Current Awareness in Aging Research (CAAR) Report #187--May 22, 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. Reports and articles:

1. CENSUS BUREAU REPORT:

"The Older Population in the United States: March 2002," by Denise Smith (US Census Bureau Population Characteristics P20-546, April 2003, .pdf format, 8p.). The report is linked to from a Census Bureau news release:"About One-Half of Older Married Couples Have Incomes of $35,000 or More, Census Bureau Reports" (May 20, 2003).

http://www.census.gov/Press-Release/www/2003/cb03-75.html

Click on "The Older Population in the United States: March 2002" for link to full text.
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2. _DEMOGRAPHIC RESEARCH_ ARTICLE: Note: "_DR_ is a free, expedited, peer-reviewed journal of the population sciences published by the Max Planck Institute for Demographic Research." "Is nursing home demand affected by the decline in age difference between spouses?" by Darius N. Lakdawalla and Robert F. Schoeni (Vol. 8, Article 10, May 2003, .pdf format, p. 280-304).

Abstract:

We investigate whether declines in the age difference between spouses has influenced widowhood and nursing home demand. We first use life-table methods to simulate the impact of the declining age gap on the risk of widowhood. We then use the Medicare Current Beneficiary Survey and the Census Public Use Microdata Samples to estimate the impact of widowhood, and other characteristics, on the probability of nursing home entrance. These help us estimate the impact of the declining age gap on nursing home use. We estimate that the decline in the difference in ages between spouses that took place between the birth cohorts of 1900 and 1955 may raise women's annual nursing home expenditures by about $1.4 billion, but lower men's expenditures by about $600 million.

http://www.demographic-research.org

Click on "Enter".
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3. DHHS ASPE/CMS/HRSA; DOL ASP/BLS/ETA REPORT: "The Future Supply of Long-Term Care Workers in relation to The Aging Baby Boom Generation" (US Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Centers for Medicare and Medicaid Services, and Health Resource and Services Administration; US Department of Labor, Office of the Assistant Secretary for Policy, Bureau of Labor Statistics and Employment and Training Administration, May 2003, HTML and .pdf format, 44p.).

DHHS news release:

http://www.hhs.gov/news/press/2003pres/20030520a.html

Full text:

http://aspe.hhs.gov/daltcp/reports/ltcwork.htm

Click on "PDF version" for .pdf full text.
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4. ALLIANCE FOR AGING RESEARCH REPORT: "Ageism: How Healthcare Fails the Elderly," (Alliance for Aging, May 2003, .pdf format, 17p.).

http://www.agingresearch.org/brochures/ageism/ageism_booklet_final.pdf

More information on Alliance for Aging Research:

http://www.agingresearch.org/
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5. CMS REPORT: "Nursing Facilities," by Lambert van der Walde and Kristen Choi (US Centers for Medicare and Medicaid Services Health Care Industry Market Update, May 2003, .pdf format, 26p.).

http://cms.hhs.gov/reports/hcimu/default.asp

Click on "Nursing Facilities" for full text.
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6. DHHS OIG REPORTS:

A. "Home Dialysis Payment Vulnerabilities" (US Department of Health and Human Services, Office of the Inspector General OEI-07-01-00570, May 2003, .pdf format, 12p.).

Abstract:

The OIG released a final inspection report which assessed End Stage Renal Disease home dialysis billing processes and identified vulnerabilities in Medicare payments. In calendar year 2000, Medicare and beneficiaries paid $15.3 million more for continuous cycling peritoneal dialysis (CCPD) supply kits when supplied by durable medical equipment suppliers. In addition, Medicare allowed $9.5 million in claims without required documentation. The OIG recommends that the Centers for Medicare & Medicaid Services (CMS): (1) change the regulations to limit payments for Method II CCPD kit reimbursement to that of Method I, (2) ensure that claims are not paid unless a valid method selection form has been recorded on the Common Working File, and (3) review the $9.5 million in paid Medicare claims and collect any incorrect payments. The CMS concurred with the latter two recommendations, but not the first, citing congressional intent. Finding no such documentation of congressional intent, we believe the agency and beneficiaries could save money through reimbursing CCPD Method II at the same amount as CCPD Method I.

http://oig.hhs.gov/oei/reports/oei-07-01-00570.pdf

B. "HIPAA Readiness: Administrative Simplification for Medicare Part A Providers" (US Department of Health and Human Services, Office of the Inspector General OEI-09-02-00421, May 2003, .pdf format, 16p.).

Abstract:

The OIG has issued a report based on responses from a stratified random sample of Medicare Part A providers regarding their expectations to comply with the electronic data transaction standards and code sets under the Health Insurance Portability and Accountability Act (HIPAA) of 1996. We surveyed the providers between November 26, 2002, and March 24, 2003. Ninety-six percent of the providers have a moderate to high level of satisfaction that they will be in compliance by October 2003. Approximately 84 percent of the providers are using systems vendors as part of their compliance strategy. Although more than 60 percent of the providers are purchasing new systems components, fewer than 20 percent have conducted any cost/benefit analysis for implementing the electronic standards. Sixty percent of the providers listed one or more barriers to compliance. The most common barriers are: trading partners and vendors are being ready; inadequate staff, training, and technical resources; and more time needed to implement because of potential testing delays. Overall, Part A providers are making progress toward meeting the compliance target of October 16, 2003. Providers are concerned that their trading partners may not be fully compliant, and this would affect their own ability to implement the transaction standards.

http://oig.hhs.gov/oei/reports/oei-09-02-00421.pdf

C. "Compliance with Medicare's Postacute Care Transfer Policy for Fiscal Year 2000" (US Department of Health and Human Services, Office of the Inspector General A-04-02-07005, April 2003, .pdf format, 21p.).

Abstract:

This final report points out that the Centers for Medicare and Medicaid Services (CMS) has no controls or edits to detect excessive payments to prospective payment system (PPS) hospitals for erroneously coded discharges that are followed by postacute care. As a result, we estimate, based on a statistical sample, that Medicare paid approximately $61 million in excessive diagnosis related groups (DRG) payments to PPS hospitals for fiscal year (FY) 2000. Combining this estimate with our estimate of $55 million in erroneous payments that were previously identified for FY 1999, we estimate that CMS has overpaid hospital claims by approximately $116 million for the initial 2-year period of the postacute care transfer policy. In addition to financial adjustments and identification of overpayments subsequent to FY 2000, we recommended that CMS, as a long term remedy, establish an alert mechanism within the Common Working File to compare applicable inpatient claims with subsequent post- acute claims. This will allow potentially erroneous inpatient hospital claims to be detected, reviewed, and appropriately adjusted on an ongoing basis.

http://oig.hhs.gov/oas/reports/region4/40207005.pdf

D. "Trends in Rural Hospital Closure: 1990-2000" (US Department of Health and Human Services, Office of the Inspector General OEI-04-02-00610, May 2003, .pdf format, 18p.).

http://oig.hhs.gov/oei/reports/oei-04-02-00610.pdf

E. "Trends in Urban Hospital Closure: 1990-2000" (US Department of Health and Human Services, Office of the Inspector General OEI-04-02-00611, May 2003, .pdf format, 17p.).

Abstracts:

These reports combine 11 years of hospital closure data and describe trends that are specific to hospitals that closed in rural communities as well as hospitals that closed in urban communities. The reports focus on the extent, characteristics, reasons for, and impact of hospitals that closed from 1990 through 2000. Our review of rural hospitals that closed from 1990 through 2000 revealed that, nationally 1) two hundred and eight hospitals closed -- 7.8 percent of all rural hospitals; 2) rural hospitals that closed were generally smaller and treated fewer patients than rural hospitals nationally; 3) generally, rural hospital closures resulted from business related decisions or a low number of patients; and 4) following a closure, alternative forms of health care were often available within the community. Our review of urban hospitals that closed from 1990 through 2000 revealed that nationally 1) two hundred and ninety-six hospitals closed -- 10.6 percent of all urban hospitals; 2) urban hospitals that closed were generally smaller and treated fewer patients than urban hospitals nationally; and 3) generally, urban hospital closures resulted from competition, business related decisions, or a low number of patients.

http://oig.hhs.gov/oei/reports/oei-04-02-00611.pdf
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7. AGE CONCERN PRESS RELEASE: "New research reveals worrying pension gap between men and women," (Age Concern [United Kingdom], May 16, 2003).

http://www.ageconcern.org.uk/AgeConcern/news_992.htm
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8. HELP THE AGED REPORT SUMMARY: "Older People Count: The Help the Aged Income Index for older people in England and Wales 2003," (Help the Aged, May 2003, .pdf format, 18p.). Note: The full-report is available for purchase.

http://www.helptheaged.org.uk/NR/rdonlyres/e2zbiqgkknuuxplxqa6krgqd74jz7swndq5uq25ogal5wv23m3crqfme3jlioevme3tsh5shlsgcobuzyej2b6ttbag/oxford_index_summary.pdf

More information on Help the Aged:

http://www.helptheaged.org.uk/_boilerplate/About+Us/default.htm
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9. AUSTRALIA DEPARTMENT OF HEALTH AND AGEING PRESS RELEASE: "New Program to Provide Up to 80 Extra Aged Care Nurses in NSW (New South Wales) (May 20, 2003).

http://www.health.gov.au/mediarel/yr2003/ka/ka03161.htm
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10. NIH NEWS RELEASE: "Lithium Shows Promise Against Alzheimer's in Mouse Model" (US National Institutes of Health, National Institute of Mental Health and National Institute on Aging, May 21, 2003).

http://www.nih.gov/news/pr/may2003/nimh-21.htm
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11. _NATURE_ ARTICLE ABSTRACT: "GSK-3 alpha regulates production of Alzheimer's disease amyloid-beta peptides," by Christopher J. Phiel, Christina A. Wilson, Virginia M.-Y. Lee, and Peters S. Klein (_Nature_, Vol. 423, No. 6938, May 22, 2003, p. 435-439).

http://www.nature.com/cgi-taf/DynaPage.taf?file=/nature/journal/v423/n6938/abs/nature01640_fs.html
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12. _NEJM_ ARTICLE ABSTRACT: "Cost Effectiveness of Lung-Volume--Reduction Surgery for Patients with Severe Emphysema," by the National Emphysema Treatment Trial Research Group (_New England Journal of Medicine_, Vol. 348, No. 21, May 22, 2003, p. 2092-2102).

http://content.nejm.org/cgi/content/short/348/21/2092?query=TOC
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13. _JAMA_ ARTICLE ABSTRACTS:

A. "Race, Quality of Care, and Outcomes of Elderly Patients Hospitalized With Heart Failure," by Saif S. Rathore, JoAnne M. Foody, Yongfei Wang, Grace L. Smith, Jeph Herrin, Frederick A. Masoudi, Pamela Wolfe, Edward P. Havranek, Diana L. Ordin, and Harlan M. Krumholz (_Journal of the American Medical Association_, Vol. 289, No. 19, May 21, 2003, p. 2517-2524).

http://jama.ama-assn.org/cgi/content/abstract/289/19/2517

B. "Combination Therapy With Hormone Replacement and Alendronate for Prevention of Bone Loss in Elderly Women: A Randomized Controlled Trial," by Susan L. Greenspan. Neil M. Resnick, and Robert A. Parker (_Journal of the American Medical Association_, Vol. 289, No. 19, May 21, 2003, p. 2525-2533).

http://jama.ama-assn.org/cgi/content/abstract/289/19/2525
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14. _LANCET_ NEWS: Note: _Lancet_ requires free registration before providing content of any kind. "Therapy found for Parkinson's disease dyskinesia," by Jane Bradbury (_Lancet_, Vol. 361, No 9370, May 17, 2003, HTML and .pdf format, p. 1712).

HTML:

http://www.thelancet.com/journal/vol361/iss9370/full/llan.361.9370.news.25709.1

.pdf:

http://pdf.thelancet.com/pdfdownload?uid=llan.361.9370.news.25709.1&x=x.pdf
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15. MEDSCAPE ARTICLES: Note: Medscape requires free registration before providing articles:

A. "Meta-Analysis of Prostate-Specific Antigen and Digital Rectal Examination as Screening Tests for Prostate Carcinoma," by Kishor Mistry and Greg Cable (_Journal of the American Board of Family Practice_, Vol. 16, No. 2, 2003, p. 95-101, via Medscape).

http://www.medscape.com/viewarticle/452272

B. "Rivastigmine: An Update on Therapeutic Efficacy in Alzheimer's Disease and Other Conditions," by C. Gabelli (_Current Medical Research and Opinion_, Vol. 19, No. 2, 2003, p. 69-82, via Medscape).

http://www.medscape.com/viewarticle/452980?mpid=13511

C. "American Geriatrics Society 2003 Annual Scientific Meeting," a meeting held May 14-18, 2003 in Baltimore Maryland (Medscape conference coverage).

http://www.medscape.com/viewprogram/2364

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II. Working Papers:

16. NBER PERIODICAL: NBER Bulletin on Aging and Health (National Bureau of Economic Research, HTML and .pdf format). "The NBER Bulletin on Aging and Health summarizes selected Working Papers recently produced as part of the Bureau's program of research in aging and health economics. The Bulletin is intended to make preliminary research results available to economists and others for informational purposes and to stimulate discussion of Working Papers before their final publication." At present, this is a quarterly publication.

http://www.nber.org/aginghealth/
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17. KIEL [GERMANY] INSTITUTE OF WORLD ECONOMICS: "Germany's Social Security System under Strain," by Horst Siebert (WP 1155, March 2003, .pdf format, 63p.).

Abstract:

Germany's social security system is surveyed, its benefits and contributions are discussed. The expansion of this system in the last decades is described, its impact on employment and growth is studied and proposals for the reform of the system are discussed.

http://www.uni-kiel.de/ifw/pub/kap/2003/kap1155.htm

Click on "Complete paper" for full text.

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III. Journal Tables of Contents (check your library for availability):

18. Journal of the American Geriatrics Society (Vol. 51, Nos. 4 and 5), April and May 2003.

http://www.blackwellpublishing.com/toc.asp?ref=0002-8614

Click on "Issue: 4, April 2003", or "Issue: 5, May 2003" for link to table of contents.
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19. INGENTA Tables of Contents: INGENTA provides fee based document delivery services for selected journals.

A. Point your browser to:

http://www.ingenta.com/

B. click on "browse by publication"
C. Type the Journal Name in the "by words in the title" search box and click "search".
D. View the table of contents for the issue noted.

Journal of Aging and Health (Vol. 15, No. 2, 2003). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for the availability of this database and this issue.

Research on Aging (Vol. 25, No. 3, 2003). Note: Full electronic text of this journal is available in the ProQuest Research Library and the EBSCO Host Academic Search Elite database. Check your library for the availability of these databases and this issue.
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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 May 22, 2003:

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

B. Alzheimer's Disease: Literature for the week of May 22, 2003:

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

C. Parkinson's Disease: Literature for the week of May 22, 2003:

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

D. Prostate Cancer: Literature for the week of May 22, 2003:

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

AMADEO Literature Guide:

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

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IV. Funding Opportunities:

21. NIH:

A. Global Health Research Initiative Program for New Foreign Investigators (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, PAR-03-118, May 16, 2003).

http://grants1.nih.gov/grants/guide/pa-files/PAR-03-118.html

B. Innovations in Biomedical Computational Science and Technology: SBIR/STTR Initiative (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, PAR-03-119, May 12, 2003).

http://grants.nih.gov/grants/guide/pa-files/PAR-03-119.html

C. Frailty in Old Age: Pathophysiology and Interventions (US National Institutes of Health, National Institute on Aging, PAS-03-122, May 13, 2003).

http://grants1.nih.gov/grants/guide/pa-files/PAS-03-122.html

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V. Legislation Information Updates:

22. US SENATE SPECIAL COMMITTEE ON AGING HEARING TESTIMONY:

A. "Ageism in the Health Care System: Short Shrifting Seniors?" a hearing held May 19, 2003.

Hearing testimony:

http://aging.senate.gov/index.cfm?Fuseaction=Hearings.Detail&HearingID=20

B. "Baby Boomers at the Gate: Enhancing Independence Through Innovation and Technology," a hearing held May 20, 2003.

Hearing Testimony:

http://aging.senate.gov/index.cfm?Fuseaction=Hearings.Detail&HearingID=19
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23. US HOUSE COMMITTEE ON VETERANS AFFAIRS, SUBCOMMITTEE ON HEALTH HEARING TESTIMONY: "Oversight Hearing on Long-Term Care Programs in VA," a hearing held May 22, 2003 (HTML and .pdf format).

Selected hearing testimony:

http://www.house.gov/va/hearings/schedule108/may03/5-22-03/witness.html
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VI. Websites of Interest:

24. CENSUS BUREAU OLDER AMERICANS MONTH: The US Census Bureau, in honor of Older Americans month, has launched a multi-media web site about the topic. The site is highlighted by links to pertinent reports, images, and short sound bytes.

http://www.census.gov/pubinfo/www/multimedia/olderamericans.html
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25. OECD READING MATERIAL: "Ageing Societies and the Looming Pension Crisis" (Organisation of Economic Co-operation and Development). This OECD website acts as a link site to several articles and article summaries on the topics of public and private pensions.

http://www.oecd.org/EN/document/0,,EN-document-26-nodirectorate-no-4-41311-26,00.html

Jack Solock
Data Librarian--Center for Demography and Ecology and Center for
Demography of Health and Aging
4470 Social Science
University of Wisconsin-Madison
Madison, WI 53706
608-262-9827
jsolock@ssc.wisc.edu