Prevalence Rates and Costs of Metabolic Syndrome and Associated Risk Factors Using Employees' Integrated Laboratory Data and Health Care Claims
- 1 January 2011
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Occupational and Environmental Medicine
- Vol. 53 (1), 27-33
- https://doi.org/10.1097/jom.0b013e3181ff0594
Abstract
This study assessed the relative value of using laboratory, claims, or integrated laboratory-claims data to identify prevalence rates and costs of metabolic syndrome among Chevron Texaco Corporation, San Ramon, California, employees. This study identified five metabolic syndrome risk factors by using three identification methods: (1) health-screening data, applying the National Cholesterol Education Program Adult Treatment Panel III and World Health Organization definitions; (2) employer-based claims data applying proxy International Classification of Diseases, 9th Revision definitions; and (3) integrated laboratory-claims data. Prevalence rates and costs of metabolic syndrome and associated risk factors were estimated. Laboratory-defined and claims-defined approaches underestimated metabolic syndrome prevalence rates compared with the integrated approach by 22.9% and 87.5%, respectively. Employees with metabolic syndrome had double the costs of those without any risk factors ($4603 vs $1859; P = 0.0384). Results suggest that integrating laboratory and claims data is a more balanced approach than either approach alone for identifying metabolic syndrome among Chevron employees.Keywords
This publication has 22 references indexed in Scilit:
- The Association Between Changes in Metabolic Syndrome and Changes in Cost in a Workplace PopulationJournal of Occupational and Environmental Medicine, 2009
- Prevalence and Determinants of Metabolic Syndrome According to Three Definitions in Middle-Aged Chinese MenMetabolic Syndrome and Related Disorders, 2009
- The Prevalence of Metabolic Syndrome in an Employed Population and the Impact on Health and ProductivityJournal of Occupational and Environmental Medicine, 2008
- Simple Demographic Model to Predict Multiple Cardiometabolic Risk Factors in Two Well-Known Observational CohortsValue in Health, 2007
- Assessment of Cardiometabolic Risk Factors in a National Primary Care Electronic Health Record DatabaseValue in Health, 2007
- Metabolic Syndrome and Employer Sponsored Medical Benefits: An Actuarial AnalysisValue in Health, 2007
- Economic Burden and Risk of Cardiovascular Disease and Diabetes in Patients with Different Cardiometabolic Risk ProfilesValue in Health, 2007
- Predicting the Prevalence of Cardiometabolic Risk Factors When Clinical Data Are LimitedValue in Health, 2007
- Rarer Than a Blue MoonDiabetes Care, 2005
- Three Definitions of the Metabolic Syndrome: Relations to Mortality and Atherosclerotic MorbidityMetabolic Syndrome and Related Disorders, 2005