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- Title
Silicosis prevalence and incidence among Medicare beneficiaries.
- Authors
Casey, Megan L.; Mazurek, Jacek M.
- Abstract
Introduction: Existing epidemiologic information on silicosis relies on mortality data. Methods: We analyzed health insurance claims and enrollment information from 49 923 987 fee‐for‐service (FFS) Medicare beneficiaries aged ≥65 from 1999 to 2014. Three different definitions were developed to identify silicosis cases and results are presented as ranges of values for the three definitions. Results: Among FFS beneficiaries, 10 026‐19 696 fit the silicosis case definitions (16‐year prevalence: 20.1‐39.5 per 100 000) with the highest prevalence among North American Natives (87.2‐213.6 per 100 000) and those in New Mexico (83.9‐203.4 per 100 000). The annual average prevalence had a significant (P < 0.05) 2‐5% annual decline from 2005 to 2014. The average annual number of incident cases had a significant 3‐16% annual decline from 2007 to 2014. Conclusions: Silicosis is a prevalent disease among Medicare beneficiaries aged ≥65, with variation across the country. Morbidity data from health insurance claims can provide a more complete picture of silicosis burden.
- Subjects
SILICOSIS; MEDICARE beneficiaries; HEALTH insurance; INDUSTRIAL safety; OCCUPATIONAL diseases; DISEASE prevalence
- Publication
American Journal of Industrial Medicine, 2019, Vol 62, Issue 3, p183
- ISSN
0271-3586
- Publication type
Article
- DOI
10.1002/ajim.22944