Evidence map›Paper›PMID 35942556›Full record

ArticleJournal of Korean medical science2022

The Effect of Chronic Disease Management Program on the Risk of Complications in Patients With Hypertension in Korea.

Sang Ah Lee, Hyeki Park, Woorim Kim, Sun Ok Song, Hyunsun Lim, Sung-Youn Chun

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Updating Korean Disability Weights for Causes of Disease: Adopting an Add-on Study Method.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023
    Article
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

6 authors at 4 institutions in 1 country.

Sang Ah LeeBigData Strategy Department, National Health Insurance Service, Wonju, Korea.ORCID https://orcid.org/0000-0001-5415-0141
Hyeki ParkHIRA Research Institute, Health Insurance Review and Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0001-6553-7392
Woorim KimDivision of Cancer Control & Policy, National Cancer Control Institute, National Cancer Center, Goyang, Korea.ORCID https://orcid.org/0000-0002-1199-6822
Sun Ok SongDivision of Endocrinology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea.ORCID https://orcid.org/0000-0003-4829-3407
Hyunsun LimDepartment of Research and Analysis, National Health Insurance Service Ilsan Hospital, Goyang, Korea.ORCID https://orcid.org/0000-0003-2391-3286
Sung-Youn ChunDepartment of Research and Analysis, National Health Insurance Service Ilsan Hospital, Goyang, Korea. cedric6909@gmail.com.ORCID https://orcid.org/0000-0003-4323-8724
National Health Insurance Service Ilsan Hospital · KRNational Cancer Center · KRNational Health Insurance Service · KRYonsei University · KR

Funding

National Health Insurance Service NHIS-2020-1-280
6 · The paper itself

Abstract

backgroundA chronic disease management program was implemented in April 2012 to lower out-of-pocket costs for repeat visits to the same clinic. The aim of this study was to investigate the association between participating in this program and the onset of complications among patients with hypertension using whole-nation claims data.

methodsWe used National Health Insurance Service data (2011-2018) and patients with newly detected hypertension from 2012 to 2014 were selected. Chronic disease management program reduces the out-of-pocket expenses of consultation fee from 30% to 20% when patients enroll in this program by agreeing to visit the same clinic for the treatment of hypertension or diabetes. As the dependent variable, acute myocardial infarction (MI), stroke, chronic kidney disease (CKD), and heart failure (HF) were selected. For analysis, cox proportional hazards model was used.

resultsTotal participants were 827,577, among which 102,831(12.6%) subjects participated in the chronic disease management. Participants of the chronic disease management program were more likely to show lower hazard ratios (HRs) than those of non-participants in terms of all complications (MI: HR, 0.75; 95% confidence interval [CI], 0.68-0.82; stroke: HR, 0.75; 95% CI, 0.72-0.78; CKD: HR, 0.90; 95% CI, 0.85-0.96; HF: HR, 0.56; 95% CI, 0.52-0.61).

conclusionThe results showed that participants of the chronic disease management program were less likely to have hypertension complications compared to non-participants. Enhancing the participation rate may be related to better outcomes and reducing medical expenses among patients with chronic diseases.

Indexed as

Heart FailureHypertensionMyocardial InfarctionRenal Insufficiency, ChronicStrokeDisease ManagementHumansProportional Hazards ModelsRisk FactorsChronic DiseaseChronic Disease Management PolicyChronic Disease Management ProgramComplications of HypertensionContinuity of CareHypertension

Identifiers

PMID35942556
PMCPMC9359918
OpenAlexW4288075654

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.