Comorbidity Subgroups among Medicare Beneficiaries Seeking Health Care for Musculoskeletal Pain

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Trevor A LentzSteven Z George

Abstract

Treatment of musculoskeletal pain in older adults may be more effective if it incorporates integrated management of comorbid health conditions. The purpose of this study was to define empirically derived comorbidity subgroups among Medicare beneficiaries with an index condition of osteoarthritis or low back pain as a precursor to the development of comorbidity-specific pain treatment pathways. This study included Medicare beneficiaries participating in the Medicare Current Beneficiary Survey (MCBS) and seeking care for osteoarthritis (OA, n=723) or low back pain (LBP, n=617) with data available for three years after entry into the survey. We identified 30 comorbidity diagnoses using ICD-9-CM diagnostic codes in claims data during beneficiaries' first year in the survey. Latent class analysis (LCA) defined comorbidity subgroups and posterior probabilities were used to assign subgroup classification. Self-reported disability was compared over three consecutive years for each subgroup. We identified similar comorbidity subgroups for OA and LBP. The subgroups included (range of % prevalence): low comorbidity (47.6-54.4%), non-vascular (21.8-28.6%), diabetes (12.2-15.0%), renal disease with complicated hypertension (5.5-5.8%), and c...Continue Reading

References

Nov 1, 1990·Journal of Gerontology·J M WienerJ F Van Nostrand
Jan 9, 2001·Journal of Clinical Epidemiology·C N KlabundeJ L Warren
Mar 26, 2005·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Mieke RijkenFrançois G Schellevis
Mar 1, 2006·Diabetes Care·John D Piette, Eve A Kerr
Sep 13, 2006·Neurology·Kristin ØrstavikEllen Jørum
Sep 20, 2006·BMC Musculoskeletal Disorders·Debra P RitzwollerDale Rublee
Sep 30, 2008·Arthritis and Rheumatism·Linda K GeorgeFrank A Sloan
Aug 12, 2010·Clinics in Geriatric Medicine·Yuqing Zhang, Joanne M Jordan
Sep 10, 2010·Annals of the Institute of Statistical Mathematics·Nema Dean, Adrian E Raftery
May 25, 2011·Rheumatology·Rachael E DockingUNKNOWN Cambridge City over-75s Cohort Study collaboration
Jul 4, 2012·Biology of Blood and Marrow Transplantation : Journal of the American Society for Blood and Marrow Transplantation·Corey Cutler
Feb 2, 2013·Epidemiologic Reviews·Marcel E Salive
Mar 30, 2013·Annual Review of Economics·James Banks, James P Smith
Jul 19, 2013·Clinical Epidemiology·Anne Gulbech Ording, Henrik Toft Sørensen
Nov 5, 2013·Nursing Research and Practice·Salimah H MeghaniMary D Naylor
Nov 28, 2013·Lung·Claudio TerzanoF Oriolo
May 7, 2014·Behavioural Brain Research·Jun-Xu Li
Jan 1, 2012·Medicare & Medicaid Research Review·Becky A BriesacherSowmya R Rao
Nov 8, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Peter la Cour, Marian Petersen
Dec 3, 2014·Journal of Clinical Epidemiology·Marko YurkovichDiane Lacaille
Dec 8, 2015·PloS One·John O YoungeJolien W Roos-Hesselink
Jun 17, 2016·Journal of the American Geriatrics Society·Heather E WhitsonSusan N Hastings
Dec 17, 2016·Journal of Medical Internet Research·Kate LorigJay Greenberg
Jan 18, 2017·BMJ Open·Majid ArtusDanielle A W van der Windt
Feb 2, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Bruno T SaragiottoBart W Koes
Mar 10, 2017·MMWR. Morbidity and Mortality Weekly Report·Kamil E BarbourTeresa J Brady
Mar 27, 2018·The Journal of Pain : Official Journal of the American Pain Society·Robert J GatchelSusan D Horn

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Citations

Oct 13, 2020·Clinical Orthopaedics and Related Research·Trevor A LentzRichard C Mather
Dec 29, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Andrew J KittelsonJennifer E Stevens-Lapsley
May 18, 2021·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Trevor A LentzSteven Z George

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