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Characteristics and Incidence of Chronic Illness in Community-Dwelling Predominantly Male U.S. Veteran Centenarians.
- Source :
-
Journal of the American Geriatrics Society . Sep2017, Vol. 65 Issue 9, p2100-2106. 7p. 2 Charts, 1 Graph. - Publication Year :
- 2017
-
Abstract
- Objectives To assess the incidence of chronic illness and its effect on veteran centenarians. Design Retrospective longitudinal cohort study. Setting United States Veterans Affairs Corporate Data Warehouse (CDW). Participants Community-dwelling veterans born between 1910 and 1915 who survived to at least age 80 (N = 86,892; 31,121 octogenarians, 52,420 nonagenarians, 3,351 centenarians). Measurements The Kaplan-Meier method was used to estimate cumulative incidence of chronic conditions according to age group. Incidence rates were compared using the log-rank test. Cox proportional hazards models were used to estimate unadjusted hazard ratios. Results Ninety-seven percent of Centenarians were male, 88.0% were white, 31.8% were widowed, 87.5% served in World War II, and 63.9% did not have a service-related disability. The incidence rates of chronic illnesses were higher in octogenarians than centenarians (atrial fibrillation, 15.0% vs 0.6%, P < .001; heart failure, 19.3% vs 0.4%, P < .001; chronic obstructive pulmonary disease, 17.9% vs 0.6%, P < .001; hypertension, 29.6% vs 3.0%, P < .001; end-stage renal disease, 7.2% vs 0.1%, P < .001; malignancy, 14.1% vs 0.6%, P < .001; diabetes mellitus, 11.1% vs 0.4%, P < .001; stroke, 4.6% vs 0.4%, P < .001) and in nonagenarians than centenarians (atrial fibrillation, 13.2% vs 3.5%, P < .001; heart failure, 15.8% vs 3.3%, P < .001; chronic obstructive pulmonary disease, 11.8% vs 3.5%, P < .001; hypertension, 27.2% vs 12.8%, P < .001; end-stage renal disease, 11.9% vs 4.5%, P < .001; malignancy, 8.6% vs 2.3%, P < .001; diabetes mellitus, 7.5% vs 2.2%, P < .001; and stroke, 3.5% vs 1.3%, P < .001). Conclusion In a large cohort of predominantly male community-dwelling elderly veterans, centenarians had a lower incidence of chronic illness than those in their 80s and 90s, demonstrating similar compression of morbidity and extension of health span observed in other studies. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHRONIC diseases
*CENTENARIANS
*DISEASE incidence
*CHRONICALLY ill
*ATRIAL fibrillation
*OBSTRUCTIVE lung diseases patients
*DISEASES
*HEALTH
*PATIENTS
*STATISTICS
*KAPLAN-Meier estimator
*CHRONIC kidney failure
*DIABETES
*HEART failure
*HYPERTENSION
*LONGITUDINAL method
*OBSTRUCTIVE lung diseases
*VETERANS
*PROBABILITY theory
*STROKE
*TUMORS
*INDEPENDENT living
*PROPORTIONAL hazards models
*RETROSPECTIVE studies
*DESCRIPTIVE statistics
DISEASES in veterans
WORLD War II veterans
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 65
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 125199644
- Full Text :
- https://doi.org/10.1111/jgs.14900