Evidence map›Paper›PMID 40538113›Full record

ArticleGeriatrics & gerontology international2025

Difference in long-term care cost obtained with the short-term intensive prevention service (day service type C): A 3-year follow-up study of Japanese older adults.

Ryota Watanabe, Masashige Saito, Kazushige Ide, Katsunori Kondo

Registry-linked trialAbstract read
In one paragraph

Article in Geriatrics & gerontology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07772739 (Collaborative Reablement Service Model Implementation in Community-Based Settings), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT07772739 completednot on this map

Collaborative Reablement Service Model Implementation in Community-Based Settings

TypeobservationalSponsorNational Taiwan UniversityRan2023 to 2023Enrolled160ConditionsReablementArmsindividualized reablement
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Ryota WatanabeCenter for Well-being and Society, Nihon Fukushi University, Nagoya, Japan.ORCID https://orcid.org/0000-0002-4085-4030
Masashige SaitoCenter for Well-being and Society, Nihon Fukushi University, Nagoya, Japan.ORCID https://orcid.org/0000-0002-3997-3884
Kazushige IdeCenter for Preventive Medical Sciences, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0001-9933-354X
Katsunori KondoCenter for Preventive Medical Sciences, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0003-0076-816X

Funding

Health and Labour Sciences Research Grants from the Ministry of Health, Labour and Welfare, Japan 19FA1012Health and Labour Sciences Research Grants from the Ministry of Health, Labour and Welfare, Japan 19FA2001Health and Labour Sciences Research Grants from the Ministry of Health, Labour and Welfare, Japan 21FA1012Health and Labour Sciences Research Grants from the Ministry of Health, Labour and Welfare, Japan 22FA1010Health and Labour Sciences Research Grants from the Ministry of Health, Labour and Welfare, Japan 22FA2001Health and Labour Sciences Research Grants from the Ministry of Health, Labour and Welfare, Japan 22FG2001Japan Health Promotion & Fitness FoundationJapan Society for the Promotion of Science 20H00557Japan Society for the Promotion of Science 20K10540Japan Society for the Promotion of Science 21H03196Japan Society for the Promotion of Science 21K17302Japan Society for the Promotion of Science 22H00934Japan Society for the Promotion of Science 22H03299Japan Society for the Promotion of Science 22K04450Japan Society for the Promotion of Science 22K13558Japan Society for the Promotion of Science 22K17409Japan Society for the Promotion of Science 23H00060Japan Society for the Promotion of Science 23H00449Japan Society for the Promotion of Science 23H03117Japan Society for the Promotion of Science 23K21500Japan Society for the Promotion of Science 25K00727National Research Institute for Earth Science and Disaster ResilienceResearch Institute of Science and Technology for Society JPMJOP1831TMDU priority research areas grant
6 · The paper itself

Abstract

aimA short-term intensive prevention service, known as day service type C, involves professional intervention for 3 to 6 months to enhance participants' social participation and roles within their communities. This study aimed to evaluate whether implementing short-term intensive prevention services reduces cumulative long-term care (LTC) costs over a 3-year period, compared with the situation for non-participants.

methodsThis study included older adults aged 65 years and older from Taketa City, Oita Prefecture. A total of 132 individuals participated in short-term intensive prevention services from 2016 to 2019, and the non-participant group comprised 116 individuals identified as eligible for services through a self-administered postal survey in 2019 (both groups at baseline). The non-participant group was selected as part of the Japan Gerontological Evaluation Study. Both groups were followed up for 3 years from baseline. The cumulative LTC costs derived from the public claims records served as the dependent variable. The covariates were sex, living situation, income, level of long-term care need, and risk assessment scale. Linear regression analysis was performed.

resultsThe participants incurred 241 398 JPY (± 681 335) per person, while the non-participants incurred 1 147 858 JPY (± 1 244 750). The adjusted linear regression showed that the LTC cost for the participants was lower by 495 534 (-848 382 to -142 686) JPY per person than that for those in the non-participation group.

conclusionsCompared with non-participants, the participants incurred approximately 500 000 JPY less in cumulative LTC costs per person over the subsequent 3 years. The widespread adoption of short-term, intensive prevention services may contribute to the sustainability of LTC insurance systems. Geriatr Gerontol Int 2025; 25: 1058-1064.

Indexed as

Health Care CostsLong-Term CarePreventive Health ServicesAgedAged, 80 and overEast Asian PeopleFemaleFollow-Up StudiesHumansJapanMalehome carepreventive care daily life supportreablementrehabilitation

Identifiers

PMID40538113
PMCPMC12336428

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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.