Literature on COC among Older Adults with ADRD Sample Clauses

Literature on COC among Older Adults with ADRD. Although there is no current literature looking at the association between COC and functionality among the older population with ADRD, one study has examined the association between patient COC with healthcare utilization and spending in older adults with ADRD.[16] Xxxxx et al. (2016) evaluated the association among a national sample of Medicare FFS beneficiaries by using the 2012 Medicare claims data. The construct of COC was measured by the BB index and then categorized into three levels – low, medium, and high. They used a multinomial logistic regression model with propensity weighting methods to assess the association between COC and healthcare utilization and spending. Medicare beneficiaries with lower level of COC were found to be younger, have higher income, and have more co-occurring conditions. Among all the Medicare beneficiaries with ADRD, increasing level of COC is associated with lower rates of hospitalization, emergency department visits, CT head scan, urinalysis, and healthcare spending. This study, however, was unable to control for reverse causality that acute events such as hospitalizations could potentially lead to lower level of COC. Although the study by Xxxxx et al. only focused on the impact of COC on healthcare utilization, the importance of COC among this specific population could be extended beyond health care utilization to the quality of care in ADRD and health outcomes among older adults with ADRD.
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