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4. History of infertility and risk of colorectal cancer

Author

Farland, Leslie V., primary, Lind, Kimberly E., additional, Roe, Denise J., additional, Saquib, Nazmus, additional, Strickler, Howard D., additional, Qi, Lihong, additional, Thomson, Cynthia A., additional, and Harris, Holly R., additional

Published
2024
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6. The effect of direct cognitive assessment in the Medicare annual wellness visit on dementia diagnosis rates

Author

Lind, Kimberly E., Hildreth, Kerry, Lindrooth, Richard, Morrato, Elaine, Crane, Lori A., and Perraillon, Marcelo Coca

Subjects
Cognition -- Testing, Dementia -- Diagnosis -- Care and treatment -- Demographic aspects, Medicare -- Services -- Evaluation, Diagnosis related groups -- Analysis, Business, Health care industry
Abstract

Objective: To evaluate the relationship between direct cognitive assessment introduced with the Medicare Annual Wellness Visit (AWV) and new diagnoses of dementia, and to determine if effects vary by race. Data Sources: Medicare Limited Data Set 5% sample claims 2003-2014 and the HRSA Area Health Resources Files. Study Design: Instrumental Variable approach estimating the relationship between AWV utilization and new diagnoses of dementia using county-level Welcome to Medicare Visit rates as an instrument. Data Collection/Extraction Methods: Three hundred twenty-four thousand three hundred and eighty-five fee-for-service Medicare beneficiaries without dementia when the AWV was introduced in 2011. Principal Findings: Annual Wellness Visit utilization was associated with an increased probability of new dementia diagnosis with effects varying by racial group (categorized as white, black, Hispanic/Latino, or Asian based on Social Security Administration data). Hazard ratios (95% confidence intervals) for new dementia diagnosis within 6 months of AWV utilization were as follows: 2.34 (2.13,2.58) white, 2.22 (1.71,2.89) black, 4.82 (2.94, 7.89) Asian, and 6.14 (3.70,10.19) Hispanic (P < .001 for each). Our findings show that estimates that do not control for selection underestimate the effect of AWV on new diagnoses. Conclusions: Dementia diagnosis rates increased with AWV implementation with heterogenous effects by race and ethnicity. Current recommendations by the United States Preventive Services Task Force state that the evidence is insufficient to recommend for or against screening for cognitive impairment in older adults. KEYWORDS cognitive impairment screening, dementia screening, Medicare Annual Wellness Visit, 1 | INTRODUCTION The burden of dementia is high and growing as the US population ages. In the United States, an estimated 5.8 million people are living with Alzheimer's disease, [...]

Published
2021
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24. The Relationship Between Sleep and Weight Change Among Women Diagnosed with Breast Cancer Participating in the Women’s Health Initiative

Author

Donzella, Sidney, primary, Lind, Kimberly E, additional, Skiba, Meghan B, additional, Farland, Leslie V, additional, Thomson, Cynthia A, additional, Werts, Samantha J, additional, Bell, Melanie L, additional, LeBlanc, Erin, additional, Weitlauf, Julie C, additional, Hery, Chole M Beverly, additional, Naughton, Michelle J, additional, Mortimer, Joanne, additional, and Crane, Tracy E, additional

Published
2021
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25. Measuring quality of gout management in residential aged care facilities.

Author

Nguyen, Amy D, Lind, Kimberly E, Day, Richard O, Ross, Daniel, Raban, Magdalena Z, Georgiou, Andrew, and Westbrook, Johanna I

Subjects
GOUT treatment, ELDER care, LONG-term health care
Abstract

Objective Gout, a common form of arthritis, can be controlled successfully with pharmacotherapy and is thus an ideal model for examining chronic disease management. Our aim was to examine treatment of gout evaluated in accordance with general management guidelines for gout as applied to Australian residential aged care facilities. Methods Electronic health record data linked with aged care clinical notes and electronic medication administration information (11 548 residents in 68 residential aged care facilities, >65 years of age) were interrogated to identify people with gout, other chronic conditions and gout medication use. The outcomes examined were the proportion receiving urate-lowering therapy (ULT; preventative medication) and/or colchicine/non-steroidal anti-inflammatory drug (NSAID) (to treat gout flares), the number of ULT and colchicine/NSAID treatment episodes (periods of continuous days of medication use) and the duration of these treatment episodes. Results The cohort included 1179 residents with gout, of whom 62% used a ULT, with a median of one episode of use for a very short duration [median = 4 days, median of use in total (i.e. repeated use) = 52 days]. Among residents with gout, 9% also used colchicine or an NSAID. Female residents were less likely to receive ULT and for shorter periods. Conclusion Nearly one-third of residents with gout did not receive ULT. In those receiving ULT, recurrent short courses were common. Overall, management of gout in aged care residents appears to be suboptimal, largely owing to intermittent and short exposure to ULT, and with female residents at greater risk of poor gout management. [ABSTRACT FROM AUTHOR]

Published
2022
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27. Co-designing a dashboard of predictive analytics and decision support to drive care quality and client outcomes in aged care: a mixed-method study protocol

Author

Ludlow, Kristiana, primary, Westbrook, Johanna, additional, Jorgensen, Mikaela, additional, Lind, Kimberly E, additional, Baysari, Melissa T, additional, Gray, Leonard C, additional, Day, Richard O, additional, Ratcliffe, Julie, additional, Lord, Stephen R, additional, Georgiou, Andrew, additional, Braithwaite, Jeffrey, additional, Raban, Magdalena Z, additional, Close, Jacqueline, additional, Beattie, Elizabeth, additional, Zheng, Wu Yi, additional, Debono, Deborah, additional, Nguyen, Amy, additional, Siette, Joyce, additional, Seaman, Karla, additional, Miao, Melissa, additional, Root, Jo, additional, Roffe, David, additional, O’Toole, Libby, additional, Carrasco, Marcela, additional, Thompson, Alex, additional, Shaikh, Javed, additional, Wong, Jeffrey, additional, Stanton, Cynthia, additional, and Haddock, Rebecca, additional

Published
2021
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28. The Prevalence of Cardiovascular Disease and Other Comorbidities Among American Indian and Alaska Native Adults with Diabetes

Author

O’Connell, Joan M, Rockell, Jennifer E, Ouellet, Judith C, Yoder, Sherri, Lind, Kimberly E, Wilson, Charlton, Friedson, Andrew, and Manson, Spero M

Subjects
Article
Abstract

AIMS: American Indians and Alaska Native (AI/ANs) peoples experience significant health disparities compared to the U.S. general population. We report comorbidities among AI/ANs with diabetes to guide efforts to improve their health status. METHODS: Drawing upon data for over 640,000 AI/ANs who used services funded by the Indian Health Service, we identified 43,518 adults with diabetes in fiscal year 2010. We reported the prevalence of comorbidities by age and cardiovascular disease (CVD) status. Generalized linear models were estimated to describe associations between CVD and other comorbidities. RESULTS: Nearly 15% of AI/AN adults had diabetes. Hypertension, CVD and kidney disease were comorbid in 77.9%, 31.6%, and 13.3%, respectively. Nearly 25% exhibited a mental health disorder; 5.7%, an alcohol or drug use disorder. Among AI/ANs with diabetes absent CVD, 46.9% had 2 or more other chronic conditions; the percentage among adults with diabetes and CVD was 75.5%. Hypertension and tobacco use disorders were associated with a 71% (95% CI for prevalence ratio: 1.63 – 1.80) and 33% (1.28 – 1.37) higher prevalence of CVD, respectively, compared to adults without these conditions. CONCLUSION: Detailed information on the morbidity burden of AI/ANs with diabetes may inform enhancements to strategies implemented to prevent and treat CVD and other comorbidities.

Published
2021

29. Co-designing a dashboard of predictive analytics and decision support to drive care quality and client outcomes in aged care : A mixed-method study protocol

Author

Ludlow, Kristiana, Westbrook, Johanna, Jorgensen, Mikaela, Lind, Kimberly E., Baysari, Melissa T., Gray, Leonard C., Day, Richard O., Ratcliffe, Julie, Lord, Stephen R., Georgiou, Andrew, Braithwaite, Jeffrey, Raban, Magdalena Z., Close, Jacqueline, Beattie, Elizabeth, Zheng, Wu Yi, Debono, Deborah, Nguyen, Amy, Siette, Joyce, Seaman, Karla, Miao, Melissa, Root, Jo, Roffe, David, O'Toole, Libby, Carrasco, Marcela, Thompson, Alex, Shaikh, Javed, Wong, Jeffrey, Stanton, Cynthia, Haddock, Rebecca, Ludlow, Kristiana, Westbrook, Johanna, Jorgensen, Mikaela, Lind, Kimberly E., Baysari, Melissa T., Gray, Leonard C., Day, Richard O., Ratcliffe, Julie, Lord, Stephen R., Georgiou, Andrew, Braithwaite, Jeffrey, Raban, Magdalena Z., Close, Jacqueline, Beattie, Elizabeth, Zheng, Wu Yi, Debono, Deborah, Nguyen, Amy, Siette, Joyce, Seaman, Karla, Miao, Melissa, Root, Jo, Roffe, David, O'Toole, Libby, Carrasco, Marcela, Thompson, Alex, Shaikh, Javed, Wong, Jeffrey, Stanton, Cynthia, and Haddock, Rebecca

Abstract

Introduction: There is a clear need for improved care quality and quality monitoring in aged care. Aged care providers collect an abundance of data, yet rarely are these data integrated and transformed in real-time into actionable information to support evidence-based care, nor are they shared with older people and informal caregivers. This protocol describes the co-design and testing of a dashboard in residential aged care facilities (nursing or care homes) and community-based aged care settings (formal care provided at home or in the community). The dashboard will comprise integrated data to provide an € at-a-glance' overview of aged care clients, indicators to identify clients at risk of fall-related hospitalisations and poor quality of life, and evidence-based decision support to minimise these risks. Longer term plans for dashboard implementation and evaluation are also outlined. Methods: This mixed-method study will involve (1) co-designing dashboard features with aged care staff, clients, informal caregivers and general practitioners (GPs), (2) integrating aged care data silos and developing risk models, and (3) testing dashboard prototypes with users. The dashboard features will be informed by direct observations of routine work, interviews, focus groups and co-design groups with users, and a community forum. Multivariable discrete time survival models will be used to develop risk indicators, using predictors from linked historical aged care and hospital data. Dashboard prototype testing will comprise interviews, focus groups and walk-through scenarios using a think-aloud approach with staff members, clients and informal caregivers, and a GP workshop. Ethics and dissemination: This study has received ethical approval from the New South Wales (NSW) Population & Health Services Research Ethics Committee and Macquarie University's Human Research Ethics Committee. The research findings will be presented to the aged care provider wh

Published
2021

31. Additional file 2 of Measuring the prevalence of 60 health conditions in older Australians in residential aged care with electronic health records: a retrospective dynamic cohort study

Author

Lind, Kimberly E., Raban, Magdalena Z., Brett, Lindsey, Jorgensen, Mikaela L., Georgiou, Andrew, and Westbrook, Johanna I.

Abstract

Additional file 2: Supplemental Figure 1. Sample size and exclusions. Supplemental Figure 2. Age and sex specific prevalence estimates, Supplemental Figure 3. Kappa estimates for agreement between conditions recorded in the aged care funding instrument (ACFI) and the electronic health record (EHR). Supplemental Figure 4. Condition Prevalence by Comorbidity Cluster

Published
2020
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35. supplemental_table_1_-_conditions_criteria_30_Jan_2019_xyz1851562df3e95 – Supplemental material for Anti-osteoporosis Medication Use in a High Fracture-Risk Population: Contemporary Trends in Australian Residential Aged Care Facilities

Author

Lind, Kimberly E, Jorgensen, Mikaela L, Gray, Leonard C, Georgiou, Andrew, and Westbrook, Johanna I

Subjects
111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences
Abstract

Supplemental material, supplemental_table_1_-_conditions_criteria_30_Jan_2019_xyz1851562df3e95 for Anti-osteoporosis Medication Use in a High Fracture-Risk Population: Contemporary Trends in Australian Residential Aged Care Facilities by Kimberly E Lind, Mikaela L Jorgensen, Leonard C Gray, Andrew Georgiou and Johanna I Westbrook in Health Services Insights

Published
2019
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41. A profile of health status and demographics of aged care facility residents with gout.

Author

Nguyen, Amy D., Lind, Kimberly E., Day, Richard O., Georgiou, Andrew, and Westbrook, Johanna I.

Subjects
AGE distribution, DIABETES, GOUT, HEALTH status indicators, HEART diseases, HOLISTIC medicine, HYPERTENSION, KIDNEY diseases, LONG-term health care, REGRESSION analysis, RISK assessment, SEX distribution, COMORBIDITY, SOCIOECONOMIC factors, RESIDENTIAL care, OLD age
Abstract

Objective: To estimate gout prevalence and examine associated factors in residential aged care facilities. Methods: Electronic data from 11 548 residents aged 65+ during 2014‐2017 from 68 residential aged care facilities in Australia were analysed. Gout prevalence was estimated, and regression was used to assess differences in comorbidities, sociodemographic factors and health status between residents with and without gout. Results: Over 10% of residents had gout. Most common comorbidities in these residents were hypertension (71.3%), heart disease (37.9%) and diabetes (33.0%) and they were more likely to have renal disease and historical myocardial infarction. The interaction between comorbid gout had complex interactions between age, sex and comorbidities for diabetes and depression was complex. Conclusions: Gout is common among older people in residential care but may be under‐recognised. Holistic management of gout is needed in this population, with careful consideration of chronic comorbidities and treatments. [ABSTRACT FROM AUTHOR]

Published
2020
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