Diagnosed or prescribed only? A national analysis of initial evaluation and management of insomnia among older adult Medicare beneficiaries.

Medicare board certification health services older adults sleep sleep medicine

Journal

Sleep advances : a journal of the Sleep Research Society
ISSN: 2632-5012
Titre abrégé: Sleep Adv
Pays: United States
ID NLM: 101774029

Informations de publication

Date de publication:
2021
Historique:
received: 15 06 2021
revised: 06 10 2021
pubmed: 15 10 2021
medline: 15 10 2021
entrez: 16 5 2023
Statut: epublish

Résumé

To describe initial insomnia-related encounters among a national sample of Medicare beneficiaries, and to identify older adults at risk for potentially inappropriate prescription insomnia medication usage. Our data source was a random 5% sample of Medicare administrative claims data (2006-2013). Insomnia was operationalized as International Classification of Disease, Ninth Revision, Clinical Modification diagnostic codes. Insomnia medications included FDA-approved insomnia-related medication classes and drugs. Logistic regression was employed to identify predictors of being "prescribed only" (i.e., being prescribed an insomnia medication without a corresponding insomnia diagnosis). A total of Fewer than half of Medicare beneficiaries prescribed insomnia medications ever received a formal sleep-related diagnosis.

Identifiants

DOI: 10.1093/sleepadvances/zpab017 PMID: 37193565 PMC: PMC10104397
pubmed: 37193565
doi: 10.1093/sleepadvances/zpab017
pii: zpab017
pmc: PMC10104397
doi:

Types de publication

Journal Article

Langues

eng

Pagination

zpab017

Informations de copyright

© The Author(s) 2021. Published by Oxford University Press on behalf of Sleep Research Society.

Auteurs

Emerson M Wickwire (EM)

Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Sophia L Jobe (SL)

Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Jennifer L Martin (JL)

David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
ORCID: 0000-0003-0849-3391

Scott G Williams (SG)

Department of Medicine, Fort Belvoir Community Hospital, For Belvoir, VA, USA.

Vincent F Capaldi (VF)

Center for Military Neuroscience, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA.

Jacob Collen (J)

Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

M Doyinsola Bailey (M)

Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.

Steven M Scharf (SM)

Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Abree Johnson (A)

Pharmaceutical Research Computing, Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD, USA.

Jennifer S Albrecht (JS)

Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.

Classifications MeSH