Potential national and state medical care savings from primary disease prevention

American Journal of Public Health

Volumn 101, Issue 1, 2011, Pages 157-164

  Ormond, Barbara A ^a   Spillman, Brenda C ^a   Waidmann, Timothy A ^a   Caswell, Kyle J ^c   Tereshchenko, Bogdan ^b  

^a URBAN INSTITUTE   (United States)

^b United States Department of Labor   (United States)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CHRONIC DISEASE; COST CONTROL; DIABETES MELLITUS; ECONOMICS; HEALTH CARE COST; HEART DISEASE; HUMAN; HYPERTENSION; KIDNEY DISEASE; LIFESTYLE; MEDICAID; MEDICARE; PREVALENCE; PRIMARY PREVENTION; RISK FACTOR; STATISTICAL MODEL; STROKE; UNITED STATES;

ADULT; CHRONIC DISEASE; COST CONTROL; DIABETES COMPLICATIONS; DIABETES MELLITUS; HEALTH CARE COSTS; HEALTH EXPENDITURES; HEART DISEASES; HUMANS; HYPERTENSION; KIDNEY DISEASES; LIFE STYLE; LINEAR MODELS; MEDICAID; MEDICARE; MODELS, ECONOMETRIC; PREVALENCE; PRIMARY PREVENTION; RISK FACTORS; STROKE; UNITED STATES;

EID: 78650909890     PISSN: 00900036     EISSN: 15410048     Source Type: Journal    
DOI: 10.2105/AJPH.2009.182287     Document Type: Article

References (38)

1. Grundy SM, Balady GJ, Criqui MH, et al. Primary prevention of coronary heart disease: guidance from Framingham: a statement for healthcare professionals from the AHA Task Force on Risk Reduction. American Heart Association. Circulation. 1998;97(18):1876-1887.
2. Aldana SG, Greenlaw RL, Diehl HA, et al. The behavioral and clinical effects of therapeutic lifestyle change on middle-aged adults. Prev Chronic Dis. 2006; 3(1):A05.
3. Stevens VJ, Obarzanek E, Cook NR, et al. Long-term weight loss and changes in blood pressure: results of the Trials of Hypertension Prevention, phase II. Ann Intern Med. 2001;134(1):1-11.
4. Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer PJ, Sacks FM. Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association. Hypertension. 2006;47(2):296-308.
5. Resnick HE, Valsania P, Halter JB, Lin X. Relation of weight gain and weight loss on subsequent diabetes risk in overweight adults. J Epidemiol Community Health. 2000;54(8):596-602.
6. Roehrig C, Miller G, Lake C, Bryant J. National health spending by medical condition, 1996-2005. Health Aff (Millwood). 2009;28(2):w358-w367.
7. Cohen JW, Krauss NA. Spending and service use among people with the fifteen most costly medical conditions, 1997. Health Aff (Millwood). 2003;22(2): 129-138.
8. Thorpe KE, Florence CS, Joski P. Which medical conditions account for the rise in health care spending? Health Aff (Millwood). 2004;Jul-Dec;Suppl Web Exclusives: W4-437-45.
9. Haffner SM, Stern MP, Hazuda HP, Mitchell BD, Patterson JK. Cardiovascular risk factors in confirmed prediabetic individuals. Does the clock for coronary heart disease start ticking before the onset of clinical diabetes? JAMA. 1990;263(21):2893-2898.
10. Hu FB, Stampfer MJ, Haffner SM, Solomon CG, Willett WC, Manson JE. Elevated risk of cardiovascular disease prior to clinical diagnosis of type 2 diabetes. Diabetes Care. 2002;25(7):1129-1134.
11. Stern MP. Diabetes and cardiovascular disease. The "common soil" hypothesis. Diabetes. 1995;44(4):369-374.
12. Sowers JR, Epstein M, Frohlich ED. Diabetes, hypertension, and cardiovascular disease: an update. Hypertension. 2001;37(4):1053-1059.
13. Dunn AL, Marcus BH, Kampert JB, Garcia ME, Kohl HW, Blair SN. Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: a randomized trial. JAMA. 1999; 281(4):327-334.
14. Knowler WC, Barrett-Connor E, Fowler SE, et al; Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6): 393-403.
15. Agency for Healthcare Research and Quality. Medical Expenditure Panel Survey Household Component- 006R: 1996 Medical Conditions. Rockville, MD: Agency for Healthcare Research and Quality, Center for Cost and Financing Studies; 2000.
16. Chronic Disease Cost Calculator. Atlanta, GA: Centers for Disease Control and Prevention; 2009. Available at: http://www.cdc.gov/chronicdisease/esources/ calculator/index.htm. Accessed September 15, 2010.
17. Centers for Disease Control and Prevention. 2007. Crude and Age-Adjusted Percentage of Civilian, Noninstitutionalized Population with Diagnosed Diabetes, United States, 1980-2007. Atlanta, GA: Centers for Disease Control and Prevention. Available at: http://www.cdc.gov/diabetes/statistics/prev/national/ figage.htm. Accessed September 23, 2010.
18. 2007 National Diabetes Fact Sheet: General Information and National Estimates on Diabetes in the United States, 2007. Atlanta, GA: US Department of Health and Human Services; 2008. Available at: http://www.cdc.gov/diabetes/pubs/ factsheet07.htm. Accessed September 15, 2010.
19. Sing M, Banthin JS, Selden TM, Cowan CA, Keehan SP. Reconciling medical expenditure estimates from the MEPS and NHEA, 2002. Health Care Financ Rev. 2006; 28(1):25-40.
20. Bureau of the Census, Systems Support Division. Washington, DC. Available at: http://www.census.gov/cps. Accessed November 11, 2010.
21. Buntin MB, Zaslavsky AM. Too much ado about two-part models and transformation? Comparing methods of modeling Medicare expenditures. J Health Econ. 2004;23(3):525-542.
22. Hadley J, Ruhter J. Estimates of the uninsured's medical care costs in Ohio in 2006. Working Paper. Washington, DC: The Urban Institute; 2008.
23. Dinardo J, Fortin NM, Lemieux T. Labor market institutions and the distribution of wages, 1973-1992: a semiparametric approach. Econometrica. 1996;65(5): 1001-1044.
24. Zhang Y, Dall TM, Mann SE, et al. The economic costs of undiagnosed diabetes. Popul Health Manag. 2009;12(2):95-101.
25. Woolf SH. A closer look at the economic argument for disease prevention. JAMA. 2009;301(5):536-538.
26. Russell LB. Preventing chronic disease: an important investment, but don't count on cost savings. Health Aff (Millwood). 2009;28(1):42-45.
27. Brink S. The Diabetes Prevention Program: how the participants did it. Health Aff (Millwood). 2009;28(1):57-62.
28. Delahanty LM, Nathan DM. Implications of the diabetes prevention program and Look AHEAD clinical trials for lifestyle interventions. J Am Diet Assoc. 2008; 108(4 Suppl. 1):S66-S72.
29. Seidel MC, Powell RO, Zgibor JC, Siminerio LM, Piatt GA. Translating the Diabetes Prevention Program into an urban medically underserved community: a nonrandomized prospective intervention study. Diabetes Care. 2008;31(4):684-689.
30. Ackerman RT, Finch EA, Brizendine E, Zhou H, Marrero GG. Translating the Diabetes Prevention Program into the Community: The DEPLOY Pilot Study. Am J Prev Med. 2008;35(4):357-363.
31. Aldana S, Barlow M, Smith R, et al. A worksite diabetes prevention program: two-year impact on employee health. AAOHN J. 2006;54(9):389-395.
32. Economos CD, Curtatone JA. Shaping up Somerville: a community initiative in Massachusetts. Prev Med. 2010; 50(suppl 1):S97-S98.
33. Jenum AK, Anderssen SA, Birkeland KI, et al. Promoting physical activity in a low-income multiethnic district: effects of a community intervention study to reduce risk factors for type 2 diabetes and cardiovascular disease: a community intervention reducing inactivity. Diabetes Care. 2006;29(7):1605-1612.
34. Task Force on Community Preventive Services. The Guide to Community Preventive Services: What Works to Promote Health? Zaza S, Briss PA, Harris KW, eds. New York, NY: Oxford University Press; 2005.
35. Goetzel RZ, Roemer EC, Liss-Levinson RC, Samoly DK. Workplace Health Promotion: Policy Recommendations that Encourage Employers to Support Health Improvement Programs for their Workers. Washington, DC: Partnership for Prevention; 2008.
36. Baicker K, Cutler D, Song Z. Workplace wellness programs can generate savings. Health Aff (Millwood). 2010;29(2):304-311.
37. Health Care Costs: a Primer. Key Information on Health Care Costs and Their Impact.Washington, DC: The Henry J Kaiser Family Foundation; 2009. Available at: http://www.kff.org/insurance/upload/7670-02.pdf. Accessed September 15, 2010.
38. Simmons RK, Unwin N, Griffin SJ. International Diabetes Federation: an update of the evidence concerning the prevention of type 2 diabetes. Diabetes Res Clin Pract. 2010;87(2):143-149.