Changes in prevalence and health checkup coverage rate of chronic kidney disease (Ckd) after introduction of prefecture-wide ckd initiative: Results of the kagawa association of ckd initiatives

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Abstract

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.

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Sofue, T., Hara, T., Nishijima, Y., Nishioka, S., Watatani, H., Yamanaka, M., … Minamino, T. (2021). Changes in prevalence and health checkup coverage rate of chronic kidney disease (Ckd) after introduction of prefecture-wide ckd initiative: Results of the kagawa association of ckd initiatives. Journal of Personalized Medicine, 11(11). https://doi.org/10.3390/jpm11111121

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