Table 1.
All pneumonia patients identified in claims (N=1,345) | Medical record status
|
|||||||
---|---|---|---|---|---|---|---|---|
All medical records (N=388) | Documented pneumonia diagnosis (N=311) | No documented pneumonia diagnosis (N=77) | ||||||
Female (n, %) | 711 | 52.9% | 209 | 53.9% | 160 | 51.4% | 49 | 63.6% |
Age (n, %) | ||||||||
40 to 49 years | 108 | 8.0% | 29 | 7.5% | 22 | 7.1% | 7 | 9.1% |
50 to 59 years | 285 | 21.2% | 66 | 17.0% | 57 | 18.3% | 9 | 11.7% |
60 to 64 years | 195 | 14.5% | 62 | 16.0% | 51 | 16.4% | 11 | 14.3% |
65+ years | 757 | 56.3% | 231 | 59.5% | 181 | 58.2% | 50 | 64.9% |
Mean ± SD | 67.4 | 12.5 | 67.8 | 11.6 | 67.5 | 11.4 | 68.9 | 12.3 |
Geographic region (n, %) | ||||||||
Northeast | 236 | 17.5% | 47 | 12.1% | 41 | 13.2% | 6 | 7.8% |
Midwest | 634 | 47.1% | 201 | 51.8% | 157 | 50.5% | 44 | 57.1% |
South | 303 | 22.5% | 87 | 22.4% | 70 | 22.5% | 17 | 22.1% |
West | 172 | 12.8% | 53 | 13.7% | 43 | 13.8% | 10 | 13.0% |
Healthplan type (n, %) | ||||||||
HMO | 434 | 32.3% | 122 | 31.4% | 99 | 31.8% | 23 | 29.9% |
PPO | 815 | 60.6% | 234 | 60.3% | 185 | 59.5% | 49 | 63.6% |
CDHP | 48 | 3.6% | 11 | 2.8% | 10 | 3.2% | 1 | 1.3% |
Other commercial | 48 | 3.6% | 21 | 5.4% | 17 | 5.5% | 4 | 5.2% |
Race (n, %) | n/a* | |||||||
Caucasian/White | 172 | 44.3% | 147 | 47.3% | 25 | 32.5% | ||
African American/Black | 9 | 2.3% | 8 | 2.6% | 1 | 1.3% | ||
Asian/Pacific Islander | 5 | 1.3% | 4 | 1.3% | 1 | 1.3% | ||
Not specified | 202 | 52.1% | 152 | 48.9% | 50 | 64.9% | ||
Smoking status (n, %) | n/a* | |||||||
Active smoker | 90 | 23.2% | 81 | 26.0% | 9 | 11.7% | ||
Former smoker | 141 | 36.3% | 122 | 39.2% | 19 | 24.7% | ||
Never smoked | 40 | 10.3% | 34 | 10.9% | 6 | 7.8% | ||
Unknown | 117 | 30.2% | 74 | 23.8% | 43 | 55.8% |
Notes: Age, geographic region, and healthplan type were captured via claims data at the index date, while race and smoking status were identified from the medical records.
Not applicable, data are only available in medical records, not the claims data.
Abbreviations: HMO, health maintenance organization; PPO, preferred provider organization; CDHP, consumer-driven health plan; SD, standard deviation.