Cristin-resultat-ID: 1933345
Sist endret: 10. september 2021, 16:17
NVI-rapporteringsår: 2021
Resultat
Vitenskapelig artikkel
2021

Myocardial infarction care among the elderly: Declining treatment with increasing age in two countries

Bidragsytere:
  • John Hsu
  • Tor Iversen
  • Mary Price
  • Tron Anders Moger
  • Delaney Tevis
  • Terje P. Hagen
  • mfl.

Tidsskrift

Health Affairs
ISSN 0278-2715
e-ISSN 1544-5208
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2021
Publisert online: 2021
Trykket: 2021
Volum: 40
Hefte: 9
Sider: 1483 - 1490

Beskrivelse Beskrivelse

Tittel

Myocardial infarction care among the elderly: Declining treatment with increasing age in two countries

Sammendrag

The elderly account for the majority of medical spending in many countries, raising concerns about potentially unnecessary spending, especially during the final months of life. Using a well-defined starting point (hospitalization for an initial acute myocardial infarction) with evidence-based postevent treatments, we examined age trends in treatments in the US and Norway, two countries with high levels of per capita medical spending. After accounting for comorbidities, we found marked decreases within both countries in the use of invasive treatments with age (for example, less use of percutaneous coronary interventions and surgery) and the use of relatively inexpensive medications (for example, less use of anticholesterol [statin] drugs for which generic versions are widely available). The treatment decreases with age were larger in Norway compared with those in the US. The less frequent treatment of the oldest of the old, without even use of basic medications, suggests potential age-related bias and a disconnect with the evidence on treatment value. Hospital organization and payment in both countries should incentivize greater equity in treatment use across ages.

Bidragsytere

John Hsu

  • Tilknyttet:
    Forfatter
Aktiv cristin-person

Tor Iversen

  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo

Mary Price

  • Tilknyttet:
    Forfatter
Aktiv cristin-person

Tron Anders Moger

  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo

Tevis Delaney

Bidragsyterens navn vises på dette resultatet som Delaney Tevis
  • Tilknyttet:
    Forfatter
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