Use of Commercial Claims Data for Evaluating Trends in Lyme Disease Diagnoses, United States, 2010–2018

Schwartz, Amy M.; Kugeler, Kiersten J.; Nelson, Christina A.; Marx, Grace E.; Hinckley, Alison F.

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Use of Commercial Claims Data for Evaluating Trends in Lyme Disease Diagnoses, United States, 2010–2018

Supporting Files Public Domain

2021
By Schwartz, Amy M. ; Kugeler, Kiersten J. ; Nelson, Christina A. ; ...

File Language:

English

Details

Alternative Title:

Emerg Infect Dis
Personal Author:

Schwartz, Amy M. ; Kugeler, Kiersten J. ; Nelson, Christina A. ; Marx, Grace E. ; Hinckley, Alison F.
Description:

We evaluated MarketScan, a large commercial insurance claims database, for its potential use as a stable and consistent source of information on Lyme disease diagnoses in the United States. The age, sex, and geographic composition of the enrolled population during 2010-2018 remained proportionally stable, despite fluctuations in the number of enrollees. Annual incidence of Lyme disease diagnoses per 100,000 enrollees ranged from 49 to 88, ≈6-8 times higher than that observed for cases reported through notifiable disease surveillance. Age and sex distributions among Lyme disease diagnoses in MarketScan were similar to those of cases reported through surveillance, but proportionally more diagnoses occurred outside of peak summer months, among female enrollees, and outside high-incidence states. Misdiagnoses, particularly in low-incidence states, may account for some of the observed epidemiologic differences. Commercial claims provide a stable data source to monitor trends in Lyme disease diagnoses, but certain important characteristics warrant further investigation.
Subjects:

Aged Aged, 80 And Over Borrelia Burgdorferi Female Humans Incidence Insurance Claim Review Lyme Disease Male Middle Aged Population Surveillance Public Health Surveillance Seasons Tick-Borne Diseases
Source:

Emerg Infect Dis. 27(2):499-507
Pubmed ID:

33496238
Pubmed Central ID:

PMC7853566
Document Type:

Journal Article
Place as Subject:

United States
Location:

North America
Volume:

27
Issue:

2
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:85a6bd675930914913833aac0941bc7439d285297f4328813347994d72acd0a4
Download URL:

https://stacks.cdc.gov/view/cdc/102453/cdc_102453_DS1.pdf
File Type:

[PDF - 1.17 MB ]

File Language:

English

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