Effectiveness of CKD Exacerbation Countermeasures in Izumo City

To diagnose chronic kidney disease (CKD) at an early stage, it is important to promote appropriate health guidance and consultation recommendations through regular medical examinations and implementation of continuous high-quality and appropriate treatment. From fiscal year (FY) 2018, Izumo City has...

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Autores principales:	Takafumi Ito, Fumika Kamei, Hirotaka Sonoda, Masafumi Oba, Miharu Kawanishi, Ryuichi Yoshimura, Shohei Fukunaga, Masahiro Egawa
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	chronic kidney disease Kidney Disease Countermeasures Study Group Report specific health checkup medical care system CKD exacerbation Medicine R
Acceso en línea:	https://doaj.org/article/e52c8f7e5b444d3396c1d6f01505d8dc
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spelling	oai:doaj.org-article:e52c8f7e5b444d3396c1d6f01505d8dc2021-11-25T18:07:14ZEffectiveness of CKD Exacerbation Countermeasures in Izumo City10.3390/jpm111111042075-4426https://doaj.org/article/e52c8f7e5b444d3396c1d6f01505d8dc2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1104https://doaj.org/toc/2075-4426To diagnose chronic kidney disease (CKD) at an early stage, it is important to promote appropriate health guidance and consultation recommendations through regular medical examinations and implementation of continuous high-quality and appropriate treatment. From fiscal year (FY) 2018, Izumo City has initiated the “Izumo City CKD Exacerbation Countermeasures” program. In this study, we aimed to report on the methods undertaken and the effects of this program. Residents aged 40–74 years who underwent specific health checkups from the Izumo City National Health Insurance in FY2018 and FY2019 were included. The rates of CKD re-examination candidates, re-examinations implementation, nephrologist referrals, and health guidance referrals between FY2018 and FY2019 were compared. The rate of CKD re-examination candidates in both years remained unchanged at approximately 7%. The rate of re-examination implementation in FY2019 significantly increased relative to that in FY2018 (<i>p</i> < 0.001). Subsequent re-examination candidate trends showed that the rate of nephrologist referrals did not increase. However, the rate of city health guidance referrals significantly increased (<i>p</i> < 0.001). Increase in the re-examination and health guidance examination rates indicate improved awareness of CKD among the public and family doctors, and it is expected to prevent CKD exacerbation in the future.Takafumi ItoFumika KameiHirotaka SonodaMasafumi ObaMiharu KawanishiRyuichi YoshimuraShohei FukunagaMasahiro EgawaMDPI AGarticlechronic kidney diseaseKidney Disease Countermeasures Study Group Reportspecific health checkupmedical care systemCKD exacerbationMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1104, p 1104 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic kidney disease Kidney Disease Countermeasures Study Group Report specific health checkup medical care system CKD exacerbation Medicine R
spellingShingle	chronic kidney disease Kidney Disease Countermeasures Study Group Report specific health checkup medical care system CKD exacerbation Medicine R Takafumi Ito Fumika Kamei Hirotaka Sonoda Masafumi Oba Miharu Kawanishi Ryuichi Yoshimura Shohei Fukunaga Masahiro Egawa Effectiveness of CKD Exacerbation Countermeasures in Izumo City
description	To diagnose chronic kidney disease (CKD) at an early stage, it is important to promote appropriate health guidance and consultation recommendations through regular medical examinations and implementation of continuous high-quality and appropriate treatment. From fiscal year (FY) 2018, Izumo City has initiated the “Izumo City CKD Exacerbation Countermeasures” program. In this study, we aimed to report on the methods undertaken and the effects of this program. Residents aged 40–74 years who underwent specific health checkups from the Izumo City National Health Insurance in FY2018 and FY2019 were included. The rates of CKD re-examination candidates, re-examinations implementation, nephrologist referrals, and health guidance referrals between FY2018 and FY2019 were compared. The rate of CKD re-examination candidates in both years remained unchanged at approximately 7%. The rate of re-examination implementation in FY2019 significantly increased relative to that in FY2018 (<i>p</i> < 0.001). Subsequent re-examination candidate trends showed that the rate of nephrologist referrals did not increase. However, the rate of city health guidance referrals significantly increased (<i>p</i> < 0.001). Increase in the re-examination and health guidance examination rates indicate improved awareness of CKD among the public and family doctors, and it is expected to prevent CKD exacerbation in the future.
format	article
author	Takafumi Ito Fumika Kamei Hirotaka Sonoda Masafumi Oba Miharu Kawanishi Ryuichi Yoshimura Shohei Fukunaga Masahiro Egawa
author_facet	Takafumi Ito Fumika Kamei Hirotaka Sonoda Masafumi Oba Miharu Kawanishi Ryuichi Yoshimura Shohei Fukunaga Masahiro Egawa
author_sort	Takafumi Ito
title	Effectiveness of CKD Exacerbation Countermeasures in Izumo City
title_short	Effectiveness of CKD Exacerbation Countermeasures in Izumo City
title_full	Effectiveness of CKD Exacerbation Countermeasures in Izumo City
title_fullStr	Effectiveness of CKD Exacerbation Countermeasures in Izumo City
title_full_unstemmed	Effectiveness of CKD Exacerbation Countermeasures in Izumo City
title_sort	effectiveness of ckd exacerbation countermeasures in izumo city
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e52c8f7e5b444d3396c1d6f01505d8dc
work_keys_str_mv	AT takafumiito effectivenessofckdexacerbationcountermeasuresinizumocity AT fumikakamei effectivenessofckdexacerbationcountermeasuresinizumocity AT hirotakasonoda effectivenessofckdexacerbationcountermeasuresinizumocity AT masafumioba effectivenessofckdexacerbationcountermeasuresinizumocity AT miharukawanishi effectivenessofckdexacerbationcountermeasuresinizumocity AT ryuichiyoshimura effectivenessofckdexacerbationcountermeasuresinizumocity AT shoheifukunaga effectivenessofckdexacerbationcountermeasuresinizumocity AT masahiroegawa effectivenessofckdexacerbationcountermeasuresinizumocity
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Effectiveness of CKD Exacerbation Countermeasures in Izumo City

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