author_institution" content="From the"/> <meta name="citation_abstract_html_url" content="http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52054.x/abstract"/> <meta name="citation_fulltext_html_url" content="http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52054.x/full"/> <meta name="citation_pdf_url" content="http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52054.x/pdf"/> <meta property="og:url" content="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52054.x/full"/> <meta property="og:type" content="article"/> <meta property="og:title" content="The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use"/> <meta property="og:image" content="https://web.archive.org/web/20170130155635im_/http://onlinelibrary.wiley.com/store/10.1111/(ISSN)1532-5415/asset/olalertbanner.jpg?v=1&s=0f4537bd4e9b0b0c7befbe5c51c2f0583b059da3"/> <meta property="og:description" content="Objectives: To determine whether dementia increases medical expenditures, the probability of hospitalization, and potentially preventable hospitalization, controlling for variables including age and comorbidity.Design:..."/> <link rel="stylesheet" media="screen" href="/web/20170130155635cs_/http://onlinelibrary.wiley.com/enhanced/static/common/fonts/open-sans/open-sans.css?version=1.13.3"/>   <link rel="stylesheet" href="/web/20170130155635cs_/http://onlinelibrary.wiley.com/enhanced/static/common/css/wol-common.css?version=1.13.3"/> <link rel="stylesheet" href="/web/20170130155635cs_/http://onlinelibrary.wiley.com/enhanced/static/css/wol-article.css?version=1.13.3"/>  <script src="/web/20170130155635js_/http://onlinelibrary.wiley.com/enhanced/static/common/js/vendor/modernizr.custom.js?version=1.13.3"></script> <script> //<![CDATA[ Modernizr.load([ { test: window.matchMedia, nope: '/enhanced/static/common/js/vendor/polyfills/matchMedia.js?version=1.13.3' }, { test: window.matchMedia && window.matchMedia( 'all' ).addListener, nope: '/enhanced/static/common/js/vendor/polyfills/matchMedia.addListener.js?version=1.13.3' } ]); //]]> </script> <script> Modernizr.load('https://web.archive.org/web/20170130155635/http://content.readcube.com/wiley/epdf_linker.js'); </script> <script> //<![CDATA[ wol2datalayer = window.wol2datalayer ? wol2datalayer : {}; wol2datalayer.server="onlinelibrary.wiley.com"; wol2datalayer.pageName="The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use - Bynum - 2004 - Journal of the American Geriatrics Society"; wol2datalayer.channel="JOURNALS"; wol2datalayer.prop1="ABSTRACT"; wol2datalayer.prop2="ENHANCED ABSTRACT"; wol2datalayer.prop3="Journal of the American Geriatrics Society"; wol2datalayer.prop4="MDB0,NU30,MDA0,MDA2,MDH4,MDR0"; wol2datalayer.prop5=""; wol2datalayer.prop7="The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use"; wol2datalayer.prop8="52\/2"; wol2datalayer.prop9="licensed"; wol2datalayer.prop10="subscription"; wol2datalayer.prop11="PDF and HTML"; wol2datalayer.prop12="4757"; wol2datalayer.prop13="10.1111\/(ISSN)1532-5415"; wol2datalayer.prop14="10.1111\/j.1532-5415.2004.52054.x"; wol2datalayer.prop15="10.1111\/jgs.2004.52.issue-2"; wol2datalayer.prop18="22 JAN 2004"; wol2datalayer.prop33="MDB0"; wol2datalayer.prop35=""; wol2datalayer.events="event63"; wol2datalayer.prop26="Guest"; //]]> </script> <script> //<![CDATA[ digitalData = window.digitalData ? digitalData : {}; digitalData.event = digitalData.event ? digitalData.event : []; //]]> </script> <script src="//web.archive.org/web/20170130155635js_/http://assets.adobedtm.com/6e626c9ec247e474f6b98eb15a79a185cf7e26a5/satelliteLib-d0317bde5157000144848f23fbb44a4de679c053.js"></script> <script> var gs_channels = 'default'; </script> <script src="https://web.archive.org/web/20170130155635js_/http://wiley.grapeshot.co.uk/main/channels.cgi?url=http%3A%2F%2Fonlinelibrary.wiley.com%2Fdoi%2F10.1111%2Fj.1532-5415.2004.52054.x%2Fabstract"></script> <script> //<![CDATA[ digitalData = window.digitalData || {}; digitalData.dartZone = 'wly.geriat.med_000067/j-amer-geriats-soci_JGS'; //]]> </script> <script> var googletag = googletag || {}; googletag.cmd = googletag.cmd || []; ( function () { var gads = document.createElement ( 'script' ) , node = document.getElementsByTagName ( 'script' ) [ 0 ] ; gads.async = true; gads.src = document.location.protocol + '//web.archive.org/web/20170130155635/http://www.googletagservices.com/tag/js/gpt.js'; node.parentNode.insertBefore ( gads , node ); }) (); </script> <script> //<![CDATA[ googletag.cmd.push ( function () { // Mapping for mobile images sizes var sizes = { leaderboard : googletag.sizeMapping () .addSize ([ 300 , 100 ] , [ 300 , 50 ]) .addSize ([ 740 , 100 ] , [ 728 , 90 ]) .addSize ([ 0 , 0 ] , 'fluid' ) .build () , skyscraper : googletag.sizeMapping () .addSize ([ 1200 , 0 ] , [ 160 , 600 ]) .addSize ([ 1200 , 0 ] , [ 160 , 320 ]) .addSize ([ 1200 , 0 ] , [ 160 , 160 ]) .addSize ([ 1200 , 0 ] , [ 120 , 600 ]) .build () }; googletag.pubads () .setTargeting ( 'WOL-Page-Type' , "ABSTRACT" ) .setTargeting ( 'WOL-Page-Subtype' , "ENHANCED ABSTRACT" ) .setTargeting ( 'WOL-Subject-Codes' , "MDB0,NU30,MDA0,MDA2,MDH4,MDR0" ) .setTargeting ( 'WOL-Article-Access-State' , "licensed" ) .setTargeting ( 'WOL-Pub-Access-Status' , "subscription" ) .setTargeting ( 'WOL-Article-Availability' , "PDF and HTML" ) .setTargeting ( 'WOL-Journal-DOI' , "10.1111\/(ISSN)1532-5415" ) .setTargeting ( 'WOL-Article-Chapter-DOI' , "10.1111\/j.1532-5415.2004.52054.x" ) .setTargeting ( 'WOL-Issue-DOI' , "10.1111\/jgs.2004.52.issue-2" ) .setTargeting ( 'WOL-Site-Search-Query' , "" ) .setTargeting ( 'WOL-User-login-Status' , "Guest" ) .setTargeting ( 'WOL-Primary-Subject-Code' , "MDB0" ) .setTargeting ( 'WOL-Hub-ID' , "" ) .setTargeting ( 'gs_cat' , gs_channels ); googletag.defineSlot ( '/2215/wly.geriat.med_000067/j-amer-geriats-soci_JGS' , 'fluid' , 'advert-leaderboard' ) .defineSizeMapping ( sizes.leaderboard ) .addService ( googletag.pubads ()) .setCollapseEmptyDiv ( true ); googletag.defineSlot ( '/2215/wly.geriat.med_000067/j-amer-geriats-soci_JGS' , 'fluid' , 'advert-skyscraper' ) .defineSizeMapping ( sizes.skyscraper ) .addService ( googletag.pubads ()) .setCollapseEmptyDiv ( true ); // Enable services googletag.pubads ().enableSingleRequest (); googletag.enableServices (); }); //]]> </script> </head> <body data-type="default" data-access="abstract"> <script> var dataLayer = window.dataLayer ? dataLayer : {}; dataLayer.pageType = 'ABSTRACT'; dataLayer.contentAvailability = 'PDF and HTML'; </script> <div id="js-viewport-main" class="l-viewport-main prim-nav-container"> <div class="prim-nav-pusher st-pusher"> <header class="header clearfix" role="banner"> <div class="ribbon"> <span class="ribbon__quarter ribbon__first"></span> <span class="ribbon__quarter ribbon__second"></span> <span class="ribbon__quarter ribbon__third"></span> <span class="ribbon__quarter ribbon__fourth"></span> </div> <div class="l-header-container"> <div class="l-header clearfix"> <span class="header__logo"> <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/"> <img src="/web/20170130155635im_/http://onlinelibrary.wiley.com/enhanced/static/common/images/brand/wiley/header-logo.png?version=1.13.3" alt="Wiley Online Library"/> </a> </span> <ul class="header__user-access u-horizontal-list"> <li> <a href="#main-content" class="is-accessible header__user-access-skip-link">Skip to main content</a> </li> <li> <a href="https://web.archive.org/web/20170130155635/https://secure.onlinelibrary.wiley.com/secure/login/?originalUrl=http%3A%2F%2Fonlinelibrary.wiley.com%2Fdoi%2F10.1111%2Fj.1532-5415.2004.52054.x%2Fabstract&wolSessionId=9a379bfcf00a417e94d0f1b486645fde" class="header__user-access-link"> <span class="icon icon__avatar"></span> <span class="header__user-access-link-text">Log in / Register</span> </a> </li> </ul> </div> </div> </header> <img class="is-accessible" src="https://web.archive.org/web/20170130155635im_/http://onlinelibrary.wiley.com/createAccessReportingEvent?doi=10.1111%2Fj.1532-5415.2004.52054.x" alt=""/> <aside class="advert-leaderboard__container"> <div id="advert-leaderboard" class="advert" role="complementary"> <div class="advert-leaderboard__title">Advertisement</div> <script> googletag.cmd.push ( function () { googletag.display ( 'advert-leaderboard' ); }); </script> <noscript> <a href="https://web.archive.org/web/20170130155635/http://pubads.g.doubleclick.net/gampad/jump?iu=/2215/wly.geriat.med_000067/j-amer-geriats-soci_JGS&sz=728x90&tile=1&c=237637481" target="_blank"> <img src="https://web.archive.org/web/20170130155635im_/http://pubads.g.doubleclick.net/gampad/ad?iu=/2215/wly.geriat.med_000067/j-amer-geriats-soci_JGS&sz=728x90&tile=1&c=237637481"/> </a> </noscript> </div> </aside> <div class="l-main main citations--available" role="main"> <div class="l-article"> <ul class="meta-navigation u-list-plain"> <li class="meta-navigation__item"> <a id="wol1backlink" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/wol1/doi/10.1111/j.1532-5415.2004.52054.x/abstract" class="meta-navigation__return"> <span class="icon icon__return"></span> <span>Go to old article view</span> </a> </li> </ul> <div id="js-viewport-mini" class="l-viewport-mini"> <div id="js-article-nav" class="l-article-nav js-module" data-module="toolbar"> <div id="js-article-tools" class="article-tools"> <ul class="article-tools__bar" aria-label="Resize text, share article"> <li class="article-tools__tool article-tools__tool--set js-module" data-module="textresize"></li> <li class="article-tools__tool article-tools__tool--set article-tools__tool--share js-module" data-module="add-this" data-doi="10.1111/j.1532-5415.2004.52054.x"></li> </ul> <div class="skyscraper--right"> <div id="skyscraper" class="skyscraper"> <aside id="advert-skyscraper" class="advert-skyscraper" role="complementary"> <div class="skyscraper__title">Advertisement</div> <script> googletag.cmd.push ( function () { googletag.display ( 'advert-skyscraper' ); }); </script> <noscript> <a href="https://web.archive.org/web/20170130155635/http://pubads.g.doubleclick.net/gampad/jump?iu=/2215/wly.geriat.med_000067/j-amer-geriats-soci_JGS&sz=160x600|160x320|160x160|120x600&tile=2&c=109539006" target="_blank"> <img src="https://web.archive.org/web/20170130155635im_/http://pubads.g.doubleclick.net/gampad/ad?iu=/2215/wly.geriat.med_000067/j-amer-geriats-soci_JGS&sz=160x600|160x320|160x160|120x600&tile=2&c=109539006"/> </a> </noscript> </aside> </div> </div> </div> </div> <article class="journal js-journal"> <header class="journal-header"> <a class="journal-header__name journal-header__name--normal" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1532-5415"> <div class="journal-header__name-link"> <strong class="journal-header__name-title">Journal of the American Geriatrics Society</strong> <div class="journal-header__link">Explore this journal ></div> </div> </a> <ul class="u-horizontal-list"> <li> <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1532-5415" class="journal-header__logo"> <img src="https://web.archive.org/web/20170130155635im_/http://onlinelibrary.wiley.com/store/10.1111/(ISSN)1532-5415/asset/olalertbanner.jpg?v=1&s=0f4537bd4e9b0b0c7befbe5c51c2f0583b059da3" alt="Journal of the American Geriatrics Society" class="journal-header__logo-img"/> <div class="journal-header__link">Explore this journal ></div> </a> </li> </ul> </header> <article class="issue"> <div class="issue-header js-module" data-module="issue-header"> <nav class="issue-header__nav" role="navigation" aria-label="AA Issue Browser"> <div class="issue-header__nav-control"> <div class="issue-header__image-wrapper"> <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/doi/10.1111/jgs.2004.52.issue-2/issuetoc" class="issue-header__image-link"> <img src="https://web.archive.org/web/20170130155635im_/http://onlinelibrary.wiley.com/store/10.1111/jgs.2004.52.issue-2/asset/cover.gif?v=1&s=8bc99e971de797b7bb9a1ce7477bb75c104db7fa" class="issue-header__image" alt="Journal of the American Geriatrics Society"/> </a> <ol class="u-list-plain"> <li> <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/enhanced/doi/10.1111/j.1532-5415.2004.52053.x" class="issue-header__arrow--left issue-header__arrow"> <span class="icon icon__arrow icon__arrow--left"></span> <span class="is-accessible">Previous article in issue: Hormone Use and Cognitive Performance in Women of Advanced Age</span> </a> <p class="issue-header__tooltip issue-header__tooltip--left"> <span class="icon icon__chevron-up"></span> <span class="issue-header__tooltip-header">Previous article in issue:</span> Hormone Use and Cognitive Performance in Women of Advanced Age </p> </li> <li> <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/enhanced/doi/10.1111/j.1532-5415.2004.52058.x" class="issue-header__arrow--right issue-header__arrow"> <span class="icon icon__arrow icon__arrow--right"></span> <span class="is-accessible">Next article in issue: Incidence and Prevalence of Dementia in the Cardiovascular Health Study</span> </a> <p class="issue-header__tooltip issue-header__tooltip--right"> <span class="icon icon__chevron-up"></span> <span class="issue-header__tooltip-header">Next article in issue:</span> Incidence and Prevalence of Dementia in the Cardiovascular Health Study </p> </li> </ol> </div> <p class="issue-header__description"> <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/doi/10.1111/jgs.2004.52.issue-2/issuetoc" class="issue-header__link"> View  issue TOC </a> <br/> Volume 52, Issue 2<br/> February 2004 <br/> Pages 187–194 </p> </div> </nav> </div> <article id="main-content" class="article js-module" data-module="Article"><header class="js-module article-header" data-module="ArticleHeader"><div class="article-header__intro"><h1 class="article-header__title">The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use</h1><div class="article-header__authors-container"><h2 class="is-accessible">Authors</h2><ul class="article-header__authors_list js-module" data-module="keyboardHover"><li class="article-header__authors-item" data-hover-container="author1" data-author-name="Julie P. W. Bynum MD, MPH"><h3 class="article-header__authors-name" data-hover-control="author1">Julie P. W. Bynum MD, MPH,</h3><div class="article-header__author-content js-module" data-module="contentRevealer" data-hover-content="author1"><ol class="article-header__authors-item-aff-addr"><li>From the <span id="a1"><sup>*</sup>Division of Geriatric Medicine and Gerontology and </span><span id="a2"><sup>&dagger;</sup>Neuropsychiatry and Geriatric Psychiatry Services, School of Medicine, and </span><span id="a3"><sup>&Dagger;</sup>Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland</span><span id="a4"><sup>§</sup>Currently from the Department of Medicine and Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire.</span></li></ol><span class="after-author-correspondence" data-author-name="Julie P. W. Bynum MD, MPH"></span><a class="article-header__search-for-papers" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/advanced/search/results?searchRowCriteria%5B0%5D.fieldName=author&start=1&resultsPerPage=20&searchRowCriteria%5B0%5D.queryString=%22Julie%20P.%20W.%20Bynum%20MD%2C%20MPH%22">Search for more papers by this author</a><span class="author-content-bottom" data-author-name="Julie P. W. Bynum MD, MPH"></span></div></li><li class="article-header__authors-item" data-hover-container="author2" data-author-name="Peter V. Rabins MD, MPH"><h3 class="article-header__authors-name" data-hover-control="author2">Peter V. Rabins MD, MPH,</h3><div class="article-header__author-content js-module" data-module="contentRevealer" data-hover-content="author2"><ol class="article-header__authors-item-aff-addr"><li>From the <span id="a1"><sup>*</sup>Division of Geriatric Medicine and Gerontology and </span><span id="a2"><sup>&dagger;</sup>Neuropsychiatry and Geriatric Psychiatry Services, School of Medicine, and </span><span id="a3"><sup>&Dagger;</sup>Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland</span><span id="a4"><sup>§</sup>Currently from the Department of Medicine and Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire.</span></li></ol><span class="after-author-correspondence" data-author-name="Peter V. Rabins MD, MPH"></span><a class="article-header__search-for-papers" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/advanced/search/results?searchRowCriteria%5B0%5D.fieldName=author&start=1&resultsPerPage=20&searchRowCriteria%5B0%5D.queryString=%22Peter%20V.%20Rabins%20MD%2C%20MPH%22">Search for more papers by this author</a><span class="author-content-bottom" data-author-name="Peter V. Rabins MD, MPH"></span></div></li><li class="article-header__authors-item" data-hover-container="author3" data-author-name="Wendy Weller PhD"><h3 class="article-header__authors-name" data-hover-control="author3">Wendy Weller PhD,</h3><div class="article-header__author-content js-module" data-module="contentRevealer" data-hover-content="author3"><ol class="article-header__authors-item-aff-addr"><li>From the <span id="a1"><sup>*</sup>Division of Geriatric Medicine and Gerontology and </span><span id="a2"><sup>&dagger;</sup>Neuropsychiatry and Geriatric Psychiatry Services, School of Medicine, and </span><span id="a3"><sup>&Dagger;</sup>Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland</span><span id="a4"><sup>§</sup>Currently from the Department of Medicine and Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire.</span></li></ol><span class="after-author-correspondence" data-author-name="Wendy Weller PhD"></span><a class="article-header__search-for-papers" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/advanced/search/results?searchRowCriteria%5B0%5D.fieldName=author&start=1&resultsPerPage=20&searchRowCriteria%5B0%5D.queryString=%22Wendy%20Weller%20PhD%22">Search for more papers by this author</a><span class="author-content-bottom" data-author-name="Wendy Weller PhD"></span></div></li><li class="article-header__authors-item" data-hover-container="author4" data-author-name="Marlene Niefeld MPP"><h3 class="article-header__authors-name" data-hover-control="author4">Marlene Niefeld MPP,</h3><div class="article-header__author-content js-module" data-module="contentRevealer" data-hover-content="author4"><ol class="article-header__authors-item-aff-addr"><li>From the <span id="a1"><sup>*</sup>Division of Geriatric Medicine and Gerontology and </span><span id="a2"><sup>&dagger;</sup>Neuropsychiatry and Geriatric Psychiatry Services, School of Medicine, and </span><span id="a3"><sup>&Dagger;</sup>Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland</span><span id="a4"><sup>§</sup>Currently from the Department of Medicine and Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire.</span></li></ol><span class="after-author-correspondence" data-author-name="Marlene Niefeld MPP"></span><a class="article-header__search-for-papers" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/advanced/search/results?searchRowCriteria%5B0%5D.fieldName=author&start=1&resultsPerPage=20&searchRowCriteria%5B0%5D.queryString=%22Marlene%20Niefeld%20MPP%22">Search for more papers by this author</a><span class="author-content-bottom" data-author-name="Marlene Niefeld MPP"></span></div></li><li class="article-header__authors-item" data-hover-container="author5" data-author-name="Gerard F. Anderson PhD"><h3 class="article-header__authors-name" data-hover-control="author5">Gerard F. Anderson PhD,</h3><div class="article-header__author-content js-module" data-module="contentRevealer" data-hover-content="author5"><ol class="article-header__authors-item-aff-addr"><li>From the <span id="a1"><sup>*</sup>Division of Geriatric Medicine and Gerontology and </span><span id="a2"><sup>&dagger;</sup>Neuropsychiatry and Geriatric Psychiatry Services, School of Medicine, and </span><span id="a3"><sup>&Dagger;</sup>Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland</span><span id="a4"><sup>§</sup>Currently from the Department of Medicine and Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire.</span></li></ol><span class="after-author-correspondence" data-author-name="Gerard F. Anderson PhD"></span><a class="article-header__search-for-papers" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/advanced/search/results?searchRowCriteria%5B0%5D.fieldName=author&start=1&resultsPerPage=20&searchRowCriteria%5B0%5D.queryString=%22Gerard%20F.%20Anderson%20PhD%22">Search for more papers by this author</a><span class="author-content-bottom" data-author-name="Gerard F. Anderson PhD"></span></div></li><li class="article-header__authors-item" data-hover-container="author6" data-author-name="Albert W. Wu MD, MPH"><h3 class="article-header__authors-name" data-hover-control="author6">Albert W. Wu MD, MPH</h3><div class="article-header__author-content js-module" data-module="contentRevealer" data-hover-content="author6"><ol class="article-header__authors-item-aff-addr"><li>From the <span id="a1"><sup>*</sup>Division of Geriatric Medicine and Gerontology and </span><span id="a2"><sup>&dagger;</sup>Neuropsychiatry and Geriatric Psychiatry Services, School of Medicine, and </span><span id="a3"><sup>&Dagger;</sup>Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland</span><span id="a4"><sup>§</sup>Currently from the Department of Medicine and Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire.</span></li></ol><span class="after-author-correspondence" data-author-name="Albert W. Wu MD, MPH"></span><a class="article-header__search-for-papers" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/advanced/search/results?searchRowCriteria%5B0%5D.fieldName=author&start=1&resultsPerPage=20&searchRowCriteria%5B0%5D.queryString=%22Albert%20W.%20Wu%20MD%2C%20MPH%22">Search for more papers by this author</a><span class="author-content-bottom" data-author-name="Albert W. Wu MD, MPH"></span></div></li></ul></div><div class="article-header__meta-info-container"><ul id="header-meta-info-container" class="article-header__meta-info-list"><li class="article-header__meta-info-item"><span class="article-header__meta-info-label">First published: </span><time class="article-header__meta-info-data" datetime="2004-01-22" id="first-published-date">22 January 2004</time><a href="#publication-history" class="article-header__meta-info-2nd-data js-publication-history">Full publication history</a></li><li class="article-header__meta-info-item"><span class="article-header__meta-info-label" id="header-section-doi">DOI: </span><span class="article-header__meta-info-data">10.1111/j.1532-5415.2004.52054.x</span><a href="/web/20170130155635/http://onlinelibrary.wiley.com/enhanced/exportCitation/doi/10.1111/j.1532-5415.2004.52054.x" class="article-header__meta-info-2nd-data analytics-view-citation js-module" data-module="fragment">View/save citation</a></li><li class="article-header__meta-info-item js-module" data-module="citations"><span class="article-header__meta-info-label">Cited by: </span><span class="article-header__meta-info-data"><span id="js-citations__count">117</span> articles</span><span id="js-citations__control" class="article-header__meta-info-2nd-data"></span><div id="citation-tools" class="article-header__meta-info-2nd-data citation-tools dialogue js-module" data-module="dialogue"><button type="button" class="button__link dialogue__action--set"><span class="icon icon__tools"></span> Citation tools </button><div class="dialogue__popup" role="dialog" aria-labelledby="citation-tools"><div class="dialogue__head"></div><div class="dialogue__body"><ul class="u-list-plain"><li><form action="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/enhanced/alerts/citations/doi/10.1111/j.1532-5415.2004.52054.x" class="js-module" method="POST" data-module="citation-alert" data-user-profile="http://onlinelibrary.wiley.com/myprofile/alertManager" data-state="off" data-login="https://secure.onlinelibrary.wiley.com/secure/login/?originalUrl=http%3A%2F%2Fonlinelibrary.wiley.com%2Fenhanced%2Falerts%2Fcitations%2Fdoi%2F10.1111%2Fj.1532-5415.2004.52054.x&wolSessionId=9a379bfcf00a417e94d0f1b486645fde" data-registration="http://onlinelibrary.wiley.com/user-registration"><input name="method" type="hidden" value="POST"/><button class="button__link dialogue__list-item" type="submit"><span class="icon icon__bell"></span> Set citation alert </button></form></li><li><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/enhanced/refreshCitedBy?doi=10.1111/j.1532-5415.2004.52054.x&refreshCitedByCounter=true" class="js-citations__refresh dialogue__list-item"><span class="icon icon__refresh"></span> Check for new citations </a></li><li class="citations__link"><a href="#footer-citing" class="js-scrollto dialogue__list-item"><span class="icon icon__info"></span> Citing literature </a></li></ul></div></div></div></li><li class="article-header__meta-info-item"><div data-module="alt-metrics" class="js-module altmetric-embed" data-badge-type="1" data-doi="10.1111/j.1532-5415.2004.52054.x" data-badge-popover="bottom" data-link-target="_blank"></div></li></ul></div></div><hr/><div class="article-header__references-container"><ul class="article-header__references-list"><li id="fn1" class="article-header__references-item"><p>Funding support was received from Partnership for Solutions, a National Program of the Robert Wood Johnson Foundation. Dr. Bynum received funding support from The Hartford/AFAR Geriatrics Fellowship Program. This paper was presented at the American Geriatric Society Meeting, May 2002, Washington, DC.</p></li></ul></div><div class="article-header__correspondence-to"><span class="icon icon__article-header icon__email"></span><p>Address correspondence to Julie Bynum, MD, MPH, Medical Center Drive, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, 03756. E-mail: <a href="https://web.archive.org/web/20170130155635/mailto:julie.bynum@hitchcock.org" title="Link to email address">julie.bynum@hitchcock.org</a></p></div></header><section id="abstract" class="article-section article-section--abstract"><div id="en_main_abstract" class="article-section__content mainAbstract" lang="en"><h2 class="article-section__header">Abstract</h2><p><b>Objectives: </b> To determine whether dementia increases medical expenditures, the probability of hospitalization, and potentially preventable hospitalization, controlling for variables including age and comorbidity.</p><p><b>Design: </b> Cross-sectional analysis of 1 year of claims data comparing usage by patients with claims for dementia with usage by those without dementia.</p><p><b>Setting: </b> A nationally representative 5% random sample of Medicare beneficiaries in 1999.</p><p><b>Participants: </b> Medicare beneficiaries aged 65 and older with fee-for-service Medicare Parts A and B coverage for 1999 (N=1,238,895; dementia patients n=103,512).</p><p><b>Measurements: </b> Per capita expenditures, rate of all-cause hospitalization, rate of preventable hospitalization as defined using ambulatory-care sensitive condition (ACSC) admissions, and dementia identified using International Classification of Diseases, 9th Edition, codes 290, 294, and 331.</p><p><b>Results: </b> Prevalence of dementia was 8.3%. In a model of expenditures in those who survived the year adjusting for age, sex, race, and comorbidity, dementia was associated with an incremental cost of $6,927, or 3.3 times greater total expenditures than in nondementia patients (<em>P</em><<em>.</em>001), with higher expenditures for each specific type of Medicare service. Hospitalization accounted for 54% of adjusted costs. The adjusted odds of hospitalization associated with dementia were 3.68 (95% confidence interval (CI)=3.62–3.73) and adjusted odds of ACSC hospitalization were 2.40 (95% CI=2.35–2.46). In those who died, the associations were positive but of smaller magnitude.</p><p><b>Conclusion: </b> In a nationally representative sample, higher Medicare expenditures associated with a diagnosis of dementia are in large part due to increased hospitalization. Further study is needed into the factors associated with high rates of hospitalization in dementia patients including aspects of ambulatory management that may be improved. <b>J Am Geriatr Soc 52:187–194, 2004.</b></p></div></section><span id="after-abstract"></span><div class="accordion"><div class="accordion__title"><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/wol1/doi/10.1111/j.1532-5415.2004.52054.x/full" class="accordion__control"><span class="icon icon__double-chevron"></span> Continue reading full article </a></div></div><section id="pdf-section" class="article-section article-section__pdf-container article-section__pdf-container--journal js-pdf-content"><ul class="box-actions__wrapper"><li class="box-actions box-actions--readcube"><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52054.x/epdf" class="js-article-section__pdf-container-link article-section__pdf-container-link"><span class="icon icon__readcube"></span><span class="js-article-section__pdf-container-title box-actions__title">Enhanced PDF</span></a></li><li class="box-actions"><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52054.x/pdf" class="js-article-section__pdf-container-link article-section__pdf-container-link"><span class="icon icon__pdf"></span><span class="js-article-section__pdf-container-title box-actions__title">Standard PDF</span><span class="js-article-section__pdf-container-size box-actions__meta"> (113.6 KB) </span></a></li></ul></section><footer class="article-footer js-module" data-module="Footer"><h2 class="is-accessible">Ancillary</h2><section id="footer-article-info" class="article-footer__section"><h3 class="article-footer__section-title js-footer-title"><i class="icon icon__double-chevron"></i>Article Information</h3><div class="article-info__section-content js-footer-info js-article-info"><div class="article-info__doi-container"><h4 class="article-info__section-sub-title">DOI</h4><span class="article-info__section-doi-data">10.1111/j.1532-5415.2004.52054.x</span><ul class="article-info__list u-list-plain"><li class="article-info__citations-item"><a href="/web/20170130155635/http://onlinelibrary.wiley.com/enhanced/exportCitation/doi/10.1111/j.1532-5415.2004.52054.x" class="article-header__meta-info-2nd-data analytics-view-citation js-module" data-module="fragment">View/save citation</a></li></ul></div><div class="article-info__format-container article-format"><h4 class="article-info__section-sub-title">Format Available</h4><span class="article-info__section-format-data">Full text: HTML | PDF</span></div><p class="request-permissions"><a href="https://web.archive.org/web/20170130155635/https://s100.copyright.com/AppDispatchServlet?publisherName=Wiley&publication=JGS&title=The%20Relationship%20Between%20a%20Dementia%20Diagnosis%2C%20Chronic%20Illness%2C%20Medicare%20Expenditures%2C%20and%20Hospital%20Use&publicationDate=22%20JAN%202004&author=Julie%20P.%20W.%20Bynum%2CPeter%20V.%20Rabins%2CWendy%20Weller%2CMarlene%20Niefeld%2CGerard%20F.%20Anderson%2CAlbert%20W.%20Wu&startPage=187&endPage=194&copyright=&contentID=10.1111%2Fj.1532-5415.2004.52054.x&orderSource=Wileyonline&orderBeanReset=true" class="js-module" data-module="rights-link" target="_blank"><span class="icon-aa icon-aa__permission"></span> Request Permissions </a></p><div class="article-info__keywords-plus-wrapper"><div class="article-info__keywords-container"><h4 class="article-info__section-sub-title">Keywords</h4><ul class="article-info__keywords-list u-horizontal-list"><li class="article-info__keywords-item"><span class="article-info__keywords-data">dementia; </span></li><li class="article-info__keywords-item"><span class="article-info__keywords-data">comorbid illness; </span></li><li class="article-info__keywords-item"><span class="article-info__keywords-data">utilization; </span></li><li class="article-info__keywords-item"><span class="article-info__keywords-data">hospitalization</span></li></ul></div><span id="after-keywords"></span></div><div class="article-info__publication-history-container" id="publication-history"><h4 class="article-info__section-sub-title">Publication History</h4><ul class="article-info__publication-history-list u-list-plain"><li class="article-info__publication-history-item"><span class="article-info__publication-history-label">Issue online: </span><time datetime="2004-01-22" class="article-info__publication-history-data">22 January 2004</time></li><li class="article-info__publication-history-item"><span class="article-info__publication-history-label">Version of record online: </span><time datetime="2004-01-22" class="article-info__publication-history-data">22 January 2004</time></li></ul></div><span id="after-funding-information"></span></div></section><section id="related-content" class="article-footer__section article-section"><h3 class="article-footer__section-title js-footer-title js-footer-title--active"><span class="icon icon__double-chevron"></span>Related content </h3><div class="article-info__section-content js-footer-info js-footer-info--active"><section class="results"><h4 class="results__title">Articles related to the one you are viewing</h4><div class="related-articles js-module" data-module="related-articles" data-url="https://web.archive.org/web/20170130155635oe_/http://onlinelibrary.wiley.com/enhanced/related/doi/10.1111/j.1532-5415.2004.52054.x/"><noscript><p class="results__summary">Please enable Javascript to view the related content of this article.</p></noscript></div></section></div></section><section id="footer-citing" class="article-footer__section citations__section"><h3 class="article-footer__section-title js-footer-title"><span class="icon icon__double-chevron"></span>Citing Literature </h3><div id="js-citations__section" class="article-info__section-content js-footer-info"><div class="modal__header"><ul class="cited-info__list u-horizontal-list"><li class="cited-info__item"><span class="cited-info__text">Number of times cited</span>: <span id="js-citations__counter">117</span></li></ul></div><div class="modal__scrollable"><ol class="article-section__citation-list"><li><span class="bullet">1</span><cite><span class="author">Chenkun Wang</span>, <span class="author">Sujuan Gao</span>, <span class="author">Hugh C. Hendrie</span>, <span class="author">Joe Kesterson</span>, <span class="author">Noll L. Campbell</span>, <span class="author">Anantha Shekhar</span>, <span class="author">Christopher M. Callahan</span>, Antidepressant Use in the Elderly Is Associated With an Increased Risk of Dementia, <span class="journalTitle">Alzheimer Disease & Associated Disorders</span>, <span class="pubYear">2016</span>, <span class="vol">30</span>, 2, 99</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1097/WAD.0000000000000103" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">2</span><cite><span class="author">Fabio Agusta</span>, <span class="author">Salvatore Battaglia</span>, <span class="author">Alida Benfante</span>, <span class="author">Mario Spatafora</span>, <span class="author">Nicola Scichilone</span>, Challenges in the pharmacological treatment of geriatric asthma, <span class="journalTitle">Expert Review of Clinical Pharmacology</span>, <span class="pubYear">2016</span>, <span class="vol">9</span>, 7, 917</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1586/17512433.2016.1167596" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">3</span><cite><span class="author">Saskia N. Sivananthan</span>, <span class="author">Kimberlyn M. McGrail</span>, Diagnosis and Disruption: Population-Level Analysis Identifying Points of Care at Which Transitions Are Highest for People with Dementia and Factors That Contribute to Them, <span class="journalTitle">Journal of the American Geriatrics Society</span>, <span class="pubYear">2016</span>, <span class="vol">64</span>, 3, 569</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/enhanced/doi/10.1111/jgs.14033" class="article-section__citation-link">Wiley Online Library</a></li><li><span class="bullet">4</span><cite><span class="author">Maria Gustafsson</span>, <span class="author">Maria Sjölander</span>, <span class="author">Bettina Pfister</span>, <span class="author">Jeanette Jonsson</span>, <span class="author">Jörn Schneede</span>, <span class="author">Hugo Lövheim</span>, Drug-related hospital admissions among old people with dementia, <span class="journalTitle">European Journal of Clinical Pharmacology</span>, <span class="pubYear">2016</span>, <span class="vol">72</span>, 9, 1143</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1007/s00228-016-2084-3" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">5</span><cite><span class="author">Mary D Naylor</span>, <span class="author">Karen B Hirschman</span>, <span class="author">Alexandra L Hanlon</span>, <span class="author">Kathryn H Bowles</span>, <span class="author">Christine Bradway</span>, <span class="author">Kathleen M McCauley</span>, <span class="author">Mark V Pauly</span>, Effects of alternative interventions among hospitalized, cognitively impaired older adults, <span class="journalTitle">Journal of Comparative Effectiveness Research</span>, <span class="pubYear">2016</span>, <span class="vol">5</span>, 3, 259</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.2217/cer-2015-0009" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">6</span><cite><span class="author">Michael A. LaMantia</span>, <span class="author">Timothy E. Stump</span>, <span class="author">Frank C. Messina</span>, <span class="author">Douglas K. Miller</span>, <span class="author">Christopher M. Callahan</span>, Emergency Department Use Among Older Adults With Dementia, <span class="journalTitle">Alzheimer Disease & Associated Disorders</span>, <span class="pubYear">2016</span>, <span class="vol">30</span>, 1, 35</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1097/WAD.0000000000000118" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">7</span><cite><span class="author">Clément Pimouguet</span>, <span class="author">Debora Rizzuto</span>, <span class="author">Johan Fastbom</span>, <span class="author">Mårten Lagergren</span>, <span class="author">Laura Fratiglioni</span>, <span class="author">Weili Xu</span>, Influence of Incipient Dementia on Hospitalization for Primary Care Sensitive Conditions: A Population-Based Cohort Study, <span class="journalTitle">Journal of Alzheimer's Disease</span>, <span class="pubYear">2016</span>, <span class="vol">52</span>, 1, 213</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.3233/JAD-150853" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">8</span><cite><span class="author">Barbara Resnick</span>, <span class="author">Lauren Beaupre</span>, <span class="author">Katherine S. McGilton</span>, <span class="author">Elizabeth Galik</span>, <span class="author">Wen Liu</span>, <span class="author">Mark D. Neuman</span>, <span class="author">Ann L. Gruber-Baldini</span>, <span class="author">Denise Orwig</span>, <span class="author">Jay Magaziner</span>, Rehabilitation Interventions for Older Individuals With Cognitive Impairment Post-Hip Fracture: A Systematic Review, <span class="journalTitle">Journal of the American Medical Directors Association</span>, <span class="pubYear">2016</span>, <span class="vol">17</span>, 3, 200</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/j.jamda.2015.10.004" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">9</span><cite><span class="author">Erin M. Colligan</span>, <span class="author">Jesse M. Pines</span>, <span class="author">Elizabeth Colantuoni</span>, <span class="author">Benjamin Howell</span>, <span class="author">Jennifer L. Wolff</span>, Risk Factors for Persistent Frequent Emergency Department Use in Medicare Beneficiaries, <span class="journalTitle">Annals of Emergency Medicine</span>, <span class="pubYear">2016</span>, <span class="vol">67</span>, 6, 721</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/j.annemergmed.2016.01.033" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">10</span><cite><span class="author">Huei-Ru Lin</span>, <span class="author">Tetsuya Otsubo</span>, <span class="author">Noriko Sasaki</span>, <span class="author">Yuichi Imanaka</span>, The determinants of long-term care expenditure and their interactions, <span class="journalTitle">International Journal of Healthcare Management</span>, <span class="pubYear">2016</span>, 1</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1080/20479700.2016.1141469" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">11</span><cite><span class="author">Hsueh-Fen Chen</span>, <span class="author">Sharon Homan</span>, <span class="author">Erin Carlson</span>, <span class="author">Taiye Popoola</span>, <span class="author">Kavita Radhakrishnan</span>, The Impact of Race and Neighborhood Racial Composition on Preventable Readmissions for Diabetic Medicare Home Health Beneficiaries, <span class="journalTitle">Journal of Racial and Ethnic Health Disparities</span>, <span class="pubYear">2016</span></cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1007/s40615-016-0268-2" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">12</span><cite><span class="author">Elizabeth A. Phelan</span>, <span class="author">Katrina J. Debnam</span>, <span class="author">Lynda A. Anderson</span>, <span class="author">Steven B. Owens</span>, A Systematic Review of Intervention Studies to Prevent Hospitalizations of Community-dwelling Older Adults With Dementia, <span class="journalTitle">Medical Care</span>, <span class="pubYear">2015</span>, <span class="vol">53</span>, 2, 207</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1097/MLR.0000000000000294" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">13</span><cite><span class="author">Saskia N. Sivananthan</span>, <span class="author">M. Ruth Lavergne</span>, <span class="author">Kimberlyn M. McGrail</span>, Caring for dementia: A population-based study examining variations in guideline-consistent medical care, <span class="journalTitle">Alzheimer's & Dementia</span>, <span class="pubYear">2015</span>, <span class="vol">11</span>, 8, 906</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/j.jalz.2015.02.008" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">14</span><cite><span class="author">Cynthia L. Leibson</span>, <span class="author">Kirsten Hall Long</span>, <span class="author">Jeanine E. Ransom</span>, <span class="author">Rosebud O. Roberts</span>, <span class="author">Steven L. Hass</span>, <span class="author">Amy M. Duhig</span>, <span class="author">Carin Y. Smith</span>, <span class="author">Jane A. Emerson</span>, <span class="author">V. Shane Pankratz</span>, <span class="author">Ronald C. Petersen</span>, Direct medical costs and source of cost differences across the spectrum of cognitive decline: A population-based study, <span class="journalTitle">Alzheimer's & Dementia</span>, <span class="pubYear">2015</span>, <span class="vol">11</span>, 8, 917</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/j.jalz.2015.01.007" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">15</span><cite><span class="author">Colleen J. Maxwell</span>, <span class="author">Joseph E. Amuah</span>, <span class="author">David B. Hogan</span>, <span class="author">Monica Cepoiu-Martin</span>, <span class="author">Andrea Gruneir</span>, <span class="author">Scott B. Patten</span>, <span class="author">Andrea Soo</span>, <span class="author">Kenneth Le Clair</span>, <span class="author">Kimberley Wilson</span>, <span class="author">Brad Hagen</span>, <span class="author">Laurel A. Strain</span>, Elevated Hospitalization Risk of Assisted Living Residents With Dementia in Alberta, Canada, <span class="journalTitle">Journal of the American Medical Directors Association</span>, <span class="pubYear">2015</span>, <span class="vol">16</span>, 7, 568</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/j.jamda.2015.01.079" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">16</span><cite><span class="author">Salvatore Battaglia</span>, <span class="author">Irene Cardillo</span>, <span class="author">Federico Lavorini</span>, <span class="author">Mario Spatafora</span>, <span class="author">Nicola Scichilone</span>, Erratum to: Safety Considerations of Inhaled Corticosteroids in the Elderly, <span class="journalTitle">Drugs & Aging</span>, <span class="pubYear">2015</span>, <span class="vol">32</span>, 12, 1067</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1007/s40266-015-0320-7" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">17</span><cite><span class="author">Janice F. Bell</span>, <span class="author">Annette L. Fitzpatrick</span>, <span class="author">Catherine Copeland</span>, <span class="author">Gloria Chi</span>, <span class="author">Lesley Steinman</span>, <span class="author">Robin L. Whitney</span>, <span class="author">David C. Atkins</span>, <span class="author">Lucinda L. Bryant</span>, <span class="author">Francine Grodstein</span>, <span class="author">Eric Larson</span>, <span class="author">Rebecca Logsdon</span>, <span class="author">Mark Snowden</span>, Existing data sets to support studies of dementia or significant cognitive impairment and comorbid chronic conditions, <span class="journalTitle">Alzheimer's & Dementia</span>, <span class="pubYear">2015</span>, <span class="vol">11</span>, 6, 622</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/j.jalz.2014.07.002" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">18</span><cite><span class="author">Tetine L. Sentell</span>, <span class="author">Nicole Valcour</span>, <span class="author">Hyeong Jun Ahn</span>, <span class="author">Jill Miyamura</span>, <span class="author">Beau Nakamoto</span>, <span class="author">Dominic Chow</span>, <span class="author">Kamal Masaki</span>, <span class="author">Todd B. Seto</span>, <span class="author">John J. Chen</span>, <span class="author">Cecilia Shikuma</span>, High Rates of Native Hawaiian and Older Japanese Adults Hospitalized with Dementia in Hawai‘i, <span class="journalTitle">Journal of the American Geriatrics Society</span>, <span class="pubYear">2015</span>, <span class="vol">63</span>, 1, 158</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/enhanced/doi/10.1111/jgs.13182" class="article-section__citation-link">Wiley Online Library</a></li><li><span class="bullet">19</span><cite><span class="author">Anna-Maija Tolppanen</span>, <span class="author">Heidi Taipale</span>, <span class="author">Timo Purmonen</span>, <span class="author">Marjaana Koponen</span>, <span class="author">Hilkka Soininen</span>, <span class="author">Sirpa Hartikainen</span>, Hospital admissions, outpatient visits and healthcare costs of community-dwellers with Alzheimer's disease, <span class="journalTitle">Alzheimer's & Dementia</span>, <span class="pubYear">2015</span>, <span class="vol">11</span>, 8, 955</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/j.jalz.2014.10.005" class="article-section__citation-link" target="_blank">CrossRef</a></li><li><span class="bullet">20</span><cite><span class="author">David M. Bass</span>, <span class="author">Katherine S. Judge</span>, <span class="author">Katie Maslow</span>, <span class="author">Nancy L. Wilson</span>, <span class="author">Robert O. Morgan</span>, <span class="author">Catherine A. McCarthy</span>, <span class="author">Wendy J. Looman</span>, <span class="author">A. Lynn Snow</span>, <span class="author">Mark E. Kunik</span>, Impact of the care coordination program “Partners in Dementia Care” on veterans' hospital admissions and emergency department visits, <span class="journalTitle">Alzheimer's & Dementia: Translational Research & Clinical Interventions</span>, <span class="pubYear">2015</span>, <span class="vol">1</span>, 1, 13</cite><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/j.trci.2015.03.003" class="article-section__citation-link" target="_blank">CrossRef</a></li></ol></div><p class="weight-bold"><a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/enhanced/showAllCitations/doi/10.1111/j.1532-5415.2004.52054.x" class="js-module" data-module="fragment" data-fragment="large"> View all 117 citations </a></p></div></section></footer></article> </article> </article> <div class="l-article-support"> <div class="article-support js-article-support js-module" data-module="infopane"> <div class="article-support__links js-article-support-links"> <nav class="article-support__list-wrapper js-article-support-list-wrapper"> <ul class="article-support__list js-article-support-list u-list-plain"> <li class="article-support__item--pdf "> <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52054.x/pdf" class="article-support__item-link js-infopane-pdf " data-support-type="PDF_options"> <span class="icon-aa icon-aa__sidepane icon-aa__sidepane--pdf"></span> <span class="article-support__item-text">PDF</span> </a> </li> <li class="article-support__item--epdf"> <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52054.x/epdf" class="article-support__item-link js-infopane-epdf"> <span class="icon-aa icon-aa__sidepane icon-aa__sidepane--pdf"></span> <span class="article-support__item-text">PDF</span> </a> </li> <li> <a href="#footer-article-info" class="article-support__item-link js-infopane-toggle" data-support-type="Information"> <span class="icon-aa icon-aa__sidepane icon-aa__sidepane--info"></span> <span class="article-support__item-text">Info</span> </a> </li> </ul> </nav> </div> <div class="article-support__pane js-article-support-pane is-hidden"> <div class="article-support__pane-title-bar"> <div class="article-support__pane-title js-article-support-title"></div> <div class="article-support__pane-close js-article-support-close"> <a href="#" class="article-support__pane-close__link" data-close="close" title="Close article support pane"> <span class="icon icon__infopane-close"></span> <span class="is-accessible">Close article support pane</span> </a> </div> </div> <div class="article-support__pane-content js-article-support-content"></div> </div> </div> </div> </div> </div> </div> <div id="region__footer">  <div class="stripe" role="presentation"> <div class="fill fill--1"></div> <div class="fill fill--2"></div> <div class="fill fill--3"></div> <div class="fill fill--4"></div> </div> <footer class="footer footer--wiley" role="contentinfo"> <nav class="footer__nav" role="navigation" aria-label="Wiley Online Library Footer"> <ul class="footer__list footer__list--logo"> <li> <h2 class="footer__logo"> <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/"> <img src="/web/20170130155635im_/http://onlinelibrary.wiley.com/enhanced/static/common/images/brand/wiley/footer-logo.svg?version=1.13.3" onerror="this.src=this.src.replace('svg','png');" alt="Wiley"/> </a> </h2> </li> </ul> <ul class="footer__list"> <li> <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/browse/publications"> <b>Browse Publications</b> </a> </li> <li> <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/browse/subjects"> <b>Browse by Subject</b> </a> </li> <li> <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://olabout.wiley.com/WileyCDA/Section/id-390229.html"> <b>Resources</b> </a> </li> </ul> <ul class="footer__list"> <li> <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://journalshelp.wiley.com/">Help & Support</a> </li> <li> <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://olabout.wiley.com/WileyCDA/Section/id-813473.html">Cookies</a> & <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/privacyPolicy">Privacy</a> </li> <li> <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/termsAndConditions">Terms & Conditions</a> </li> </ul> <ul class="footer__list"> <li> <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://olabout.wiley.com/WileyCDA/Section/id-390001.html">About Us</a> </li> <li> <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://www.wileyjobnetwork.com/">Wiley Job Network</a> </li> <li> <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://olabout.wiley.com/WileyCDA/Section/id-390236.html">Advertisers</a> & <a class="footer__link" href="https://web.archive.org/web/20170130155635/http://olabout.wiley.com/WileyCDA/Section/id-390243.html">Agents</a> </li> </ul> </nav> <div class="footer__copy" aria-label="Learn more about Wiley"> <p class="footer__text footer__text--slogan">Powered by <a href="https://web.archive.org/web/20170130155635/http://onlinelibrary.wiley.com/" class="footer__link footer__link--active">Wiley Online Library</a></p> <p class="footer__text">Copyright © 1999 - 2017 <a href="https://web.archive.org/web/20170130155635/http://www.wiley.com/" class="footer__link footer__link--active">John Wiley & Sons, Inc.</a> All Rights Reserved</p> </div> </footer> <script> //<![CDATA[ Modernizr.load([ { load : '/enhanced/static/common/js/vendor/wiley-require.js', callback: function() { var interval = setInterval(function() { if ( typeof WILEY !== 'undefined' && WILEY.requirejs ) { // Stop us from having to load an extra RequireJS for Cochrane window.define = WILEY.define; window.require = WILEY.require; window.requirejs = WILEY.requirejs; WILEY.requirejs([ '/enhanced/static/common/js/wiley-common.js?version=1.13.3', '/enhanced/static/js/wiley-article.js?version=1.13.3' ], function() { WILEY.requirejs([ 'common/modules/main', 'modules/main-article' ] ); }); clearInterval(interval); } }, 100 ); } } ]); //]]> </script> </div> </div> <script type="text/javascript">_satellite.pageBottom();</script> </div> </body> </html>

CINXE.COM

The Relationship Between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use - Bynum - 2004 - Journal of the American Geriatrics Society - Wiley Online Library