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Reduction in medical costs for cardiovascular diseases through innovative health awareness projects in a rural area in Japan
To promote health awareness and improve life expectancy in Hirosaki, a Japanese rural area, the Center of Healthy Aging Program (CHAP) was founded in 2013. The most important characteristic of CHAP is a personalized interview just after the checkup to discuss individual results. We evaluated the cli...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9668126/ https://www.ncbi.nlm.nih.gov/pubmed/36383573 http://dx.doi.org/10.1371/journal.pone.0277600 |
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author | Shoji, Ayako Kudo, Kennichi Murashita, Koichi Nakaji, Shigeyuki Igarashi, Ataru |
author_facet | Shoji, Ayako Kudo, Kennichi Murashita, Koichi Nakaji, Shigeyuki Igarashi, Ataru |
author_sort | Shoji, Ayako |
collection | PubMed |
description | To promote health awareness and improve life expectancy in Hirosaki, a Japanese rural area, the Center of Healthy Aging Program (CHAP) was founded in 2013. The most important characteristic of CHAP is a personalized interview just after the checkup to discuss individual results. We evaluated the clinical and economic effects of CHAP by analyzing the cohort data of voluntary participants from annual health checkups since 2005 in the Iwaki district of Hirosaki. We calculated 10-year incidence risk scores for coronary heart diseases (CHDs) and stroke, and compared the risk-score trend before and after the start of CHAP by adjusting other risk factors using multivariate generalized linear regression analyses. We also predicted the 10-year incidences of CHDs and stroke based on the risk scores, for future scenarios of the two conditions, with and without CHAP, and compared them to their treatment costs between scenarios. The number of participants ranged between 808 and 1,167, from 2008 to 2016. The mean age (55 years) and proportion of women (60%) did not significantly change throughout the period. After adjusting for sex, age, outside temperature on the checkup date, the preparation effect of CHAP in 2012, and risk scores in the previous year, the annual increases in risk scores of CHDs and stroke were significant even after CHAP (+0.413, p <0.001; +0.169, p <0.001, respectively), but slightly less compared to before CHAP (+2.638, p <0.001; +1.155, p <0.001, respectively). Assuming the trend continued until 2021, the 10-year incidences of CHDs and stroke have decreases by 22,486 and 9,603, respectively, and treatment costs decreased by JPY 21,973 and 16,056 million, respectively. CHAP contributes to a significant decrease in the incidences of CHDs and stroke, and reduces economic burden on the local government. |
format | Online Article Text |
id | pubmed-9668126 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-96681262022-11-17 Reduction in medical costs for cardiovascular diseases through innovative health awareness projects in a rural area in Japan Shoji, Ayako Kudo, Kennichi Murashita, Koichi Nakaji, Shigeyuki Igarashi, Ataru PLoS One Research Article To promote health awareness and improve life expectancy in Hirosaki, a Japanese rural area, the Center of Healthy Aging Program (CHAP) was founded in 2013. The most important characteristic of CHAP is a personalized interview just after the checkup to discuss individual results. We evaluated the clinical and economic effects of CHAP by analyzing the cohort data of voluntary participants from annual health checkups since 2005 in the Iwaki district of Hirosaki. We calculated 10-year incidence risk scores for coronary heart diseases (CHDs) and stroke, and compared the risk-score trend before and after the start of CHAP by adjusting other risk factors using multivariate generalized linear regression analyses. We also predicted the 10-year incidences of CHDs and stroke based on the risk scores, for future scenarios of the two conditions, with and without CHAP, and compared them to their treatment costs between scenarios. The number of participants ranged between 808 and 1,167, from 2008 to 2016. The mean age (55 years) and proportion of women (60%) did not significantly change throughout the period. After adjusting for sex, age, outside temperature on the checkup date, the preparation effect of CHAP in 2012, and risk scores in the previous year, the annual increases in risk scores of CHDs and stroke were significant even after CHAP (+0.413, p <0.001; +0.169, p <0.001, respectively), but slightly less compared to before CHAP (+2.638, p <0.001; +1.155, p <0.001, respectively). Assuming the trend continued until 2021, the 10-year incidences of CHDs and stroke have decreases by 22,486 and 9,603, respectively, and treatment costs decreased by JPY 21,973 and 16,056 million, respectively. CHAP contributes to a significant decrease in the incidences of CHDs and stroke, and reduces economic burden on the local government. Public Library of Science 2022-11-16 /pmc/articles/PMC9668126/ /pubmed/36383573 http://dx.doi.org/10.1371/journal.pone.0277600 Text en © 2022 Shoji et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Shoji, Ayako Kudo, Kennichi Murashita, Koichi Nakaji, Shigeyuki Igarashi, Ataru Reduction in medical costs for cardiovascular diseases through innovative health awareness projects in a rural area in Japan |
title | Reduction in medical costs for cardiovascular diseases through innovative health awareness projects in a rural area in Japan |
title_full | Reduction in medical costs for cardiovascular diseases through innovative health awareness projects in a rural area in Japan |
title_fullStr | Reduction in medical costs for cardiovascular diseases through innovative health awareness projects in a rural area in Japan |
title_full_unstemmed | Reduction in medical costs for cardiovascular diseases through innovative health awareness projects in a rural area in Japan |
title_short | Reduction in medical costs for cardiovascular diseases through innovative health awareness projects in a rural area in Japan |
title_sort | reduction in medical costs for cardiovascular diseases through innovative health awareness projects in a rural area in japan |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9668126/ https://www.ncbi.nlm.nih.gov/pubmed/36383573 http://dx.doi.org/10.1371/journal.pone.0277600 |
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