ArticleFamily practice2021
Overall mortality in older people receiving physician-led home visits: a multicentre prospective study in Japan.
Article in Family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 15 citations in OpenAlex.
- Issues in the Preanalytical Process of Specimens for Laboratory Tests in Home Healthcare Settings.Healthcare (Basel, Switzerland) · 2026Review
- Regional Disparities in Home-Based Medical Care Utilization in Japan: Ecological Study of Nationwide Claim Data.Journal of general internal medicine · 2026Article
- Associations of weight loss, low serum albumin, and their combination with mortality risk in older adults receiving home medical care.BMC research notes · 2026Article
- Association of the barthel index with mortality and intensive care unit admission in older patients presenting to the emergency department.BMC geriatrics · 2026Observational
- Practice-Based Research Network Activities and Future Nationwide Plans in Japan.Journal of general and family medicine · 2026Article
- Improvement in Activities of Daily Living Among Older Adults With Physician-Led Home Visits: A Multicenter Retrospective Cohort Study in Japan.Journal of general and family medicine · 2026Article
- No Cost Sharing for Public Assistance Recipients and Health Service Usage in Japan.JAMA health forum · 2025Article
- Improving Service Quality of Home-Based Health Care Services for the Elderly: A Qualitative Study of Facilitators and Barriers Reported by Community Health Workers in Beijing.Journal of multidisciplinary healthcare · 2025Article
- Impact of the COVID-19 Pandemic on Home Medical Care Utilization in Japan: An Interrupted Time Series Analysis.Journal of general internal medicine · 2024Article
- Health Statuses of People in Poverty Receiving Public Assistance in Japan: A Scoping Review.JMA journal · 2024Article
- Prognostic Biomarkers of Mortality in Older Patients Without Cancer in Home Healthcare.Cureus · 2024Article
- Proposal for a revised Barthel index classification based on mortality risk assessment in functional dependence for basic activities of daily living.Frontiers in public health · 2024Article
- Home-Based Medical Care Service Motivation Among Medical Staff in Beijing, China: the Role of Institutional Support.Journal of multidisciplinary healthcare · 2024Article
- Mortality rate and its determinants among people with dementia receiving home healthcare: a nationwide cohort study.Internal and emergency medicine · 2023Article
- Observational
- Death at home versus other locations in older people receiving physician-led home visits: A multicenter prospective study in Japan.Geriatrics & gerontology international · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundJapan has the most rapidly ageing population in the world. The Japanese government has, therefore, promoted physician-led home health care for frail and disabled people.
objectivesTo describe mortality among older people receiving physician-led health care at home or at a nursing home in Japan and to identify risk factors.
methodsThis was a multicentre prospective cohort study. Participants were aged ≥65 years and had started to receive regular physician-led health care at home or at nursing homes from 13 facilities between 1 February 2013 and 31 January 2016. The observation period ended on 31 January 2017. We used a biopsychosocial approach for exploratory analysis of 13 variables to identify mortality risk factors.
resultsThe median (25th to 75th percentile) observation time was 417 (121-744) days. Of 825 participants, 380 died. The total cumulative survival for 180, 360, 720 and 1440 days was 73.4% (95% confidence interval: 70.2-76.3), 64.2% (60.8-67.5), 52.6% (48.8-56.3) and 34.6% (23.5-46.0). The Kaplan-Meier cumulative survival curve showed a steep drop during the first 6 months of observation. A multivariate Cox proportional hazard model showed that sex (male), high Charlson Comorbidity Index score, low serum albumin level, low Barthel Index score, receipt of oxygen therapy, high Cornell Scale for Depression in Dementia score and non-receipt of public assistance were associated with mortality.
conclusionsOverall mortality in physician-led home visits in Japan was described and mortality risk factors identified. Public assistance receipt was associated with lower mortality.
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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.