Prevalence of hypertensive diseases and treated hypertensive patients in Japan: A nationwide administrative claims database study
Prevalence of hypertensive diseases and treated hypertensive patients in Japan: A nationwide administrative claims database study
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DOI：
10.1038/s41440-022-00924-1
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发表时间：
2022-06-10
影响因子：
5.4
通讯作者：
Mitsutake, Naohiro
中科院分区：
文献类型：
--
作者：
Waki, Takashi;Miura, Katsuyuki;Mitsutake, Naohiro
我们调查了高血压患者的患病率和治疗高血压患者使用日本全国行政索赔数据库。我们分析了2014年以来的国家数据库数据，包括日本厚生劳动省提供的所有索赔数据。高血压疾病采用日本标准化疾病代码进行识别。在高血压患者中，治疗的高血压患者通过使用国家健康保险价格列表代码识别的任何抗高血压药物处方来定义。计算并比较了各都道府县的高血压患者和接受治疗的高血压患者的人数和年龄调整患病率，以及医疗机构规模的高血压患者比例。2014年，约有2700万日本人被确定为高血压，其中89.6%接受了治疗。女性和男性经年龄调整的高血压患者患病率（每100，000人）分别为21，414人和21，084人。经年龄调整的女性和男性高血压患者患病率（每100 000人）分别为19 118和18 974。虽然高血压和接受治疗的高血压患者的患病率在地理上各不相同，但两性之间的患病率保持相似。在日本，约59%的高血压患者就诊于诊所（0至19张病床）。在日本，2700万人被诊断患有高血压疾病，其中约90%的患者在2014年接受了任何抗高血压药物治疗。高血压患者在日本各地的分布各不相同。
We investigated the prevalence of hypertensive patients and treated hypertensive patients using a Japanese nationwide administrative claims database. We analyzed national database data from 2014, including all claims data, provided by the Ministry of Health, Labour and Welfare of Japan. Hypertensive diseases were identified using Japanese standardized disease codes. Among hypertensive patients, treated hypertensive patients were defined by the prescription of any antihypertensive medication, identified using national health insurance price listing codes. We calculated and compared the number and age-adjusted prevalence of hypertensive patients and treated hypertensive patients by prefecture and the proportion of these patients by the size of medical facilities. In 2014, approximately 27 million Japanese people were identified as hypertensive, among which 89.6% were treated. The age-adjusted prevalence of hypertensive patients (per 100,000 persons) among women and men was 21,414 and 21,084, respectively. The age-adjusted prevalence of treated hypertensive patients (per 100,000 persons) among women and men was 19,118 and 18,974, respectively. While the prevalence of hypertensive and treated hypertensive patients varied geographically, the prevalence remained similar between the sexes. Approximately 59% of hypertensive patients visited clinics (0 to 19 beds) in Japan. In Japan, 27 million people were diagnosed with hypertensive diseases, and approximately 90% of these patients were treated with any antihypertensive medication in 2014. The distribution of hypertensive patients varied geographically throughout Japan.