Evidence map›Paper›PMID 39632550›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2025

Impact of COVID-19 on paediatric care in Japan: Analysis of national health insurance claims data.

Takuma Ohnishi, Mari Kinoshita, Satoshi Narumi

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

3 authors.

Takuma OhnishiDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-1841-6130
Mari KinoshitaDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Satoshi NarumiDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.

Funding

Takeda Science Foundation
6 · The paper itself

Abstract

aimTo quantify the impact of the COVID-19 pandemic on paediatric care use compared to adult care and identify affected subdomains.

methodsData from the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) for six fiscal years (FY2016-2021) were analysed. Pre-pandemic (FY2016-FY2019) and pandemic years (FY2020, FY2021) were compared to delineate changes in medical services for paediatric and adult patients. Virtually all individuals who received medical care in Japan during this period were included.

resultsIn FY2019, healthcare utilisation by the paediatric population (under 15 years) accounted for 24% of 245 million first outpatient visits, 7% of 1.2 billion follow-up visits, and 2.6% of 297 million patient-days hospitalisations. In FY2020, outpatient visits of those aged 0-4 years decreased by 44% (first visit) and 24% (follow-up visit) compared to FY2019, and hospitalisations decreased by 47%, with the largest declines observed in community medical institutions across all age groups.

conclusionThe COVID-19 pandemic led to a substantial reduction in paediatric healthcare utilisation in Japan, varying by age and type of care. These findings may inform the rational allocation of healthcare resources during public health emergencies.

Indexed as

COVID-19AdolescentAdultChildChild, PreschoolFemaleHospitalizationHumansInfantInfant, NewbornInsurance Claim ReviewJapanMaleNational Health ProgramsYoung AdultCOVID‐19insurance claim reviewpaediatricspandemicsuniversal health insurance

Identifiers

PMID39632550
PMCPMC12066892

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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.