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Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study
BACKGROUND: Determining the epidemiology of dementia among the population as a whole in specific jurisdictions – including the long-term care population–is essential to providing appropriate care. The objectives of this study were to use linked administrative databases in the province of Saskatchewa...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4489119/ https://www.ncbi.nlm.nih.gov/pubmed/26135912 http://dx.doi.org/10.1186/s12877-015-0075-3 |
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author | Kosteniuk, Julie G. Morgan, Debra G. O’Connell, Megan E. Kirk, Andrew Crossley, Margaret Teare, Gary F. Stewart, Norma J. Bello-Haas, Vanina Dal Forbes, Dorothy A. Innes, Anthea Quail, Jacqueline M. |
author_facet | Kosteniuk, Julie G. Morgan, Debra G. O’Connell, Megan E. Kirk, Andrew Crossley, Margaret Teare, Gary F. Stewart, Norma J. Bello-Haas, Vanina Dal Forbes, Dorothy A. Innes, Anthea Quail, Jacqueline M. |
author_sort | Kosteniuk, Julie G. |
collection | PubMed |
description | BACKGROUND: Determining the epidemiology of dementia among the population as a whole in specific jurisdictions – including the long-term care population–is essential to providing appropriate care. The objectives of this study were to use linked administrative databases in the province of Saskatchewan to determine the 12-month incidence and prevalence of dementia for the 2012/13 period (1) among individuals aged 45 and older in the province of Saskatchewan, (2) according to age group and sex, and (3) according to diagnosis code and other case definition criteria. METHODS: We used a population-based retrospective cohort study design and extracted data from 10 provincial health databases linked by a unique health services number. The cohort included individuals 45 years and older at first identification of dementia between April 1, 2001 and March 31, 2013 based on case definitions met within any one of four administrative health databases (Hospital Discharge Abstracts, Physician Service Claims, Prescription Drug, and RAI-MDS, i.e., Long-term Care). RESULTS: A total of 3,270 incident cases of dementia (7.28 per 1,000 PAR) and 13,012 prevalent cases (28.16 per 1,000 PAR) were identified during 2012/13. This study found the incidence rate increased by 2.8 to 5.1 times and the prevalence rate increased by 2.6 to 4.6 times every 10 years after 45 years of age. Overall, the age-standardised incidence rate was significantly lower among females than males (7.04 vs. 7.65 per 1,000 PAR) and the age-standardised prevalence rate was significantly higher among females than males (28.92 vs. 26.53 per 1,000 PAR). Over one-quarter (28 %) of all incident cases were admitted to long-term care before a diagnosis was formally recorded in physician or hospital data, and nearly two-thirds of these cases were identified at admission with impairment at the moderate to very severe level or a disease category of Alzheimer’s disease/other dementia. CONCLUSIONS: Linking multiple sources of registry data contributes to our understanding of the epidemiology of dementia across multiple segments of the population, inclusive of individuals residing in long-term care. This information is foundational for public awareness and policy recommendations, health promotion and prevention strategies, appropriate health resource planning, and research priorities. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12877-015-0075-3) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4489119 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44891192015-07-03 Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study Kosteniuk, Julie G. Morgan, Debra G. O’Connell, Megan E. Kirk, Andrew Crossley, Margaret Teare, Gary F. Stewart, Norma J. Bello-Haas, Vanina Dal Forbes, Dorothy A. Innes, Anthea Quail, Jacqueline M. BMC Geriatr Research Article BACKGROUND: Determining the epidemiology of dementia among the population as a whole in specific jurisdictions – including the long-term care population–is essential to providing appropriate care. The objectives of this study were to use linked administrative databases in the province of Saskatchewan to determine the 12-month incidence and prevalence of dementia for the 2012/13 period (1) among individuals aged 45 and older in the province of Saskatchewan, (2) according to age group and sex, and (3) according to diagnosis code and other case definition criteria. METHODS: We used a population-based retrospective cohort study design and extracted data from 10 provincial health databases linked by a unique health services number. The cohort included individuals 45 years and older at first identification of dementia between April 1, 2001 and March 31, 2013 based on case definitions met within any one of four administrative health databases (Hospital Discharge Abstracts, Physician Service Claims, Prescription Drug, and RAI-MDS, i.e., Long-term Care). RESULTS: A total of 3,270 incident cases of dementia (7.28 per 1,000 PAR) and 13,012 prevalent cases (28.16 per 1,000 PAR) were identified during 2012/13. This study found the incidence rate increased by 2.8 to 5.1 times and the prevalence rate increased by 2.6 to 4.6 times every 10 years after 45 years of age. Overall, the age-standardised incidence rate was significantly lower among females than males (7.04 vs. 7.65 per 1,000 PAR) and the age-standardised prevalence rate was significantly higher among females than males (28.92 vs. 26.53 per 1,000 PAR). Over one-quarter (28 %) of all incident cases were admitted to long-term care before a diagnosis was formally recorded in physician or hospital data, and nearly two-thirds of these cases were identified at admission with impairment at the moderate to very severe level or a disease category of Alzheimer’s disease/other dementia. CONCLUSIONS: Linking multiple sources of registry data contributes to our understanding of the epidemiology of dementia across multiple segments of the population, inclusive of individuals residing in long-term care. This information is foundational for public awareness and policy recommendations, health promotion and prevention strategies, appropriate health resource planning, and research priorities. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12877-015-0075-3) contains supplementary material, which is available to authorized users. BioMed Central 2015-07-03 /pmc/articles/PMC4489119/ /pubmed/26135912 http://dx.doi.org/10.1186/s12877-015-0075-3 Text en © Kosteniuk et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Kosteniuk, Julie G. Morgan, Debra G. O’Connell, Megan E. Kirk, Andrew Crossley, Margaret Teare, Gary F. Stewart, Norma J. Bello-Haas, Vanina Dal Forbes, Dorothy A. Innes, Anthea Quail, Jacqueline M. Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study |
title | Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study |
title_full | Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study |
title_fullStr | Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study |
title_full_unstemmed | Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study |
title_short | Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study |
title_sort | incidence and prevalence of dementia in linked administrative health data in saskatchewan, canada: a retrospective cohort study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4489119/ https://www.ncbi.nlm.nih.gov/pubmed/26135912 http://dx.doi.org/10.1186/s12877-015-0075-3 |
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