ArticleBMC geriatrics2017
Survival analysis of increases in care needs associated with dementia and living alone among older long-term care service users in Japan.
Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Effects of the abacus-based mental calculation training application "SoroTouch" on cognitive functions: A randomized controlled trial.PloS one · 2024Trial
- Treatment and prognosis of proximal humerus fracture in older adults: a retrospective cohort study using health insurance claims database.BMC geriatrics · 2026Article
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- Living alone with dementia is a neglected source of inequality: findings from a scoping review of research evidence.Systematic reviews · 2025Article
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- Association between preexisting long-term care needs and in-hospital mortality and long-term outcomes in older inpatients with pneumonia: A retrospective cohort study.Journal of general and family medicine · 2025Article
- Functional outcomes in older patients after Parkinson's disease diagnosis in Japan: The LIFE study.Clinical parkinsonism & related disorders · 2025Article
- Post-discharge functional outcomes in older patients with sepsis.Critical care (London, England) · 2024Article
- Visualization and Improvement of the Quality, Efficiency, and Equity of the Healthcare System - Secondary Publication.JMA journal · 2024Review
- Services in public long-term care insurance in Japan.Annals of clinical epidemiology · 2024Article
- Factors associated with the perceived need for assistance from voluntary services in home-based older adults in Chinese urban areas: a cross-sectional study.BMC geriatrics · 2023Article
- Associations between long-term care-service use and service- or care-need level progression: a nationwide cohort study using the Japanese Long-Term Care Insurance Claims database.BMC health services research · 2023Article
- Article
- Community intervention programs prolong the onset of functional disability among older Japanese.Geriatrics & gerontology international · 2022Article
- Factors Affecting Care-Level Deterioration among Older Adults with Mild and Moderate Disabilities in Japan: Evidence from the Nationally Standardized Survey for Care-Needs Certification.International journal of environmental research and public health · 2022Article
- The use of Japanese long-term care insurance claims in health services research: current status and perspectives.Global health & medicine · 2021Review
- Prediction of 11-year incidence of psychophysically dependent status or death among community-dwelling younger elderlies: from an age-specified community-based cohort study (the NISSIN project).Environmental health and preventive medicine · 2021Article
- Psychometric properties of long-term care needs questionnaire for older Chinese adults with dementia.Japan journal of nursing science : JJNS · 2021Article
- Article
- Use of Services by People Living Alone With Cognitive Impairment: A Systematic Review.Innovation in aging · 2021Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundJapan is known for its long life expectancy and rapidly aging society that there are various demands of older adults need to be fulfilled with, and one of them is long-term care needs. Therefore, Japan implemented the Long-Term Care Insurance in year 2000 for citizens who are above 65-year old and citizens who are above 40-year old in needs of long-term care services. This study was undertaken to longitudinally examine the influence of dementia and living alone on care needs increases among older long-term care insurance service users in Japan.
methodsLong-term care insurance claims data were used to identify enrollees who applied for long-term care services between October 2010 and September 2011, and subjects were tracked until March 2015. A Kaplan-Meier survival analysis was conducted to examine increases in care needs over time in months. Cox regression models were used to examine the effects of dementia and living alone on care needs increases.
resultsThe cumulative survival rates before care needs increased over the 4.5-year observation period were 17.6% in the dementia group and 31.9% in the non-dementia group. After adjusting for age, sex, care needs level, and status of living alone, the risk of care needs increases was found to be 1.5 times higher in the dementia group. Living alone was not a significant risk factor of care needs increases, but people with dementia who lived alone had a higher risk of care needs increases than those without dementia.
conclusionDementia, older age, the female sex, and lower care needs levels were associated with a higher risk of care needs increases over the study period. Among these variables, dementia had the strongest impact on care needs increases, especially in persons who lived alone.
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