{"id":1442063,"date":"2022-04-17T07:45:20","date_gmt":"2022-04-17T11:45:20","guid":{"rendered":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/?p=1442063"},"modified":"2022-04-17T07:45:25","modified_gmt":"2022-04-17T11:45:25","slug":"study-finds-that-nearly-half-of-older-adults-die-with-dementia","status":"publish","type":"post","link":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/study-finds-that-nearly-half-of-older-adults-die-with-dementia\/","title":{"rendered":"Study Finds That Nearly Half of Older Adults Die With Dementia"},"content":{"rendered":"<aside class=\"mashsb-container mashsb-main mashsb-stretched\"><div class=\"mashsb-box\"><div class=\"mashsb-count mash-medium\" style=\"float:left\"><div class=\"counts mashsbcount\">22<\/div><span class=\"mashsb-sharetext\">SHARES<\/span><\/div><div class=\"mashsb-buttons\"><a class=\"mashicon-facebook mash-medium mash-nomargin mashsb-noshadow\" href=\"https:\/\/www.facebook.com\/sharer.php?u=https%3A%2F%2Fwww.conservativenewsdaily.net%2Fbreaking-news%2Fstudy-finds-that-nearly-half-of-older-adults-die-with-dementia%2F\" target=\"_top\" rel=\"nofollow\"><span class=\"icon\"><\/span><span class=\"text\">Facebook<\/span><\/a><a class=\"mashicon-twitter mash-medium mash-nomargin mashsb-noshadow\" href=\"https:\/\/twitter.com\/intent\/tweet?text=&amp;url=https:\/\/www.conservativenewsdaily.net\/breaking-news\/?p=1442063&amp;via=ConservNewsDly\" target=\"_top\" rel=\"nofollow\"><span class=\"icon\"><\/span><span class=\"text\">Twitter<\/span><\/a><a class=\"mashicon-subscribe mash-medium mash-nomargin mashsb-noshadow\" href=\"#\" target=\"_top\" rel=\"nofollow\"><span class=\"icon\"><\/span><span class=\"text\">Subscribe<\/span><\/a><div class=\"onoffswitch2 mash-medium mashsb-noshadow\" style=\"display:none\"><\/div><\/div>\n            <\/div>\n                <div style=\"clear:both\"><\/div><\/aside>\n            <!-- Share buttons by mashshare.net - Version: 4.0.47--><div><\/div>\n<p>Nearly 1 in 2 older adults now die with a <a href=\"https:\/\/www.everydayhealth.com\/dementia\/guide\/diagnosis\/\" data-gd-wrapped=\"\">diagnosis of dementia<\/a> listed on their medical record, a 36 percent rise from two decades ago. The research, published April 1 in <a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2790757?utm_source=For_The_Media&#038;utm_medium=referral&#038;utm_campaign=ftm_links&#038;utm_term=040122\" target=\"_blank\" rel=\"noopener noreferrer\"><em>JAMA Health Forum<\/em><\/a>, found the greatest increases in dementia diagnoses in hospice, inpatient, and home health settings.<\/p>\n<p>However, the increase may be the consequence of more detailed medical records, <a href=\"https:\/\/www.everydayhealth.com\/medicare\/everything-you-need-to-know-about-medicare-insurance\/\" data-gd-wrapped=\"\">Medicare<\/a> billing rules, and an increase in public awareness around dementia rather than an actual rise in the prevalence of dementia, according to researchers.<\/p>\n<p>Those changes could provide the opportunity for more older adults to talk in advance with their families and healthcare providers about the kind of care they want at the end of life if they do develop Alzheimer\u2019s disease or another form of cognitive decline, the authors note.<\/p>\n<h2><strong>Although Common, Dementia Is Not a Normal Part Of Aging<\/strong><\/h2>\n<p>Dementia is the loss of cognitive functioning, which includes things like the ability to think, remember, and reason, to the point where it interferes with a person\u2019s daily life, according to the <a href=\"https:\/\/www.nia.nih.gov\/health\/what-is-dementia\" target=\"_blank\" rel=\"noopener noreferrer\">National Institute on Aging<\/a>.<\/p>\n<aside class=\"ad-wrapper ad-wrapper--audience ad-container inline-widget inline-widget--right-rail _hold-size\"><\/aside>\n<p>Types of dementia include Alzheimer\u2019s disease, <a href=\"https:\/\/www.everydayhealth.com\/dementia\/progression-pace-decline-varies\/\" data-gd-wrapped=\"\">Lewy body dementia<\/a>, vascular dementia, and Parkinson\u2019s disease, per the <a href=\"https:\/\/www.cdc.gov\/aging\/dementia\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">Centers for Disease Control and Prevention (CDC<\/a>).<\/p>\n<p>Signs and <a href=\"https:\/\/www.everydayhealth.com\/dementia\/early-signs-symptoms\/\" data-gd-wrapped=\"\">symptoms of dementia<\/a> can include forgetting the names of close family members or friends, getting lost in a familiar neighborhood, and using unusual words to refer to objects, according to the CDC.<\/p>\n<h2><strong>Increases in Dementia Diagnoses Coincided With Changes in Medicare Billing and Medical Records <\/strong><\/h2>\n<p>To analyze how the diagnosis of Alzheimer disease and related dementias (ARDR) changed between 2004 and 2017, investigators drew from data from 3.5 million people older than 67 who died between 2004 and 2017.<\/p>\n<p>In 2004, about 35 percent of the end-of-life billing claims (bills submitted in the last two years of a person\u2019s life) had at least one mention of dementia, but by 2017 it had risen to more than 47 percent. When researchers only included the patients with at least two medical claims mentioning dementia in the analysis, 39 percent of the patients qualified, up from 25 percent in 2004.<\/p>\n<p>The authors found that the largest bump in the percentage of people dying with a dementia diagnosis happened near the time Medicare allowed hospitals, hospices, and doctors\u2019 offices to list more diagnoses on their requests for payment. The timing of the rise also coincided with the introduction of the <a href=\"https:\/\/aspe.hhs.gov\/collaborations-committees-advisory-groups\/napa\/napa-documents\/napa-national-plans#\" target=\"_blank\" rel=\"noopener noreferrer\">National Plan to Address Alzheimer\u2019s Disease<\/a>, which set aside funding to increase support and public awareness for the condition.<\/p>\n<p>\u201cThis shows we have far to go in addressing end-of-life care preferences proactively with those who are recently diagnosed, and their families,\u201d said senior author <a href=\"https:\/\/medicine.umich.edu\/dept\/dgpm\/julie-bynum-md-mph\" target=\"_blank\" rel=\"noopener noreferrer\">Julie Bynum, MD, PhD<\/a>, professor of <a href=\"https:\/\/www.everydayhealth.com\/cancer\/assessment-by-a-geriatrician-improves-cancer-care-for-older-adults\/\" data-gd-wrapped=\"\">geriatric medicine<\/a> at Michigan Medicine, <a href=\"https:\/\/ihpi.umich.edu\/news\/half-older-adults-now-die-dementia-diagnosis-sharply\" target=\"_blank\" rel=\"noopener noreferrer\">in a release<\/a>. \u201cWhere once the concern may have been underdiagnosis, now we can focus on how we use dementia diagnosis rates in everything from national budget planning to adjusting how Medicare reimburses Medicare Advantage plans,\u201d she said.<\/p>\n<h2><strong>More People With Dementia Choosing to Die in Hospice Care<\/strong><\/h2>\n<p>Researchers also noted a shift in the end-of-life care that patients with dementia received between 2004 and 2017. The percentage of people with a dementia diagnosis who died in a regular hospital bed or an ICU bed or who had a feeding tube in their last six months went down, while the percentage who received hospice services rose substantially during the study period, going from 36 percent to nearly 63 percent.<\/p>\n<p>The authors noted the rise in hospice care they found among those with a dementia diagnosis were in line with a national trend toward more hospice care by the late 2010s.<\/p>\n<p>Hospice care focuses on providing care, comfort, and quality of life for people with a serious illness who are approaching the end of life.<\/p>\n<h2><strong>The Number of People With Dementia May Continue to Rise<\/strong><\/h2>\n<p>Recent research suggests that the actual incidence of dementia cases around the globe will continue to climb as a result of people living longer, along with risk factors that include smoking, obesity and <a href=\"https:\/\/www.everydayhealth.com\/hs\/type-2-diabetes-management\/blood-sugar-uncontrolled-pictures\/\" data-gd-wrapped=\"\">high blood sugar<\/a>. A study published in January 2022 in <a href=\"https:\/\/www.thelancet.com\/retrieve\/pii\/S2468266721002498\" target=\"_blank\" rel=\"noopener noreferrer\"><em>The Lancet<\/em><\/a> projected that the number of adults living with some <a href=\"https:\/\/www.everydayhealth.com\/dementia\/\" data-gd-wrapped=\"\">form of dementia<\/a> in the United States will double by 2050, rising from 5.2 million people to 10.5 million.<\/p>\n<p>However, developing dementia isn\u2019t inevitable \u2014 lifestyle modification may play an important role in delaying the onset of the condition, said <a href=\"https:\/\/www.wakehealth.edu\/Providers\/C\/Maryjo-Lynn-Cleveland\" target=\"_blank\" rel=\"noopener noreferrer\">Maryjo Lynn Cleveland, MD<\/a>, a geriatric physician who specializes in dementia at Atrium Health Wake Forest Baptist in Winston Salem, North Carolina, and was not involved in this report.<\/p>\n<p>\u201cI instruct my patients to get 150 minutes of moderate intensity exercise per week, to adhere to a Mediterranean style diet, to ensure good sleep, and to be as socially active as is possible these days. It\u2019s also important to \u2018know your numbers\u2019 for blood pressure, weight, <a href=\"https:\/\/www.everydayhealth.com\/diet-nutrition\/bmi\/\" data-gd-wrapped=\"\">BMI<\/a>, cholesterol and try to bring these into a normal range,\u201d says Dr. Cleveland.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nearly 1 in 2 older adults now die with a diagnosis of dementia listed on their medical record, a 36 percent rise from two decades ago. The research, published April<\/p>\n","protected":false},"author":489,"featured_media":2315279,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"","fifu_image_url":"","fifu_image_alt":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-1442063","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/posts\/1442063","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/users\/489"}],"replies":[{"embeddable":true,"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/comments?post=1442063"}],"version-history":[{"count":0,"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/posts\/1442063\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/media\/2315279"}],"wp:attachment":[{"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/media?parent=1442063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/categories?post=1442063"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.conservativenewsdaily.net\/breaking-news\/wp-json\/wp\/v2\/tags?post=1442063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}