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j.diabres.2014.05.007.pdf | 353.06 kB | Adobe PDF | 見る/開く |
タイトル: | Predictors of hyperglycaemic individuals who do not follow up with physicians after screening in Japan: A cohort study. |
著者: | Tsujimura, Yuka Takahashi, Yoshimitsu https://orcid.org/0000-0003-4073-9945 (unconfirmed) Ishizaki, Tatsuro Kuriyama, Akira Miyazaki, Kikuko Satoh, Toshihiko Ikeda, Shunya Kimura, Shinya Nakayama, Takeo https://orcid.org/0000-0002-7918-6252 (unconfirmed) |
著者名の別形: | 辻村, 友香 |
キーワード: | Diabetes Screening No follow-up Japan |
発行日: | Aug-2014 |
出版者: | Elsevier Ireland Ltd. |
誌名: | Diabetes research and clinical practice |
巻: | 105 |
号: | 2 |
開始ページ: | 176 |
終了ページ: | 184 |
抄録: | [Aims] Although people screened as being hyperglycaemic often fail to follow up with physicians for clinical assessment, epidemiologic findings on the frequency and predictors of not following up (hereafter, "no follow-up") are lacking. The purpose of this study was to examine the no follow-up rate with physicians after screening for diabetes and predictors of no follow-up. [Methods] We assessed cases of no follow-up with physicians within six months after screening based on medical claims data from employee-based social health insurance programs in Japan, for people aged 20 to 68 years from 2005 to 2010. [Results] Among 3878 screened participants with hyperglycaemia, 2527 (65%) did not follow up with their physicians within six months after screening. Multiple logistic regression analysis revealed that younger age and lower blood glucose level predicted no follow-up among both men and women, while lower body mass index and negative proteinuria also predicted no follow-up among men. Treatment for dyslipidaemia facilitated follow-up among both genders, and treatment for hypertension or depression facilitated follow-up among men. [Conclusions] Approximately two thirds of individuals screened as having hyperglycaemia did not follow up with their physicians within six months after screening. Predictors of no follow-up were younger age and milder hyperglycaemia. Being on treatment for co-morbidities tended to facilitate follow-up. |
著作権等: | © 2014 Elsevier Ireland Ltd. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。 This is not the published version. Please cite only the published version. |
URI: | http://hdl.handle.net/2433/189892 |
DOI(出版社版): | 10.1016/j.diabres.2014.05.007 |
PubMed ID: | 24947442 |
出現コレクション: | 学術雑誌掲載論文等 |
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