Why patients visit their doctors: Assessing the most prevalent conditions in a defined American population

Jennifer St. Sauver, David Oman Warner, Barbara P. Yawn, Debra J. Jacobson, Michaela E. McGree, Joshua J. Pankratz, L. Joseph Melton, Veronique Lee Roger, Jon Owen Ebbert, Walter A Rocca

Research output: Contribution to journalArticle

103 Citations (Scopus)

Abstract

Objective: To describe the prevalence of nonacute conditions among patients seeking health care in a defined US population, emphasizing age, sex, and ethnic differences. Patients and Methods: The Rochester Epidemiology Project (REP) medical records linkage system was used to identify all residents of Olmsted County, Minnesota, on April 1, 2009, who had consented to review of their medical records for research (142,377 patients). We then electronically extracted all International Classification of Diseases, Ninth Revision codes noted in the records of these patients by any health care institution between January 1, 2005, and December 31, 2009. We grouped International Classification of Diseases, Ninth Revision codes into clinical classification codes and then into 47 broader disease groups associated with health-related quality of life. Age- and sex-specific prevalence was estimated by dividing the number of individuals within each group by the corresponding age- and sex-specific population. Patients within a group who had multiple codes were counted only once. Results: We included a total of 142,377 patients, 75,512 (53%) of whom were female. Skin disorders (42.7%), osteoarthritis and joint disorders (33.6%), back problems (23.9%), disorders of lipid metabolism (22.4%), and upper respiratory tract disease (22.1%, excluding asthma) were the most prevalent disease groups in this population. Ten of the 15 most prevalent disease groups were more common in women in almost all age groups, whereas disorders of lipid metabolism, hypertension, and diabetes were more common in men. Additionally, the prevalence of 7 of the 10 most common groups increased with advancing age. Prevalence also varied across ethnic groups (whites, blacks, and Asians). Conclusion: Our findings suggest areas for focused research that may lead to better health care delivery and improved population health.

Original languageEnglish (US)
Pages (from-to)56-67
Number of pages12
JournalMayo Clinic Proceedings
Volume88
Issue number1
DOIs
StatePublished - 2013

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Lipid Metabolism Disorders
Population
International Classification of Diseases
Delivery of Health Care
Medical Record Linkage
Age Groups
Respiratory Tract Diseases
Population Groups
Ethnic Groups
Sex Characteristics
Osteoarthritis
Medical Records
Biomedical Research
Epidemiology
Asthma
Joints
Quality of Life
Hypertension
Skin
Health

ASJC Scopus subject areas

  • Medicine(all)

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Why patients visit their doctors : Assessing the most prevalent conditions in a defined American population. / St. Sauver, Jennifer; Warner, David Oman; Yawn, Barbara P.; Jacobson, Debra J.; McGree, Michaela E.; Pankratz, Joshua J.; Melton, L. Joseph; Roger, Veronique Lee; Ebbert, Jon Owen; Rocca, Walter A.

In: Mayo Clinic Proceedings, Vol. 88, No. 1, 2013, p. 56-67.

Research output: Contribution to journalArticle

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abstract = "Objective: To describe the prevalence of nonacute conditions among patients seeking health care in a defined US population, emphasizing age, sex, and ethnic differences. Patients and Methods: The Rochester Epidemiology Project (REP) medical records linkage system was used to identify all residents of Olmsted County, Minnesota, on April 1, 2009, who had consented to review of their medical records for research (142,377 patients). We then electronically extracted all International Classification of Diseases, Ninth Revision codes noted in the records of these patients by any health care institution between January 1, 2005, and December 31, 2009. We grouped International Classification of Diseases, Ninth Revision codes into clinical classification codes and then into 47 broader disease groups associated with health-related quality of life. Age- and sex-specific prevalence was estimated by dividing the number of individuals within each group by the corresponding age- and sex-specific population. Patients within a group who had multiple codes were counted only once. Results: We included a total of 142,377 patients, 75,512 (53{\%}) of whom were female. Skin disorders (42.7{\%}), osteoarthritis and joint disorders (33.6{\%}), back problems (23.9{\%}), disorders of lipid metabolism (22.4{\%}), and upper respiratory tract disease (22.1{\%}, excluding asthma) were the most prevalent disease groups in this population. Ten of the 15 most prevalent disease groups were more common in women in almost all age groups, whereas disorders of lipid metabolism, hypertension, and diabetes were more common in men. Additionally, the prevalence of 7 of the 10 most common groups increased with advancing age. Prevalence also varied across ethnic groups (whites, blacks, and Asians). Conclusion: Our findings suggest areas for focused research that may lead to better health care delivery and improved population health.",
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