Prevalence of Congestive Heart Failure in Medicare Beneficiaries with Diabetes, Aged 65 Years or Older, United States, 2021

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Sex Age-adjusted Rate
(per 100)
Overall 22.0
Males 23.4
Females 20.6
Sex Age Group
(in years)
Congestive Heart Failure Estimated Cases
Attributable to DiabetesReports the estimated number of disease cases that are attributed to diabetes, which can be interpreted as the number of cases that would be reduced if diabetes were eliminated.
Total Cases Crude Rate
(per 100)
95% Confidence Interval
Lower Limit Upper Limit
Overall 65-74 1,402,358 16.6 16.6 16.7 970,420
75+ 1,951,181 27.8 27.8 27.9 977,360
Total 3,353,539 22.7 22.6 22.7 1,947,780
Males 65-74 793,191 18.3 18.2 18.3 531,840
75+ 961,836 28.9 28.9 29.0 471,530
Total 1,755,027 23.8 23.8 23.9 1,003,360
Females 65-74 609,167 14.9 14.8 15.0 438,590
75+ 989,345 26.9 26.8 26.9 505,830
Total 1,598,513 21.6 21.6 21.6 944,420

Data Source: 2021 Medicare Master Beneficiary Summary File

Note: Medicare analyses are restricted to adults aged 65 or older with full Fee-for-Service coverage during a 2-year period and then extrapolated to the entire Medicare population using a state/sex/age-specific multiplier.

Rural and Urban Areas Congestive Heart Failure
Total Cases (in thousands) Crude Rate
(per 100)
95% Confidence Interval
Lower Limit Upper Limit
Urban Areas 3,081 22.7 22.7 22.7
Rural Areas 270 23.3 23.2 23.4

Data Source: 2021 Medicare Master Beneficiary Summary File

Note: Medicare analyses are restricted to adults aged 65 or older with full Fee-for-Service coverage during a 2-year period and then extrapolated to the entire Medicare population using a state/sex/age-specific multiplier.

Counties were categorized as rural or urban following the 2013 National Center for Health Statistics Urban-Rural Classification Scheme. Urban counties include large central metropolitan, large fringe metropolitan, medium metropolitan, small metropolitan, and micropolitan counties. Rural counties include noncore counties (i.e., nonmetropolitan counties that do not qualify as micropolitan).

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