New to MyHealth?
Manage Your Care From Anywhere.
Access your health information from any device with MyHealth. You can message your clinic, view lab results, schedule an appointment, and pay your bill.
ALREADY HAVE AN ACCESS CODE?
DON'T HAVE AN ACCESS CODE?
NEED MORE DETAILS?
MyHealth for Mobile
Cardiovascular Disease Burden and Outcomes Among American Indian and Alaska Native Medicare Beneficiaries.
Cardiovascular Disease Burden and Outcomes Among American Indian and Alaska Native Medicare Beneficiaries. JAMA network open Eberly, L. A., Shultz, K., Merino, M., Brueckner, M. Y., Benally, E., Tennison, A., Biggs, S., Hardie, L., Tian, Y., Nathan, A. S., Khatana, S. A., Shea, J. A., Lewis, E., Bukhman, G., Shin, S., Groeneveld, P. W. 2023; 6 (9): e2334923Abstract
American Indian and Alaska Native persons face significant health disparities; however, data regarding the burden of cardiovascular disease in the current era is limited.To determine the incidence and prevalence of cardiovascular disease, the burden of comorbid conditions, including cardiovascular disease risk factors, and associated mortality among American Indian and Alaska Native patients with Medicare insurance.This was a population-based cohort study conducted from January 2015 to December 2019 using Medicare administrative data. Participants included American Indian and Alaska Native Medicare beneficiaries 65 years and older enrolled in both Medicare part A and B fee-for-service Medicare. Statistical analyses were performed from November 2022 to April 2023.The annual incidence, prevalence, and mortality associated with coronary artery disease (CAD), heart failure (HF), atrial fibrillation/flutter (AF), and cerebrovascular disease (stroke or transient ischemic attack [TIA]).Among 220?598 American Indian and Alaska Native Medicare beneficiaries, the median (IQR) age was 72.5 (68.5-79.0) years, 127?402 were female (57.8%), 78?438 (38.8%) came from communities in the most economically distressed quintile in the Distressed Communities Index. In the cohort, 44.8% of patients (98?833) were diagnosed with diabetes, 61.3% (135?124) were diagnosed with hyperlipidemia, and 72.2% (159?365) were diagnosed with hypertension during the study period. The prevalence of CAD was 38.6% (61?125 patients) in 2015 and 36.7% (68?130 patients) in 2019 (P?
View details for DOI 10.1001/jamanetworkopen.2023.34923
View details for PubMedID 37738051
View details for PubMedCentralID PMC10517375