1. BEGIN File 465 to search the Incidence and Prevalence Database.

2. EXPAND an ICD-9 code on IC=, the ICD Code field.

3. SELECT the appropriate E Reference number.

4. SELECT Set 1 (S1) AND an additional concept in the Title (/TI) or Descriptor (/DE) fields to obtain a more focused strategy. The comma between /ti,de acts as OR.

?b465
File 465:Incidence & Prevalence 2007/Q2
       (c) 2007 Timely Data Resources

      Set  Items  Description
      ---  -----  -----------
?e ic=250.0
	  Ref   Items  Index-term
          E1        3  IC=245.2
E2      476  IC=250
E3      147 *IC=250.0
E4       65  IC=250.00
E5       55  IC=250.01
E6       20  IC=250.1
E7        1  IC=250.2
E8       33  IC=250.4
E9       43  IC=250.5
E10      19  IC=250.6
E11       3  IC=250.7
E12      90  IC=250.8
....
Enter P or PAGE for more

?s e3
      S1     147  IC='250.0'

?s s1 and mortality/ti,de
             147  S1
                        5399  MORTALITY/TI,DE
      S2      24  S1 AND MORTALITY/TI,DE

5. TYPE records from S2 in Format 8, which provides titles, codes, descriptors and publication years.

To select the appropriate record number, look at the range of records in the TYPE command (e.g., 2/8/2).

Note: Some records have been omitted from this display.

?t 2/8/all
  2/8/1 
DIALOG(R)File 465: Incidence & Prevalence
(c) 2007 Timely Data Resources. All rights reserved.

00686050 
Heart Disease and Stroke Statistics---2006 Update. 

ICD-9 Code: 250.0 
Description: Diabetes mellitus without mention of complications 
(General  comments: diabetes) 

Publication Year: 2006 

Descriptors: 
cost of disease (overall cost), diabetes, diagnosed rate, heart 
disease,  hospital admission (hospitalization, inpatient stay, 
hospital discharge), mortality, pre-diabetes, underdiagnosis 
(undiagnosed) . 

  2/8/2 
DIALOG(R)File 465: Incidence & Prevalence
(c) 2007 Timely Data Resources. All rights reserved.

00686043 
Effect of Medication Nonadherence on Hospitalization and 
Mortality Among  Patients With Diabetes Mellitus. 

ICD-9 Code: 250.0 
Description: Diabetes mellitus without mention of complications 
(General  comments: diabetes) 

Publication Year: 2006

6. TYPE S2 in full format (Format 9) to obtain statistics and text for the first record only.

Note: Part of this record is omitted from the display including statistics for Physician Office Visits, Emergency Dept. and Hospital Outpatients.

?t 2/8/all
  2/8/1 
        DIALOG(R)File 465: Incidence & Prevalence
        (c) 2007 Timely Data Resources. All rights reserved.
  
        00686050 
  Heart Disease and Stroke Statistics---2006 Update. 
  
  ICD-9 Code: 250.0 
  Description: Diabetes mellitus without mention of complications 
(General  comments: diabetes) 
  
  Publication Year: 2006 
  
  Descriptors: 
        cost of disease (overall cost), diabetes, diagnosed rate, 
heart disease,  hospital admission (hospitalization, inpatient 
stay, hospital discharge),  mortality, pre-diabetes, underdiagnosis 
(undiagnosed) . 
  
        Source: Dallas, Texas: American Heart  Association; 2006; 
p1 
        Publication Year: 2006

Statistical  Information:

U.S. T r e n d s:

  I n p a t i e n t  T r e n d s (1):
    2000       2001       2002       2003       2004       2005
 A    178,578    179,121    157,959    170,092    156,956    163,134
 B  3,336,573  3,489,019  3,728,319  3,994,129  4,037,868  4,074,187 
 C        3.1        3.1        3.0        3.0        2.7        2.8  

A = Primary Diagnosis; B = All Listed; C = Average Stay (days)

. . .

 INCIDENCE TRENDS:  The present authors used nationally 
representative data to examine recent trends in the incidence of 
self-reported diagnosed diabetes and whether the characteristics 
of incident cases have changed.  Data for 1997 through 2003 from 
the National Health Interview Survey (NHIS) of the National Center 
for Health Statistics, Centers for Disease Control and Prevention, 
were used to perform the analyses. 

7. TYPE selected records in Format 5, which gives you the full record except the statistics.


Note: Portions of Record 2 are shown.

?t s2/5/2-3 
  2/5/2  
        DIALOG(R)File 465: Incidence & Prevalence 
        (c) 2007 Timely Data Resources. All rights reserved. 
        
        00686043  
        Effect of Medication Nonadherence on Hospitalization and 
Mortality Among Patients With Diabetes Mellitus.  
        ICD-9 Code: 250.0  
        Description: Diabetes mellitus without mention of 
complications (General comments: diabetes)  
        Source: Archives of Internal Medicine; V.166; 9/25/06; p1836  
Publication Year: 2006  
        
        Text:  STUDY DESIGN:  The objective of this study was to 
evaluate the association between medication nonadherence and 
clinical outcomes in a large community cohort of 11,532 patients 
with diabetes mellitus (DM). Kaiser Permanente of Colorado (KPCO) 
is an integrated, nonprofit managed care organization that provides 
medical services to more than 400,000 members in the Denver 
metropolitan area.  The authors conducted a retrospective cohort 
study of patients in the KPCO diabetes registry.  Patients who were 
in the registry as of September 17, 2002 and had continuous 
enrollment through December 31, 2003 were included.  Patient 
adherence to medications was assessed during 2003.  The outcomes 
were ascertained from January 1, 2004 through April 30, 2005, 
which was the most recent date for which follow-up data were 
available.  Patients were followed up until death or disenrollment 
from the health plan.  As of April 30, 2005, 96.6% of the patients 
were still enrolled or had died. The mean follow-up was 474 days.  
Medication adherence was calculated as the proportion of days 
covered (PDC), based on the total number of days supplied for 
filled prescriptions during the observation interval.  Patients 
were classified as nonadherent based on a summary PDC less than 80%. 
MEDICATION ADHERENCE:  Based on the summary PDC, 
2456 patients (21.3%) were categorized as nonadherent. Nonadherent 
patients were younger 
        .... 
        Descriptors:  compliance, diabetes, hospital admission 
(hospitalization, inpatient stay, hospital discharge), mortality .  
Note - Related Topics:  When the term "general comments" occurs in 
the ICD-9 description, the information in the abstracts tends to be 
more review-like in nature, covering the entire topic under 
consideration rather than one specific subset of the diagnosis or 
procedure. The information in this classification deals with 
prevalence, incidence, mortality, cost, care, and other statistics 
associated with the general topic of diabetes. ....