Mortality following bone metastasis and skeletal-related events among patients 65 years and above with lung cancer: A population-based analysis of U.S. Medicare beneficiaries, 1999-2006

SEER Diseases of the respiratory system 03 medical and health sciences 0302 clinical medicine distant stage RC705-779 Original Article Claims fractures mortality 3. Good health
DOI: 10.4103/0970-2113.106127 Publication Date: 2013-01-16T09:41:36Z
ABSTRACT
To quantify the impact of bone metastasis and skeletal-related events (SREs) on mortality among older patients with lung cancer.Using linked Surveillance, Epidemiology End Results-Medicare database, we identified aged 65 years or diagnosed cancer between July 1, 1999 December 31, 2005 followed them to determine deaths through 2006. We classified as having possible SREs using discharge diagnoses from inpatient claims paired procedure codes outpatient claims. used Cox regression estimate hazards ratios (HR) without SRE, compared metastasis.Among 126,123 a median follow-up 0.6 years, 24,820 (19.8%) had either at diagnosis (9,523, 7.6%) during (15,297, 12.1%). occurred in 12,665 (51%) metastasis. The HR for death was 2.4 (95% CI = 2.4-2.5) both but no SRE plus metastasis.Having metastasis, indicated by Medicare claims, associated cancer. found difference complicated SRE.
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