| アブストラクト | AIMS: Although people screened as being hyperglycaemic often fail to follow up with physicians for clinical assessment, epidemiologic findings on the frequency and predictors of not following up (hereafter, "no follow-up") are lacking. The purpose of this study was to examine the no follow-up rate with physicians after screening for diabetes and predictors of no follow-up. METHODS: We assessed cases of no follow-up with physicians within six months after screening based on medical claims data from employee-based social health insurance programs in Japan, for people aged 20 to 68 years from 2005 to 2010. RESULTS: Among 3878 screened participants with hyperglycaemia, 2527 (65%) did not follow up with their physicians within six months after screening. Multiple logistic regression analysis revealed that younger age and lower blood glucose level predicted no follow-up among both men and women, while lower body mass index and negative proteinuria also predicted no follow-up among men. Treatment for dyslipidaemia facilitated follow-up among both genders, and treatment for hypertension or depression facilitated follow-up among men. CONCLUSIONS: Approximately two thirds of individuals screened as having hyperglycaemia did not follow up with their physicians within six months after screening. Predictors of no follow-up were younger age and milder hyperglycaemia. Being on treatment for co-morbidities tended to facilitate follow-up. |
|---|
| 投稿者 | Tsujimura, Yuka; Takahashi, Yoshimitsu; Ishizaki, Tatsuro; Kuriyama, Akira; Miyazaki, Kikuko; Satoh, Toshihiko; Ikeda, Shunya; Kimura, Shinya; Nakayama, Takeo |
|---|
| 組織名 | Department of Health Informatics, Kyoto University School of Public Health,;Yoshidakonoe-cho, Sakyo-ku, Kyoto City 606-8501, Japan. Electronic address:;tsujimura.yuka.67z@st.kyoto-u.ac.jp.;Yoshidakonoe-cho, Sakyo-ku, Kyoto City 606-8501, Japan.;Tokyo Metropolitan Institute of Gerontology, 35-2 Sakaecho, Itabashi-ku, Tokyo;173-0015, Japan.;School of Social Informatics, Aoyama Gakuin University, 5-10-1 Fuchinobe,;Chuo-ku, Sagamihara City 252-5258, Japan.;Department of Pharmaceutical Sciences, School of Pharmacy, International;University and Health Welfare, 2600-1 Kitakanemaru, Ohtawara City 324-8501,;Japan.;Japan Medical Data Center Co., Ltd., 3-1, Koujimachi, Chiyoda-ku, Tokyo 102-0083, |
|---|
