Evidence map›Paper›PMID 32376747›Full record

Observational studyBMJ open2020

How was cognitive behavioural therapy for mood disorder implemented in Japan? A retrospective observational study using the nationwide claims database from FY2010 to FY2015.

Yuta Hayashi, Naoki Yoshinaga, Yosuke Sasaki, Hiroki Tanoue, Kensuke Yoshimura, Yuko Kadowaki, Yasuji Arimura, Toshihiko Yanagita, Yasushi Ishida

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Yuta HayashiGraduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan.
Naoki YoshinagaSchool of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan naoki-y@med.miyazaki-u.ac.jp.ORCID 0000-0002-4438-9746
Yosuke SasakiDepartment of Animal and Grassland Sciences, Faculty of Agriculture, University of Miyazaki, Miyazaki, Japan.
Hiroki TanoueGraduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan.
Kensuke YoshimuraCenter for Next Generation of Community Health, Chiba University Hospital, Chiba, Japan.
Yuko KadowakiDivision of Biostatistics, Kurume University School of Medicine, Kurume, Japan.
Yasuji ArimuraClinical Research Support Center, University of Miyazaki Hospital, Miyazaki, Japan.
Toshihiko YanagitaSchool of Nursing, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Yasushi IshidaDivision of Psychiatry, Department of Clinical Neuroscience, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
University of Miyazaki · JPChiba University Hospital · JPKurume University · JPUniversity of Miyazaki Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo clarify the dissemination status of cognitive behavioural therapy (CBT) in Japan under the national health insurance scheme.

designRetrospective observational study.

settingNational Database of Health Insurance Claims and Specific Health Checkups of Japan.

participantsPatients who received CBT under the national health insurance scheme from fiscal years (FY) 2010 to 2015. PRIMARY AND SECONDARY OUTCOME MEASURES: We estimated the change rate and the standardised claim ratio (SCR) for the number of patients receiving CBT and analysed the association between the CBT status and several regional factors.

resultsWe found that (a) a total of 60 304 patients received CBT during the study period; (b) the number of patients receiving CBT was highest in the first year (-1.8% from FY2010 to FY2015); (c) the number of patients who received CBT per 100 000 population decreased (or remained at zero) in most prefectures (32 out of 47); (d) there was a maximum 424.7-fold difference between prefectures in the standardised claim ratio for CBT and (e) the number of registered CBT institutions was significantly associated with the number of patients who received CBT.

conclusionsThe provision of CBT did not increase in the first 6 years (FY2010-2015) after its coverage in Japan's national health insurance scheme. Further studies including a questionnaire survey of registered CBT institutions are required to get more detailed information on the dissemination of CBT in Japan.

Indexed as

Cognitive Behavioral TherapyAdultFemaleHumansJapanMaleMiddle AgedMood DisordersNational Health ProgramsRetrospective Studiescognitive behavioral therapydatabaseJapanmental healthnational health insurance

Identifiers

PMID32376747
PMCPMC7223011
OpenAlexW3022992517

What OpenQuestion holds

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Registered trials

None linked

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.