Healthcare use by veterans treated for diabetes mellitus in the Veterans Affairs medical care system

Research output: Contribution to journalArticle

Carol M. Ashton, Joshua D. Septimus, Nancy J. Petersen, Julianne Souchek, Terri J. Menke, Tracie C. Collins, Nelda Wray

Objectives: To estimate the burden of comorbid conditions and to describe patterns of inpatient and outpatient service use by veterans with diabetes mellitus. Study design: Retrospective cohort study of 33 481 veterans conducted by means of secondary analysis of Department of Veterans Affairs (VA) healthcare utilization databases. Patients and methods: The cohort was constructed by enrolling all veterans treated in the VA medical care system who had their initial VA hospitalization for diabetes mellitus between 1992 and 1997. To estimate the typical annual pattern of service use for diabetes mellitus, 1997 utilization rates per person-year were analyzed based on cohort members surviving into 1997. Data on comorbid conditions were obtained from outpatient and inpatient contacts. Results: The 3 most prevalent coexisting conditions were hypertension (73.4%), ischemic heart disease (35.2%), and alcohol or drug abuse disorders (29.5%). In 1997, the typical cohort member followed for 12 months had 6 primary care visits, 16 other visits for tests or consultations, and 1.3 unscheduled visits for emergency or urgent care and spent approximately 8 days in the hospital. One-year survival was 94.0%. Conclusions: In the VA medical care system, beneficiaries with diabetes mellitus have an extremely heavy burden of comorbidities, face a significant risk of dying in a given year (approximately 6% in this population), and are heavy users of hospital and outpatient services.

Original languageEnglish (US)
Pages (from-to)145-150
Number of pages6
JournalAmerican Journal of Managed Care
Volume9
Issue number2
StatePublished - Feb 1 2003

PMID: 12597602

Cite this

Standard

Healthcare use by veterans treated for diabetes mellitus in the Veterans Affairs medical care system. / Ashton, Carol M.; Septimus, Joshua D.; Petersen, Nancy J.; Souchek, Julianne; Menke, Terri J.; Collins, Tracie C.; Wray, Nelda.

In: American Journal of Managed Care, Vol. 9, No. 2, 01.02.2003, p. 145-150.

Research output: Contribution to journalArticle

Harvard

Ashton, CM, Septimus, JD, Petersen, NJ, Souchek, J, Menke, TJ, Collins, TC & Wray, N 2003, 'Healthcare use by veterans treated for diabetes mellitus in the Veterans Affairs medical care system' American Journal of Managed Care, vol. 9, no. 2, pp. 145-150.

APA

Ashton, C. M., Septimus, J. D., Petersen, N. J., Souchek, J., Menke, T. J., Collins, T. C., & Wray, N. (2003). Healthcare use by veterans treated for diabetes mellitus in the Veterans Affairs medical care system. American Journal of Managed Care, 9(2), 145-150.

Vancouver

Ashton CM, Septimus JD, Petersen NJ, Souchek J, Menke TJ, Collins TC et al. Healthcare use by veterans treated for diabetes mellitus in the Veterans Affairs medical care system. American Journal of Managed Care. 2003 Feb 1;9(2):145-150.

Author

Ashton, Carol M. ; Septimus, Joshua D. ; Petersen, Nancy J. ; Souchek, Julianne ; Menke, Terri J. ; Collins, Tracie C. ; Wray, Nelda. / Healthcare use by veterans treated for diabetes mellitus in the Veterans Affairs medical care system. In: American Journal of Managed Care. 2003 ; Vol. 9, No. 2. pp. 145-150.

BibTeX

@article{00c08db9f09d402ca60396c3ee1528e0,
title = "Healthcare use by veterans treated for diabetes mellitus in the Veterans Affairs medical care system",
abstract = "Objectives: To estimate the burden of comorbid conditions and to describe patterns of inpatient and outpatient service use by veterans with diabetes mellitus. Study design: Retrospective cohort study of 33 481 veterans conducted by means of secondary analysis of Department of Veterans Affairs (VA) healthcare utilization databases. Patients and methods: The cohort was constructed by enrolling all veterans treated in the VA medical care system who had their initial VA hospitalization for diabetes mellitus between 1992 and 1997. To estimate the typical annual pattern of service use for diabetes mellitus, 1997 utilization rates per person-year were analyzed based on cohort members surviving into 1997. Data on comorbid conditions were obtained from outpatient and inpatient contacts. Results: The 3 most prevalent coexisting conditions were hypertension (73.4{\%}), ischemic heart disease (35.2{\%}), and alcohol or drug abuse disorders (29.5{\%}). In 1997, the typical cohort member followed for 12 months had 6 primary care visits, 16 other visits for tests or consultations, and 1.3 unscheduled visits for emergency or urgent care and spent approximately 8 days in the hospital. One-year survival was 94.0{\%}. Conclusions: In the VA medical care system, beneficiaries with diabetes mellitus have an extremely heavy burden of comorbidities, face a significant risk of dying in a given year (approximately 6{\%} in this population), and are heavy users of hospital and outpatient services.",
author = "Ashton, {Carol M.} and Septimus, {Joshua D.} and Petersen, {Nancy J.} and Julianne Souchek and Menke, {Terri J.} and Collins, {Tracie C.} and Nelda Wray",
year = "2003",
month = "2",
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language = "English (US)",
volume = "9",
pages = "145--150",
journal = "The American journal of managed care",
issn = "1096-1860",
publisher = "Ascend Media",
number = "2",

}

RIS

TY - JOUR

T1 - Healthcare use by veterans treated for diabetes mellitus in the Veterans Affairs medical care system

AU - Ashton, Carol M.

AU - Septimus, Joshua D.

AU - Petersen, Nancy J.

AU - Souchek, Julianne

AU - Menke, Terri J.

AU - Collins, Tracie C.

AU - Wray, Nelda

PY - 2003/2/1

Y1 - 2003/2/1

N2 - Objectives: To estimate the burden of comorbid conditions and to describe patterns of inpatient and outpatient service use by veterans with diabetes mellitus. Study design: Retrospective cohort study of 33 481 veterans conducted by means of secondary analysis of Department of Veterans Affairs (VA) healthcare utilization databases. Patients and methods: The cohort was constructed by enrolling all veterans treated in the VA medical care system who had their initial VA hospitalization for diabetes mellitus between 1992 and 1997. To estimate the typical annual pattern of service use for diabetes mellitus, 1997 utilization rates per person-year were analyzed based on cohort members surviving into 1997. Data on comorbid conditions were obtained from outpatient and inpatient contacts. Results: The 3 most prevalent coexisting conditions were hypertension (73.4%), ischemic heart disease (35.2%), and alcohol or drug abuse disorders (29.5%). In 1997, the typical cohort member followed for 12 months had 6 primary care visits, 16 other visits for tests or consultations, and 1.3 unscheduled visits for emergency or urgent care and spent approximately 8 days in the hospital. One-year survival was 94.0%. Conclusions: In the VA medical care system, beneficiaries with diabetes mellitus have an extremely heavy burden of comorbidities, face a significant risk of dying in a given year (approximately 6% in this population), and are heavy users of hospital and outpatient services.

AB - Objectives: To estimate the burden of comorbid conditions and to describe patterns of inpatient and outpatient service use by veterans with diabetes mellitus. Study design: Retrospective cohort study of 33 481 veterans conducted by means of secondary analysis of Department of Veterans Affairs (VA) healthcare utilization databases. Patients and methods: The cohort was constructed by enrolling all veterans treated in the VA medical care system who had their initial VA hospitalization for diabetes mellitus between 1992 and 1997. To estimate the typical annual pattern of service use for diabetes mellitus, 1997 utilization rates per person-year were analyzed based on cohort members surviving into 1997. Data on comorbid conditions were obtained from outpatient and inpatient contacts. Results: The 3 most prevalent coexisting conditions were hypertension (73.4%), ischemic heart disease (35.2%), and alcohol or drug abuse disorders (29.5%). In 1997, the typical cohort member followed for 12 months had 6 primary care visits, 16 other visits for tests or consultations, and 1.3 unscheduled visits for emergency or urgent care and spent approximately 8 days in the hospital. One-year survival was 94.0%. Conclusions: In the VA medical care system, beneficiaries with diabetes mellitus have an extremely heavy burden of comorbidities, face a significant risk of dying in a given year (approximately 6% in this population), and are heavy users of hospital and outpatient services.

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M3 - Article

VL - 9

SP - 145

EP - 150

JO - The American journal of managed care

T2 - The American journal of managed care

JF - The American journal of managed care

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IS - 2

ER -

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