Health Care Utilization Among Elderly Medicare Beneficiaries With Coexisting Dementia and Cancer
Open accessAbstract
Objective: The goal of this research is to delineate health care utilization among elderly Medicare beneficiaries with coexisting dementia and cancer compared with those with dementia alone, cancer alone, or neither condition. Method: The study cohort included 96,124 elderly patients aged 65 years and older who resided in the Mid-South region of the United States and were enrolled in Medicare during 2009. Multivariate regression analyses were used to examine health care utilizations while adjusting for sociodemographic characteristics. Results: Those with coexisting dementia and cancer diagnoses had higher rates of hospitalizations, hospital readmissions within 30 days, intensive care unit use, and emergency department visits compared with those with dementia only, cancer only, and those with neither condition. Patients with coexisting dementia and cancer also had a higher number of primary care visits and specialist visits. Conclusion: There is a greater need for developing tailored care plans for elderly with these two degenerative health conditions to address their unique health care needs and to reduce financial burden on the patients and the health care system.
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Key features of discharge planning included developing meaningful care plans, which were communicated to all involved in the transition, informed by the patient's goals of care and provided opportunities for follow-up in the community.
“Key features of discharge planning included developing meaningful care plans, which were communicated to all involved in the transition, informed by the patient’s goals of care and provided opportunities for follow-up in the community [28, 39, 43–61].”
From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [48]
The Conclusion (page unavailable) calls for a comprehensive, coordinated care plan for patients with coexisting dementia and cancer. The Discussion (page unavailable) describes communication gaps after hospitalization, but the paper does not specify care plans communicated to everyone involved in a transition, informed by patients’ goals, or offering community follow-up. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIncreasing care needs due to other conditions was linked to exacerbation of dementia symptoms, increasing reliance on others, and subsequently placing more responsibility on carers (CMOC1).
“Increasing care needs due to other conditions was linked to exacerbation of dementia symptoms, increasing reliance on others, and subsequently placing more responsibility on carers (CMOC1) [28, 44, 46–48, 54, 59, 69–74].”
From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [48]
The Introduction says that coexisting dementia and cancer create additional care needs, and the Discussion says impaired cognition can make communication with physicians reliant on informal caregivers. Neither section says that other conditions exacerbate dementia symptoms or establishes the claimed sequence leading to greater responsibility for carers. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPressure to comply with the system-level focus on occupancy targets and minimising length of stay further fuelled healthcare professionals' beliefs about patients with MLTCiD.
“Analysis suggested that pressure to comply with the system-level focus on occupancy targets and minimising length of stay further fuelled these beliefs, as older adults with dementia typically stay longer in hospital [41, 43, 48, 50, 75, 78, 84, 89, 91–93].”
From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [48]
Older adults with dementia typically stay longer in hospital.
“Analysis suggested that pressure to comply with the system-level focus on occupancy targets and minimising length of stay further fuelled these beliefs, as older adults with dementia typically stay longer in hospital [41, 43, 48, 50, 75, 78, 84, 89, 91–93].”
From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [48]
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References 39 · Cited by 31
Research works printed but not linked: 1
- Fargo K. Bleiler L. (2014). Alzheimer’s association report. Alzheimer’s & Dementia, 10, e47- e92. 24818261
- Authors
- Kedia, S. K., Chavan, P. P., Boop, S. E., & Yu, X.
- Affiliations
- University of Memphis (US)
- Corresponding author
- Yu, Xinhua
- Venue
- Gerontology and Geriatric Medicine
- Publisher
- SAGE Publications
- Published
- 2017-01-01
- Volume
- 3
- Pages
- 2333721416689042-2333721416689042
- ISSN
- 2333-7214 (ISSN-L)
- PMC
- PMC5308432
- OpenAlex
- W2578890734
- Cited by
- 31
- References
- 39
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 1
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Gerontology and Geriatric Medicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- dementia, cancer, multimorbidity, health care utilization, elderly Medicare beneficiaries, hospitalization, hospital readmission, intensive care utilization, emergency department visits, primary care visits, specialist visits
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