| Autor: |
Sofue T; Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Takamatsu 761-0793, Kagawa, Japan., Hara T; Department of Medicine for Community Healthcare Revitalization, Kagawa University, Takamatsu 761-0793, Kagawa, Japan., Nishijima Y; Department of CardioRenal Disease Regional Medicine, Kagawa University, Takamatsu 761-0793, Kagawa, Japan., Nishioka S; Department of Nephrology, Takamatsu Red Cross Hospital, Takamatsu 760-0017, Kagawa, Japan., Watatani H; Department of Nephrology and Rheumatology, Kagawa Prefectural Central Hospital, Takamatsu 760-8557, Kagawa, Japan., Yamanaka M; Department of Urology, Takamatsu Red Cross Hospital, Takamatsu 760-0017, Kagawa, Japan., Takahashi N; Department of Internal medicine, Shido-Akiyama Clinic, Takamatsu 769-2101, Kagawa, Japan., Nishiyama A; Department of Pharmacology, Kagawa University, Takamatsu 761-0793, Kagawa, Japan., Minamino T; Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Takamatsu 761-0793, Kagawa, Japan., Kagawa Association Of Chronic Kidney Disease Initiatives |
| Abstrakt: |
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%) ( p = 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. |
