ArticleEnvironmental health and preventive medicine2017
Analysis of the evidence-practice gap to facilitate proper medical care for the elderly: investigation, using databases, of utilization measures for National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB).
Article in Environmental health and preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Comparison of estimated treatment effects between randomized controlled trials, case-matched, and cohort studies on laparoscopic versus open distal gastrectomy for advanced gastric cancer: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2022Pooled it
- Association between dispensing regulations for extended-release methylphenidate and prescription trends in Japan: an exploratory descriptive study.Journal of pharmaceutical health care and sciences · 2025Article
- Regional Difference of Liver Cancer in Japan: A Real-world Evidence Using the National Database of Health Insurance Claims.Internal medicine (Tokyo, Japan) · 2025Article
- Nowcasting reported covid-19 hospitalizations using de-identified, aggregated medical insurance claims data.PLoS computational biology · 2025Article
- Development and validation of a claims-based algorithm to identify incidents and determine the progression phases of gastric cancer cases in Japan.Journal of gastroenterology · 2025Observational
- National trends in hospitalizations for gastrointestinal bleeding in Japan.Journal of clinical biochemistry and nutrition · 2024Article
- Trends in hip preservation surgery in Japan from 2014 to 2019 with a focus on hip arthroscopic surgery.Journal of hip preservation surgery · 2024Article
- Metabolic syndrome and depression: evidence from a cross-sectional study of real-world data in Japan.Environmental health and preventive medicine · 2024Article
- Relationship between antidementia medication and fracture prevention in patients with Alzheimer's dementia using a nationwide health insurance claims database.Scientific reports · 2023Article
- Regional difference in multi-psychotropic drug prescription in Japan and its associated factors: an ecological study using national health insurance claims data.Research in health services & regions · 2023Article
- Development and validation of ischemic heart disease and stroke prognostic models using large-scale real-world data from Japan.Environmental health and preventive medicine · 2023Article
- Appropriate definition of diabetes using an administrative database: A cross-sectional cohort validation study.Journal of diabetes investigation · 2022Article
- Analysis of regional differences in the amount of hypnotic and anxiolytic prescriptions in Japan using nationwide claims data.BMC psychiatry · 2022Article
- What does the French REIN registry tell us about Stage 4-5 CKD care in older adults?Frontiers in nephrology · 2022Review
- Trends in the Prescription of Benzodiazepine Receptor Agonists from 2009 to 2020: A Retrospective Study Using Electronic Healthcare Record Data of a University Hospital in Japan.Healthcare (Basel, Switzerland) · 2021Article
- Informed decision-making in delivery of dialysis: combining clinical outcomes with sustainability.Clinical kidney journal · 2021Review
- Medical costs according to the stages of colorectal cancer: an analysis of health insurance claims in Hachioji, Japan.Journal of gastroenterology · 2021Observational
- Analysis of the regional difference in the number of multi-drug prescriptions and its predictors in Japan, 2015-2018.BMC research notes · 2021Article
- Decreased Administration of Life-Sustaining Treatment just before Death among Older Inpatients in Japan: A Time-Trend Analysis from 2012 through 2014 Based on a Nationally Representative Sample.International journal of environmental research and public health · 2021Article
- Similarities and differences between study designs in short- and long-term outcomes of laparoscopic versus open low anterior resection for rectal cancer: A systematic review and meta-analysis of randomized, case-matched, and cohort studies.Annals of gastroenterological surgery · 2021Review
Corrections and comments
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Authors and funding
14 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As Japan becomes a super-aging society, presentation of the best ways to provide medical care for the elderly, and the direction of that care, are important national issues. Elderly people have multi-morbidity with numerous medical conditions and use many medical resources for complex treatment patterns. This increases the likelihood of inappropriate medical practices and an evidence-practice gap. The present study aimed to: derive findings that are applicable to policy from an elucidation of the actual state of medical care for the elderly; establish a foundation for the utilization of National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB), and present measures for the utilization of existing databases in parallel with NDB validation.Cross-sectional and retrospective cohort studies were conducted using the NDB built by the Ministry of Health, Labor and Welfare of Japan, private health insurance claims databases, and the Kyoto University Hospital database (including related hospitals). Medical practices (drug prescription, interventional procedures, testing) related to four issues-potential inappropriate medication, cancer therapy, chronic kidney disease treatment, and end-of-life care-will be described. The relationships between these issues and clinical outcomes (death, initiation of dialysis and other adverse events) will be evaluated, if possible.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.