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New Opportunities for Cancer Health Services Research

Linking the Seer-Medicare Data to the Nursing Home Minimum Data Set

Bibliographic Data

ID9101779
AuthorsKali S Thomas (0000-0003-3436-2184, US Department of Veterans Affairs Medical Center, corresponding author), Eric Boyd (0009-0005-9161-6963, Information Management Services Inc., Calverton), Angela B Mariotto (0000-0003-2423-1834, National Cancer Institute, Bethesda, MD), Dolly C Penn (National Cancer Institute, Bethesda, MD), Michael Barrett (0000-0003-1775-8347, Information Management Services), Michael J Barrett (0000-0002-8680-8355, Information Management Services Inc., Calverton), Joan L Warren (0000-0002-6467-6769, National Cancer Institute, Bethesda, MD)
Year2018
Volume56
Issue12
Pagese90-e96
Publication date2018-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000877
PMID29401187
OpenAlexW2793495014
LanguageEN
References cited15

BACKGROUND: The Surveillance, Epidemiology and End Results (SEER)-Medicare data combine clinical information from population-based cancer registries with Medicare claims. These data have been used in many studies to understand cancer screening, treatment, outcomes, and costs. However, until recently, these data included limited information related to the characteristics and outcomes of cancer patients residing in or admitted to nursing homes. OBJECTIVES: To provide an overview of the new linkage between SEER-Medicare data and the Minimum Data Set (MDS), a nursing home resident assessment instrument detailing residents' physical, psychological, and psychosocial functioning as well as any therapies or treatments received. RESEARCH DESIGN: This is a descriptive, retrospective cohort study. SUBJECTS: Persons in SEER-Medicare diagnosed with cancer from 2004 to 2013 were linked to the 2011-2014 MDS, with 17% of SEER-Medicare patients linked to the MDS data. During 2011-2014, we identified 318,617 cancer patients receiving care in a nursing home and 256,947 cancer patients newly admitted to a total of 10,953 nursing homes. Of these patients, approximately two thirds were Medicare fee-for-service beneficiaries. RESULTS: The timing from cancer diagnoses to nursing home admission varied by cancer. In total, 93% of all patients were admitted directly to a nursing home from an acute care hospital. The majority of patients were cognitively intact, 21% reported some level of depression, and 9% had severe functional limitations. CONCLUSIONS: The new SEER-Medicare-MDS dataset provides a valuable resource for understanding the postacute and long-term care experiences of cancer patients receiving care in United States' nursing homes

Cancer · Cohort · Environmental health · Family medicine · Medical diagnosis · Minimum Data Set · Nursing homes · Nursing research · Population · Psychiatry · Psychosocial · Cancer survivorship and care · Economic and Financial Impacts of Cancer · Emergency Medicine · Epidemiology · Geriatric Care and Nursing Homes · Internal Medicine · Medicine · Nursing · Gerontology

  • Overview of the Seer-Medicare Data

    Joan L Warren, Carrie N Klabunde et al.•Medical Care•2002

  • The Minimum Data Set 3.0 Cognitive Function Scale

    Kali S Thomas, David Dosa et al.•Medical Care•2017

Citation velocityhistorical
Highly citedNo
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