Mukoso N. Ozieh

Trends in Health Care Expenditure in U.S. Adults With Diabetes: 2002–2011

OBJECTIVE Direct medical cost of diabetes in the U.S. has been estimated to be 2.3 times higher relative to individuals without diabetes. This study examines trends in health care expenditures by expenditure category in U.S. adults with diabetes between 2002 and 2011. RESEARCH DESIGN AND METHODS We analyzed 10 years of data representing a weighted population of 189,013,514 U.S. adults aged ≥18 years from the Medical Expenditure Panel Survey. We used a novel two-part model to estimate adjusted mean and incremental medical expenditures by diabetes status, while adjusting for demographics, comorbidities, and time. RESULTS Relative to individuals without diabetes (

Medical care expenditures associated with chronic kidney disease in adults with diabetes: United States 2011

5,058 [95% CI 4,949–5,166]), individuals with diabetes (

Does African American Race Impact Statin Efficacy in Renal Transplant Outcomes

12,180 [11,775–12,586]) had more than double the unadjusted mean direct expenditures over the 10-year period. After adjustment for confounders, individuals with diabetes had

Ethnic and geographic variations in multimorbidty: Evidence from three large cohorts

2,558 (2,266–2,849) significantly higher direct incremental expenditures compared with those without diabetes. For individuals with diabetes, inpatient expenditures rose initially from

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4,014 in 2002/2003 to

Differential relationship between colorectal cancer and diabetes in a nationally representative sample of adults

4,183 in 2004/2005 and then decreased continuously to

Trends in healthcare expenditure in United States adults with chronic kidney disease: 2002–2011

3,443 in 2010/2011, while rising steadily for individuals without diabetes. The estimated unadjusted total direct expenditures for individuals with diabetes were

The Relationship between Sodium Intake and Albuminuria in U.S. Adults with Chronic Kidney Disease With and Without Diabetes

218.6 billion/year and adjusted total incremental expenditures were approximately

The Relationship between Immigration Status and Cardiovascular Disease Risk Factors in United States Adults with Diabetes—A 14-Year Study

46 billion/year. CONCLUSIONS Our findings show that compared with individuals without diabetes, individuals with diabetes had significantly higher health expenditures from 2002 to 2011 and the bulk of the expenditures came from hospital inpatient and prescription expenditures.

Geographic variation in access among adults with kidney disease: evidence from medical expenditure panel survey, 2002–2011

OBJECTIVE Approximately 1 in 3 adults with diabetes have CKD. However, there are no recent national estimates of the association of CKD with medical care expenditures in individuals with diabetes. Our aim is to assess the association of CKD with total medical expenditures in US adults with diabetes using a national sample and novel cost estimation methodology. RESEARCH DESIGN AND METHODS Data on 2,053 adults with diabetes in the 2011 Medical Expenditure Panel Survey (MEPS) was analyzed. Individuals with CKD were identified based on self-report. Adjusted mean health services expenditures per person in 2011 were estimated using a two-part model after adjusting for demographic and clinical covariates. RESULTS Of the 2,053 individuals with diabetes, approximately 9.7% had self-reported CKD. Unadjusted mean expenditures for individuals with CKD were