Current Awareness in Aging Research (CAAR) Report #182--April 17, 2003

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CAAR (Current Awareness in Aging Research) is a weekly email report produced by the Center for Demography of Health and Aging at the University of Wisconsin-Madison that helps researchers keep up to date with the latest developments in the field. For more information, including an archive of back issues and subscription information see:

http://www.ssc.wisc.edu/cdha/caar.html

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I. Data:

1. NCI: The US National Cancer Institute has released SEER (Surveillance, Epidemiology, and End Results) Cancer Incidence data for the years 1973-2000. Data is available via a direct Internet connection, or can be obtained on CD-ROM, or downloaded via ftp (the last two options will be available in May and late April of 2003 respectively), after signing a public-use data agreement.

http://seer.cancer.gov/publicdata/
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2. SEER: US Population Data, 1969-2000 (National Cancer Institute, Surveillance, Epidemiology, and End Results Program, ASCII text format). Race data is available at the county level from 1969-2000 for White, Black, Non-White, and for 1990-2000 for Expanded Races: White, Black, American Indian/Alaska Native, Asian/Pacific Islander; and Hispanic: White Non-Hispanic, White Hispanic, Non-White Non-Hispanic, Non-White Hispanic. In addition sex and age (5 year breakdowns, top-coded at 85+ are also available.

http://seer.cancer.gov/popdata/index.html

Click on "Download US Population Data" for link to data.
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3. NCHS: "U.S. Census Populations With Bridged Race Categories, April 1, 2000, July 1, 2000, and July 1, 2001" (US National Center for Health Statistics, April 2002, ASCII text format). Data are available down to the county level broken down by race, sex, and Hispanic origin, and by single year of age, top-coded at age 85. Earlier estimates are available back to 1990, with varying selected demographics. The difference between these estimates and the NCI estimates above are explained at this website.

http://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htm
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4. AHRQ MEPS: "HC-036: MEPS 1996-1999 Pooled Estimation Linkage File," (US Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, April 2003, data files are available in compressed ASCII and SAS transport format, documentation [codebooks in HTML or .pdf format] and SAS programming statements are also available). Note: "This file is provided for use with pooled data from the MEPS FY 1996, 1997, 1998 or 1999 public use files (HC-012, HC-020, HC-028 and HC-038, respectively)."

http://www.meps.ahcpr.gov/Puf/PufDetail.asp?ID=86

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II. Reports and articles:

5. DHHS OIG INSPECTION REPORTS, AUDIT REPORTS:

A. "Nursing Home Deficiency Trends and Survey and Certification Process Consistency," (US Department of Health and Human Services, Office of the Inspector General OEI-02-01-00600, March 2003, .pdf format, 42p.).

Executive Summary:

The OIG has issued a final inspection report on trends in the nursing home state agency deficiency data and the consistency of the survey and certification process. In 2001, 89 percent of nursing homes received at least one deficiency, an increase from 81 percent from 1998. Total deficiencies increased by 46 percent to over 94,000, and the average number of deficiencies per nursing home rose from 5.1 to 6.2. In addition, wide variation exists among states in the proportion of deficiency-free nursing homes and in average deficiency rates. The OIG's review of the survey process reveals that states differ in how they determine both the number and type of deficiencies. Four factors contribute to the variability in deficiency citation: an inconsistent survey focus; unclear guidelines; the lack of a common review process for draft survey reports; and high surveyor staff turnover. These findings indicate that further work is needed at federal and state levels to ensure consistency of the Medicare nursing home survey and certification process. Specifically, the OIG offered recommendations to CMS to continue to improve its guidance to state agencies on citing deficiencies by providing guidelines that are both clear and explicit and to work with states to develop common review criteria for draft survey reports. The CMS has concurred with our recommendations.

http://oig.hhs.gov/oei/reports/oei-02-01-00600.pdf

B. "Psychosocial Services in Skilled Nursing Facilities," (US Department of Health and Human Services, Office of the Inspector General OEI-02-01-00610, March 2003, .pdf format, 22p.).

Executive Summary:

The OIG has issued a final inspection report, which determines whether Medicare skilled nursing facility (SNF) residents are receiving psychosocial services in compliance with federal requirements. Our inspection is based on the following data: a review of the medical records of 299 SNF residents and a review of the credentials of the social workers in their families; interview data from social workers, nursing home administrators, and state surveyors; and an analysis of Online Survey and Certification Reporting System (OSCAR) and National Ombudsman Reporting System (NORS) data on deficiencies related to psychosocial services. We found that virtually all Medicare beneficiaries reside in SNFs that are in compliance with the federal rule regarding social worker credentials. However, not all SNF residents have care plans that address all of their psychosocial needs, and 46 percent of SNF beneficiaries do not receive all the psychosocial services outlined in their care plans. Our medical record review data, combined with social worker reports that some service barriers exist, provide evidence that there is not full compliance with the requirement that SNFs provide ''medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident.'' In order to address these psychosocial service-provision concerns and to ensure that SNF residents are receiving necessary and appropriate care, we recommend that CMS strengthen oversight processes associated with the psychosocial service portion of the resident assessment and the resulting care plans.

http://oig.hhs.gov/oei/reports/oei-02-01-00610.pdf
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6. NIH NEWS RELEASE: "Researchers Identify Gene for Premature Aging Disorder: Progeria Gene Discovery May Help Solve Mysteries of Normal Aging" (US National Institutes of Health, Apr. 16, 2003).

http://www.nih.gov/news/pr/apr2003/nhgri-16.htm
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7. CMS QUARTERLY REPORT: _CMS Quarterly Provider Update: April 2003_, (Centers for Medicare and Medicare Services, April 2003).

Table of Contents:

http://www.cms.hhs.gov/providerupdate/

Note: This is a temporary address. When the next _QPU_ is released, this one, along with all others, will be available at:

http://cms.hhs.gov/providerupdate/archive/
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8. AUSTRALIA DEPARTMENT OF HEALTH AND AGEING PRESS RELEASE: "A Simpler System For Entering Aged Care Homes," (April 14, 2003).

http://www.health.gov.au/mediarel/yr2003/ka/ka03147.htm
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9. CDC--REPORT: "AIDS Cases in Adolescents and Adults, by Age United States, 1994-2000" (US Centers for Disease Control, HIV/AIDS Surveillance Supplemental Report, Vol. 9, No. 1, 2003).

http://www.cdc.gov/hiv/stats/hasrsuppvol9No1.htm
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10. _JAMA_ ARTICLE ABSTRACT, CLINICAN'S CORNER:

A. "Prevention of Hip Fractures by External Hip Protectors: A Randomized Controlled Trial," by Natasja M. van Schoor, Johannes H. Smit, Jos W. R. Twisk, Lex M. Bouter, and Paul Lips (_Journal of the American Medical Association_, Vol. 289, No. 15, April 16, 2003, .pdf and HTML format, p. 1957-1962).

http://jama.ama-assn.org/cgi/content/abstract/289/15/1957

B. "Screening and Management of Adult Hearing Loss in Primary Care: Scientific Review," by Bevan Yueh, Nina Shapiro, Catherine H. MacLean, and Paul G. Shekelle (_Journal of the American Medical Association_, Vol. 289, No. 15, April 16, 2003, .pdf and HTML format, p. 1976-1985).

http://jama.ama-assn.org/cgi/content/abstract/289/15/1976

C. "Screening and Management of Adult Hearing Loss in Primary Care: Clinical Applications," by Sidney T. Bogardus, Jr., Bevan Yueh, and Paul G. Shekelle (_Journal of the American Medical Association_, Vol. 289, No. 15, April 16, 2003, .pdf and HTML format, p. 1986-1990).

http://jama.ama-assn.org/cgi/content/abstract/289/15/1986
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11. _LANCET_ CORRESPONDENCE: Note: _Lancet_ requires free registration before providing content.

"Alzheimer's disease and angiogenesis," by Hans Peter Rutz (_Lancet_, Vol. 361, No.9365, April 12, 2003, .pdf and HTML format, p. 1298-1300).

http://www.thelancet.com/journal/vol361/iss9365/full/llan.361.9365.correspondence.25221.1
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12. _BMJ_ PRIMARY CARE: "Effectiveness of counselling patients on physical activity in general practice: cluster randomised controlled trial," by C. Raina Elley, Ngaire Kerse, Bruce Arroll, and Elizabeth Robinson (_British Medical Journal_, Vol. 326, No. 7393, April 12, 2003, .pdf and HTML format, p. 793-795).

http://bmj.com/cgi/content/full/326/7393/793
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13. _PNAS_ ARTICLE ABSTRACT: "Amyloid deposition in the hippocampus and entorhinal cortex: Quantitative analysis of a transgenic mouse model," by John F. Reilly, Dora Games, Russell E. Rydel, Stephen Freedman, Dale Schenk, Warren G. Young, John H. Morrison, and Floyd E. Bloom (_Proceeding of the National Academy of Sciences_, Vol. 100, No. 8, April 15, 2003, .pdf and HTML format, p. 4837-4842).

http://www.pnas.org/cgi/content/abstract/100/8/4837
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14. _SCIENCE_ ARTICLE ABSTRACT: "LRP: Role in Vascular Wall Integrity and Protection from Atherosclerosis," by Philippe Boucher, Michael Gotthardt, Wei-Ping Li, Richard G. W. Anderson, and Joachim Herz (_Science_, Vol. 300, No. 5617, April 11, 2003, .pdf and HTML format, p. 329-332).

http://www.sciencemag.org/cgi/content/abstract/300/5617/329
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15. EMPLOYEE BENEFIT RESEARCH INSTITUTE REPORT SUMMARY: "2003 Retirement Confidence Survey". The 2003 report summarizes the findings of the 13th annual Retirement Confidence Survey (RCS). The RCS is designed to "gauge the views and attitudes of working-age and retired Americans regarding retirement, their preparations for retirement, their confidence with regard to various aspects of retirement, and related issues."

Report Summary:

http://www.ebri.org/rcs/2003/03rcssof.pdf

Press Release:

http://www.ebri.org/prrel/pr628.pdf
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16. KAISER FAMILY FOUNDATION REPORT: "How Do M+C Plans Manage Pharmacy Benefits? Implications for Medicare Reform," by Debra Draper and Marsha Gold (Kaiser Family Foundation, March 2003, .pdf format, 35p.). Note:"Understanding how Medicare+Choice (M+C) plans manage their drug benefits may generate important lessons for Medicare. This report, based on interviews with both national and regional managed care firms, provides an in-depth look at how plans have managed their M+C outpatient pharmacy benefits in recent years."

http://www.kff.org/content/2003/6078/

Follow "Report" link to access full-text.
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17. US NEWS AND WORLD REPORT ARTICLE:

A. "Losing Altitude," by Paul J. Lin (U.S. News and World Report, April 21, 2003).

http://www.usnews.com/usnews/issue/030421/biztech/21retire.htm

B. "When you need the cash," by Leonard Wiener (U.S. News and World Report, April 21, 2003).

http://www.usnews.com/usnews/issue/030421/biztech/21withdraw.htm
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III. Journal Tables of Contents (check your library for availability):

18. American Journal of Epidemiology (Vol. 157, No. 8, April 15, 2003). Note: Full electronic text (HTML and .pdf format) may be available. Check your organization's library.

http://aje.oupjournals.org/content/vol157/issue8/index.shtml

19. Archives of Gerontology and Geriatrics (Vol. 36, No. 3, May 2003).

http://www.elsevier.com/locate/archger

Follow the link to "Tables of Contents and Abstracts" and go to "Volume 36, Issue 3".
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20. AMEDEO MEDICAL LITERATURE: Note: "AMEDEO has been created to serve the needs of healthcare professionals, including physicians, nurses, pharmacists, administrators, other members of the health professions, and patients and their friends. They can easily access timely, relevant information within their respective fields... All AMEDEO services are free of charge. This policy was made possible thanks to generous unrestricted educational grants provided by AMGEN, Berlex, Eisai, Glaxo Wellcome, Novartis, Pfizer, Roche, and Schering AG."

A. Osteoporosis: Literature for the week of April 17, 2003:

http://www.amedeo.com/medicine/ost.htm

B. Alzheimer's Disease: Literature for the week of April 17, 2003:

http://www.amedeo.com/medicine/ad.htm

C. Parkinson's Disease: Literature for the week of April 17, 2003:

http://www.amedeo.com/medicine/pd.htm

D. Prostate Cancer: Literature for the week of April 17, 2003:

http://www.amedeo.com/medicine/prc.htm

AMADEO Literature Guide:

http://www.amedeo.com/index.htm

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IV. Conferences:

21. PENSION RESEARCH COUNCIL UNIVERSITY OF PENNSYLVANIA'S WHARTON SCHOOL: "Emerging Roles for Inflation-Linked Bonds in Pension Funds and Endowments," a one-day seminar to be held May 30, 2003 (National Press Club, Washington DC). The seminar is co-sponsored by the Stanford Institute for Economic Policy Research (SIEPR), the Employee Benefit Research Institute (EBRI), and TIAA-CREF. For more information, including a registration form, go to:

http://prc.wharton.upenn.edu/prc/tips.pdf
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V. Legislation Information Updates:

22. JOINT ECONOMIC COMMITTEE HEARING TESTIMONY: "Medicare's Financial Crisis," a hearing held April 10, 2003.

Hearing Testimony:

http://jec.senate.gov/hearings/hearings_apr10.html
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23. US HOUSE COMMITTEE ON ENERGY AND COMMERCE, SUBCOMMITTEE ON HEALTH HEARING TESTIMONY:

A. "Strengthening and Improving Medicare," a hearing held April 9, 2003. Note: An audio transcript of this hearing is also available (RealPlayer format, 2 hours, 5 minutes, 51 seconds).

Hearing Testimony:

http://energycommerce.house.gov/108/hearings/04092003Hearing868/hearing.htm

B. "Designing a Twenty-First Century Medicare Prescription Drug Benefit," a hearing held April 8, 2003.

Hearing Testimony:

http://energycommerce.house.gov/108/hearings/04082003Hearing863/hearing.htm
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VI. Websites of Interest:

24. AARP DATABASE: "'AgeSource Worldwide' describes clearinghouses, databases, libraries, directories, statistical resources, bibliographies and reading lists, texts, and Web metasites focusing on aging or closely allied subjects. They cover topics ranging from Alzheimer's disease to wills and estate planning." The database includes information about Web sites from 20 countries.

http://research.aarp.org/general/agesource_home.html
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25. GREEN HOUSE PROJECT: "The Green House Project is an attempt to design, build and test a radically new approach to residential long-term care for the elderly. It is founded on the idea that the physical and social environments in which we deliver long-term care can and should be warm, smart, and green." For more information about the Project go to:

http://thegreenhouseproject.org/index.htm

Thanks,

Charlie

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Charlie Fiss
Information Manager
Center for Demography and Ecology and
Center for Demography of Health and Aging
Rm. 4470A Social Science Bldg
1180 Observatory Drive
Madison, WI 53706-1393
Phone: (608) 265-9240
Fax: (608) 262-8400
Email: fiss@ssc.wisc.edu

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