Cesarean section rates and local resources for perinatal care in Japan: A nationwide ecological study using the national database of health insurance claims

2017 ◽  
Vol 44 (2) ◽  
pp. 208-216 ◽  
Author(s):  
Eri Maeda ◽  
Osamu Ishihara ◽  
Jun Tomio ◽  
Aya Sato ◽  
Yukihiro Terada ◽  
...  
Keyword(s):  
Health Insurance ◽  
Cesarean Section ◽  
Ecological Study ◽  
Perinatal Care ◽  
National Database ◽  
Insurance Claims ◽  
Local Resources ◽  
Health Insurance Claims

scholarly journals Nationwide incidence of central retinal artery occlusion in Japan: an exploratory descriptive study using the National Database of Health Insurance Claims (2011–2015)

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e041104
Author(s):  
Ai Kido ◽  
Hiroshi Tamura ◽  
Hanako Ohashi Ikeda ◽  
Masahiro Miyake ◽  
Shusuke Hiragi ◽  
...  
Keyword(s):  
Health Insurance ◽  
Incidence Rate ◽  
Central Retinal Artery Occlusion ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Incidence Rates ◽  
National Database ◽  
Insurance Claims ◽  
Crude Incidence ◽  
Health Insurance Claims

AimsThe latest evidence in the incidence of central retinal artery occlusion (CRAO) is needed to support the development of novel treatments as orphan drugs. However, up-to-date information on the incidence of CRAO in the ageing or aged population is limited. We aimed to investigate the nationwide epidemiological and clinical characteristics of CRAO in Japan, using nationwide health insurance claims data.MethodsWe analysed a total of 16 069 762 claims data in the sampling dataset of the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB), which is the nationwide health insurance claims database of 127 million whole Japanese individuals. CRAO was identified using the International Classification of Diseases 10th edition diagnostic code H34.1. The crude incidence rates and age-standardised incidence rates of CRAO, according to the standard age-structure population of the WHO, were calculated.ResultsThe crude incidence rate of CRAO in Japan was 5.84 (95% CI, 5.71 to 5.97) per 100 000 person-years. With respect to the sex-related incidence, the rate was higher 1.40 times in men than in women (6.85 (95% CI, 6.65 to 7.06) vs 4.88 (95% CI, 4.71 to 5.05), p<0.001). The age-standardised incidence rate was 2.53 (95% CI, 2.29 to 2.76) per 100 000 person-years.ConclusionsThe crude incidence rate of CRAO was higher in Japan than in other countries, as reported previously, reflecting the Japanese population structure as a super-aged society. These findings can be helpful for the development of appropriate healthcare policies to address the increasing incidence of CRAO with the ageing population.

scholarly journals 2017. Age-specific Distribution of Antimicrobial Days of Therapy (DOT) Using National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB Japan): Comparison with Defined Daily Doses per 1,000 Inhabitants Per Day (DID)

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S677-S677
Author(s):  
Daisuke Yamasaki ◽  
Masaki Tanabe ◽  
Yuichi Muraki ◽  
Yoshiki Kusama ◽  
Masahiro Ishikane ◽  
...  
Keyword(s):  
Health Insurance ◽  
Age Groups ◽  
Measurement Unit ◽  
National Database ◽  
Insurance Claims ◽  
Defined Daily Doses ◽  
Specific Distribution ◽  
Days Of Therapy ◽  
Health Insurance Claims ◽  
Specific Health

Abstract Background Nationwide surveillance of antimicrobial use (AMU) is often assessed by defined daily doses per 1,000 inhabitants per day (DID) as a measurement unit. We previously reported the age-specific distribution of AMU using National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB Japan), which archives e-claim big data (Infection. 2018 46:207–214). The estimated AMU assessed by DID could be underestimated in patients with diminished renal function and in pediatric patients. Our objective was to analyze days of therapy (DOT) using NDB and to evaluate its utility by comparing with DID. Methods The DID value was calculated by the same method in our previous study.The DOT values was extracted from data in NDB and were standardized by a population and were described as per 1,000 inhabitant days (DOTID). The values of DID, DOTID and the ratios (DID/ DOTID), the indicator for reflecting the extent of daily dosage were compared between three groups stratified by age groups (younger than 15 years: children, 15–64 years old: productive age, and older than 64 years: elderly). Results The total DID (oral, parenteral) from 2013 to 2016 in three age groups was shown in the following table. The total DID (oral, parenteral) in three age groups in 2016 were 16.31, 0.27 in the children, 12.82, 0.39 in productive age, and 15.91, 2.13 in elderly, respectively. Similarly, the total DOTID (oral, parenteral) in three age groups in 2016 were 36.15, 1.20 in the children, 16.48, 0.80 in productive age, and 23.52, 3.62 in elderly, respectively. The total DID/DOTID (oral, parenteral) in three age groups in 2016 were 0.45, 0.23 in the children, 0.78, 0.49 in productive age, and 0.68, 0.59 in elderly, respectively. The gap between DID and DOTID in children was much larger than that of other age groups regardless of dosage form, suggesting that AMU assessed by DID could be underestimated, especially in children.The gap between DID and DOTID in elderly was comparable with that in productive age, suggesting that daily dosage in the elderly is similar to that in productive age. Conclusion These results demonstrated the utility of AMU surveillance using the DOTID as a tool and benchmark to assess the AMU, especially in children, and the ratio of DID to DOTID could be useful as an indicator for reflecting the extent of daily dosage. Disclosures All authors: No reported disclosures.

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