10
HOSPITALS/SYSTEMS DIGEST 2013
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
• In 2011, 20.1% of patients with a primary
diagnosis of hypertension and 11.4% of patients
with a primary diagnosis of angina had a
concomitant diagnosis of Type 2 diabetes.
• Meanwhile, more than one in five patients
with a primary diagnosis of diabetes mellitus in
2011 likewise had hypertension, a testament to
the clustering effect of chronic disease.
Data source: IMS Health © 2013
HOSPI TALS
DEMOGRAPHICS
MOST COMMON CONCOMITANT DIAGNOSES FOR PATIENTS
WITH ANY OF THREE PRIMARY DIAGNOSES, BY ICD-9 CODE
ICD-9 Code
2010
2011
angina
401.9
Unspecified essential hypertension
26.8%
26.8%
272.4
Other and unspecified hyperlipidemia
17.0
19.2
250.00
Type 2 (non-insulin dependent type) or unspecified type diabetes
mellitus without mention of complication, not stated as uncontrolled
11.1
11.4
414.01 Coronary atherosclerosis of native coronary artery
9.0
9.8
530.81 Esophageal reflux
7.8
7.4
HYPERTENSION
272.4
Other and unspecified hyperlipidemia
27.0%
29.5%
250.00
Type 2 (non-insulin dependent type) or unspecified type diabetes
mellitus without mention of complication, not stated as uncontrolled
18.4
20.1
414.01 Coronary atherosclerosis of native coronary artery
13.1
14.0
305.1
Nondependent tobacco use disorder
12.5
13.0
786.59 Other chest pain
11.5
11.5
diabetes MELLITUS
401.9
Unspecified essential hypertension
21.1%
20.9%
272.4
Other and unspecified hyperlipidemia
11.3
11.8
584.9
Unspecified acute renal failure
9.5
10.5
276.51 Dehydration
8.5
8.4
357.2
Polyneuropathy in diabetes
7.6
8.0
Most Common Procedure FOR PATIENTS WITH ANY OF NINE PRIMARY DIAGNOSES, BY ICD-9 CODE
PRIMARY Diagnosis
ICD–9 code
Procedure
2010
2011
Acute Coronary Syndromes (ACS)
37.22
Left heart cardiac catheterization
13.7% 14.6%
Angina
88.56
Coronary arteriography using
two catheters
19.6
20.9
Atrial Fibrillation/Atrial Flutter
88.72
Diagnostic ultrasound of heart
14.1
15.0
Breast Cancer
85.43
Unilateral extended simple mastectomy
29.1
27.2
Diabetes Mellitus
38.93
Venous catheterization, not
elsewhere classified
10.5
8.5
Hypertension
88.72
Diagnostic ultrasound of heart
4.2
4.3
Osteoarthritis
81.54
Total knee replacement
78.1
81.2
Prostate Cancer
17.42
Laparoscopic robotic assisted procedure 41.0
46.8
Stroke
00.40
Procedure on single vessel
17.5
17.0
Growing Majority of Osteoarthritis Inpatients Undergo a Total Knee Replacement
• In 2011, 81.2% of patients with a primary
diagnosis of osteoarthritis underwent a
total knee replacement, up more than
three percentage points from 78.1% in 2010.
• Meanwhile, breast cancer patients (to 27.2%
from 29.1%) were less likely to undergo a
unilateral extended simple mastectomy, the
most common procedure for these patients.
Type 2 Diabetes Affects One in Five Hypertension Patients
CHRONIC DISEASE
I...,II,1,2,3,4,5,6,7,8,9 11,12,13,14,15,16,17,18,19,20,...IV