Predictors of hyperglycaemic individuals who do not follow up with physicians after screening in Japan: A cohort study
Predictors of hyperglycaemic individuals who do not follow up with physicians after screening in Japan: A cohort study
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DOI：
10.1016/j.diabres.2014.05.007
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发表时间：
2014-08-01
影响因子：
5.1
通讯作者：
Nakayama, Takeo
中科院分区：
文献类型：
--
作者：
Tsujimura, Yuka;Takahashi, Yoshimitsu;Nakayama, Takeo
目的：虽然筛查为高血压的人通常不能与医生进行临床评估，但缺乏关于不随访（以下称为“不随访”）的频率和预测因素的流行病学研究结果。本研究的目的是检查糖尿病筛查后没有医生随访的比率和没有随访的预测因素。方法：我们根据2005年至2010年日本基于社会健康保险计划的医疗索赔数据，评估了20至68岁人群在筛查后6个月内没有医生随访的病例。结果：在3878名高血糖症筛查参与者中，2527名（65%）在筛查后6个月内没有与他们的医生进行随访。多元Logistic回归分析显示，年龄较小和较低的血糖水平预测没有后续的男性和女性，而较低的体重指数和阴性蛋白尿也预测没有后续的男性。血脂异常的治疗促进了两性之间的后续行动，高血压或抑郁症的治疗促进了后续的manifest.Conclusions：约三分之二的人筛选为高血脂症没有跟进与他们的医生在6个月内筛选后。未随访的预测因素是年龄较小和轻度高血压。接受合并症治疗有助于随访。(C)2014爱思唯尔爱尔兰有限公司版权所有。
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. (C) 2014 Elsevier Ireland Ltd. All rights reserved.