Initial National Priorities for Comparative Effectiveness Research (2009) / Chapter Skim
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Appendix C: Data Tables: Burden of Disease and Variation of Care
Appendix C: Data Tables: Burden of Disease and Variation of Care
Pages 189-198
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From page 189... ...
. The Dartmouth Institute for Health Policy and Clinical Practice analyzed clinical practice data according to variation in treatment for surgical procedures (Table C-5)
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People of all ages Chronic Obstructive Pulmonary Disease (COPD) , asthma 48,455 Hypertension 45,795 Mental disorders 36,246 Trauma-related disorders 34,899 Acute Bronchitis and URI 33,869 Hyperlipidemia 29,884 Skin disorders 22,700 Disorders of the upper GI 21,602 Osteoarthritis and other non-traumatic joint disorders 21,491 Back problems 20,487 Heart conditions 19,711 Residual Codes 19,149 Diabetes mellitus 18,268 Other eye disorders 16,403 Infectious diseases 16,254 Systemic lupus and connective tissues disorders 15,113 Female genital disorders, and contraception 14,998 Other CNS disorders 14,540 Cancer 11,114 Otitis media 10,951 Other bone and musculoskeletal disease 10,069 People ages <1 year Otitis media 1,893 Acute Bronchitis and URI 1,641 COPD, asthma 1,063 Infectious diseases 820 Other eye disorders 591
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APPENDIX C 191 TABLE C-1 Continued Total Persons Conditions (in thousands) People ages 1-17 years COPD, asthma 12,588 Acute Bronchitis and URI 12,221 Otitis media 7,595 Trauma-related disorders 6,687 Mental disorders 4,570 Infectious diseases 4,222 Skin disorders 4,067 Other eye disorders 3,469 Intestinal infection 2,899 Other CNS disorders 1,853 Allergic reactions 1,783 People ages 65+ years Hypertension 19,844 Hyperlipidemia 13,201 Heart conditions 10,242 COPD, asthma 9,002 Osteoarthritis and other non-traumatic joint disorders 8,881 Diabetes mellitus 7,436 Mental disorders 7,393 Disorders of the upper GI 7,044 SOURCE: AHRQ (2009c)
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32,637 Hypertensive heart disease 29,282 Malignant neoplasm of prostate 28,905 People age <1 year Congenital malformations, deformations and chromosomal 5,552 abnormalities Disorders related to length of gestation and fetal malnutrition 4,798 Sudden infant death syndrome 2,230 Other respiratory conditions originating in the perinatal period 1,160 Accidents (unintentional injuries) 1,083 Infections specific to the perinatal period 1,039 Respiratory distress of newborn 860 Bacterial sepsis of newborn 834
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716 Major cardiovascular diseases 584 Diseases of heart 403 People age 65+ years Ischemic heart diseases 365,491 Cerebrovascular diseases 123,881 Acute myocardial infarction 119,164 Malignant neoplasms of trachea, bronchus and lung 112,826 Chronic lower respiratory diseases 112,716 Alzheimer's disease 70,858 Influenza and pneumonia 55,453 Diabetes mellitus 55,222 Heart failure 54,740 Malignant neoplasms of lymphoid, hematopoietic and related 40,267 tissue Malignant neoplasms of colon, rectum and anus 39,100 Accidents (unintentional injuries) 36,729 Renal failure 35,642 Malignant neoplasm of prostate 26,327 Septicemia 26,243 Malignant neoplasm of breast 23,747 Malignant neoplasm of pancreas 23,397 Hypertensive heart disease 20,295 Parkinson's disease 19,030 SOURCE: Kung et al.
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People of all ages Hypertension 246,722 Mental disorders 244,543 COPD, asthma 225,990 Trauma-related disorders 186,155 Diabetes mellitus 162,113 Back problems 160,397 Heart conditions 129,160 Osteoarthritis and other non-traumatic joint disorders 121,942 Acute Bronchitis and URI 94,124 Systemic lupus and connective tissues disorders 83,307 Cancer 74,611 Skin disorders 70,517 People ages 0-17 years COPD, asthma 54,354 Mental disorders 42,212 Acute Bronchitis and URI 33,931 Otitis media 24,568 Trauma-related disorders 18,899 Skin disorders 11,339 Infectious diseases 10,425 Other eye disorders 7,887 Other CNS disorders 7,010 Intestinal infection 5,798 Other endocrine, nutritional, and immune disorder 4,835 Allergic reactions 4,828 SOURCE: AHRQ (2009b)
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People of all ages Heart conditions $ 78,032 Trauma-related disorders $ 68,142 Cancer $ 57,501 Mental disorders $ 57,452 COPD, asthma $ 51,320 Hypertension $ 48,507 Diabetes mellitus $ 48,341 Osteoarthritis and other non-traumatic joint disorders $ 37,538 Normal birth/live born $ 37,499 Back problems $ 35,015 People age <1 year Perinatal conditions $ 3,727 COPD, Asthma $ 1,227 Congenital anomalies $ 1,035 Otitis media $ 883 Acute Bronchitis and URI $ 743 Infectious diseases $ 716 Disorders of the upper GI $ 510 Gallbladder, pancreatic, and liver disease $ 393 Intestinal infection $ 383 Trauma-related disorders $ 310 People ages 1-17 years Mental disorders $ 8,834 COPD, asthma $ 7,080 Trauma-related disorders $ 5,890 Acute Bronchitis and URI $ 2,730 Infectious diseases $ 2,720 Otitis media $ 2,451 Skin disorders $ 1,305 Other eye disorders $ 1,197 Tonsillitis $ 1,119 Epilepsy and convulsions $ 985
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. TABLE C-5 Pattern of Variation in Admissions for Procedures Among Hospital Referral Regions Condition Coefficient of Variation Septicemia 34.1 COPD 34.0 Back Surgery 32.8 Congestive Heart Failure 27.3 Gastroenteritis 27.0 Simple Pneumonia 24.1 Knee Replacement 21.4 Cardiac Arrhythmia 20.6 Gastrointestinal Hemorrhage 16.3 Stroke 16.0 Hip Fracture Discharge 14.4 NOTE: Coefficient of variation is calculated as the ratio of the standard deviation to the mean (multiplied by 100, so expressed as a percent)
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by site of service: United States, 2006. In Medical Expenditure Panel Survey Component Data.
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