Changes in Prevalence and Health Checkup Coverage Rate of Chronic Kidney Disease (CKD) after Introduction of Prefecture-Wide CKD Initiative: Results of the Kagawa Association of CKD Initiatives

The National Health Insurance (NHI) special health checkup system in Japan targets the NHI population aged 40–74 years. Since 2015, the Kagawa NHI special health checkup was initiated in a prefecture-wide chronic kidney disease (CKD) initiative, including renal examination as an essential item in NH...

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Autores principales:	Tadashi Sofue, Taiga Hara, Yoko Nishijima, Satoshi Nishioka, Hiroyuki Watatani, Masahito Yamanaka, Norihiro Takahashi, Akira Nishiyama, Tetsuo Minamino, Kagawa Association of Chronic Kidney Disease Initiatives
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	chronic kidney disease health checkup medical costs coverage rate Medicine R
Acceso en línea:	https://doaj.org/article/6cf5c2241441412d94e837f6f798fabe
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spelling	oai:doaj.org-article:6cf5c2241441412d94e837f6f798fabe2021-11-25T18:07:22ZChanges in Prevalence and Health Checkup Coverage Rate of Chronic Kidney Disease (CKD) after Introduction of Prefecture-Wide CKD Initiative: Results of the Kagawa Association of CKD Initiatives10.3390/jpm111111212075-4426https://doaj.org/article/6cf5c2241441412d94e837f6f798fabe2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1121https://doaj.org/toc/2075-4426The National Health Insurance (NHI) special health checkup system in Japan targets the NHI population aged 40–74 years. Since 2015, the Kagawa NHI special health checkup was initiated in a prefecture-wide chronic kidney disease (CKD) initiative, including renal examination as an essential item in NHI health checkups. Here, we aimed to investigate the effects of the prefecture-wide CKD initiative. We conducted a retrospective cohort survey using the Kagawa National Health Insurance database created by the Kagawa National Health Insurance Organization. Results of the NHI health checkup (2015–2019) and prefecture-wide outcomes (2013–2019) were analyzed. The prevalence of CKD among examinees who underwent the NHI health checkup increased from 17.7% in 2015 to 23.2% in 2019. The percentage of examinees who completed a medical visit was 29.4% in 2015. After initiation of the initiative, the NHI health checkup coverage rate increased significantly, from a mean (standard deviation) of 40.8% (0.4%) to 43.2% (1.1%) (<i>p</i> = 0.04). After the start of the CKD initiative, we found an increase in the prevalence of CKD and the NHI health checkup coverage rate.Tadashi SofueTaiga HaraYoko NishijimaSatoshi NishiokaHiroyuki WatataniMasahito YamanakaNorihiro TakahashiAkira NishiyamaTetsuo MinaminoKagawa Association of Chronic Kidney Disease InitiativesMDPI AGarticlechronic kidney diseasehealth checkupmedical costscoverage rateMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1121, p 1121 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic kidney disease health checkup medical costs coverage rate Medicine R
spellingShingle	chronic kidney disease health checkup medical costs coverage rate Medicine R Tadashi Sofue Taiga Hara Yoko Nishijima Satoshi Nishioka Hiroyuki Watatani Masahito Yamanaka Norihiro Takahashi Akira Nishiyama Tetsuo Minamino Kagawa Association of Chronic Kidney Disease Initiatives Changes in Prevalence and Health Checkup Coverage Rate of Chronic Kidney Disease (CKD) after Introduction of Prefecture-Wide CKD Initiative: Results of the Kagawa Association of CKD Initiatives
description	The National Health Insurance (NHI) special health checkup system in Japan targets the NHI population aged 40–74 years. Since 2015, the Kagawa NHI special health checkup was initiated in a prefecture-wide chronic kidney disease (CKD) initiative, including renal examination as an essential item in NHI health checkups. Here, we aimed to investigate the effects of the prefecture-wide CKD initiative. We conducted a retrospective cohort survey using the Kagawa National Health Insurance database created by the Kagawa National Health Insurance Organization. Results of the NHI health checkup (2015–2019) and prefecture-wide outcomes (2013–2019) were analyzed. The prevalence of CKD among examinees who underwent the NHI health checkup increased from 17.7% in 2015 to 23.2% in 2019. The percentage of examinees who completed a medical visit was 29.4% in 2015. After initiation of the initiative, the NHI health checkup coverage rate increased significantly, from a mean (standard deviation) of 40.8% (0.4%) to 43.2% (1.1%) (<i>p</i> = 0.04). After the start of the CKD initiative, we found an increase in the prevalence of CKD and the NHI health checkup coverage rate.
format	article
author	Tadashi Sofue Taiga Hara Yoko Nishijima Satoshi Nishioka Hiroyuki Watatani Masahito Yamanaka Norihiro Takahashi Akira Nishiyama Tetsuo Minamino Kagawa Association of Chronic Kidney Disease Initiatives
author_facet	Tadashi Sofue Taiga Hara Yoko Nishijima Satoshi Nishioka Hiroyuki Watatani Masahito Yamanaka Norihiro Takahashi Akira Nishiyama Tetsuo Minamino Kagawa Association of Chronic Kidney Disease Initiatives
author_sort	Tadashi Sofue
title	Changes in Prevalence and Health Checkup Coverage Rate of Chronic Kidney Disease (CKD) after Introduction of Prefecture-Wide CKD Initiative: Results of the Kagawa Association of CKD Initiatives
title_short	Changes in Prevalence and Health Checkup Coverage Rate of Chronic Kidney Disease (CKD) after Introduction of Prefecture-Wide CKD Initiative: Results of the Kagawa Association of CKD Initiatives
title_full	Changes in Prevalence and Health Checkup Coverage Rate of Chronic Kidney Disease (CKD) after Introduction of Prefecture-Wide CKD Initiative: Results of the Kagawa Association of CKD Initiatives
title_fullStr	Changes in Prevalence and Health Checkup Coverage Rate of Chronic Kidney Disease (CKD) after Introduction of Prefecture-Wide CKD Initiative: Results of the Kagawa Association of CKD Initiatives
title_full_unstemmed	Changes in Prevalence and Health Checkup Coverage Rate of Chronic Kidney Disease (CKD) after Introduction of Prefecture-Wide CKD Initiative: Results of the Kagawa Association of CKD Initiatives
title_sort	changes in prevalence and health checkup coverage rate of chronic kidney disease (ckd) after introduction of prefecture-wide ckd initiative: results of the kagawa association of ckd initiatives
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6cf5c2241441412d94e837f6f798fabe
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Changes in Prevalence and Health Checkup Coverage Rate of Chronic Kidney Disease (CKD) after Introduction of Prefecture-Wide CKD Initiative: Results of the Kagawa Association of CKD Initiatives

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