Association between recorded medical diagnoses and incidence of long-term care needs certification: a case control study using linked medical and long-term care data in two Japanese cities
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- Iwagami Masao
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba Health Services Research and Development Center, University of Tsukuba
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- Taniguchi Yuta
- University of Tsukuba Hospital Graduate School of Comprehensive Human Sciences, University of Tsukuba
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- Jin Xueying
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba Health Services Research and Development Center, University of Tsukuba
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- Adomi Motohiko
- University of Tsukuba Hospital
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- Mori Takahiro
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba Health Services Research and Development Center, University of Tsukuba Department of General Internal Medicine, Eastern Chiba Medical Center
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- Hamada Shota
- Health Services Research and Development Center, University of Tsukuba Research Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare
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- Shinozaki Tomohiro
- Department of Information and Computer Technology, Faculty of Engineering, Tokyo University of Science
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- Suzuki Mamoru
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba Health Services Research and Development Center, University of Tsukuba
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- Uda Kazuaki
- Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo
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- Ueshima Hiroaki
- Health Services Research and Development Center, University of Tsukuba
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- Iijima Katsuya
- Institute of Gerontology, The University of Tokyo
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- Yoshie Satoru
- Health Services Research and Development Center, University of Tsukuba Institute of Gerontology, The University of Tokyo Department of Health Policy and Management, School of Medicine, Keio University
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- Ishizaki Tatsuro
- Health Services Research and Development Center, University of Tsukuba Human Care Research Team, Tokyo Metropolitan Institute of Gerontology
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- Ito Tomoko
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba Health Services Research and Development Center, University of Tsukuba
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- Tamiya Nanako
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba Health Services Research and Development Center, University of Tsukuba
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説明
<p>BACKGROUND</p><p>It is unknown which medical diagnoses are strongly associated with long-term care needs certification.</p><p>METHODS</p><p>We conducted a case-control study using linked medical and long-term care data from two Japanese cities. The participants were aged ≥75 years, without any previous long-term care needs certification, and had at least one medical insurance claim record during a period between April 2013 and March 2015 in City A and between April 2013 and November 2016 in City B. Cases were newly certified people for long-term care needs during the study period, whereas controls (matched on age category, sex, city, and calendar date) were randomly selected in a 1:4 ratio. We conducted multivariable conditional logistic regression analyses to estimate the association between 22 categories of medical diagnoses recorded in the past six months and new (i.e., first ever) long-term care needs certification.</p><p>RESULTS</p><p>Among 38,338 eligible people, 5,434 (14.2%) newly received long-term care needs certification. The adjusted odds ratio (95% confidence interval) was largest for femur fractures, 8.80 (6.35–12.20), followed by dementia, 6.70 (5.96–7.53), pneumonia, 3.72 (3.19–4.32), hemorrhagic stroke, 3.31 (2.53–4.34), Parkinson’s disease, 2.74 (2.07–3.63), and other fractures, 2.68 (2.38–3.02). A restricted analysis to more severe outcome (care need levels 2 to 5), sensitivity analysis to use different periods for exposure definition, and separate analysis by city showed consistent results.</p><p>CONCLUSIONS</p><p>Among a range of recorded medical diagnoses, fractures (especially femur fractures), dementia, pneumonia, hemorrhagic stroke, and Parkinson’s disease were strongly associated with long-term care needs certification.</p>
収録刊行物
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- Annals of Clinical Epidemiology
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Annals of Clinical Epidemiology 1 (2), 56-68, 2019
一般社団法人 日本臨床疫学会
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詳細情報 詳細情報について
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- CRID
- 1390285300163462144
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- NII論文ID
- 130007854101
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- ISSN
- 24344338
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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