Participation in health check-ups and mortality using propensity score matched cohort analyses

Hozawa, Atsushi; Kuriyama, Shinichi; Watanabe, Ichiro; Kakizaki, Masako; Ohmori-Matsuda, Kaori; Sone, Toshimasa; Nagai, Masato; Sugawara, Yumi; Nitta, Akira; Li, Qiang; Ohkubo, Takayoshi; Murakami, Yoshitaka; Tsuji, Ichiro

doi:10.1016/j.ypmed.2010.08.017

Cited by 48 publications

(51 citation statements)

References 18 publications

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“…However, a previous study reported that the relative mortality risk of those who returned at least once for a new check-up compared with never was 0.75 in men [6]. Also, MHR for all-cause mortality among screened compared to non-screened were 0.74 for men and 0.69 for women [7]. In our subsample analysis, MHR for four-and five-year-mortality were 1.70 and 1.39, respectively.…”

Section: Discussionmentioning

confidence: 92%

“…Gan-Yadam et al reported that attention to health examinations was a significant predictor of health service utilization (odds ratio, 3.6; 95% CI, 1.93-6.76) [10]. Early risk factor detection and intervention are thus possible [7]. Periodic health examinations also lessen patient worry and improve delivery of preventive services [5,11].…”

Section: Discussionmentioning

confidence: 99%

“…Longitudinally, we traced for up to seven years. Estimating the effect of periodic health examinations on mortality is difficult [7]. Our selection of mortality as the end point provides more robust evidence of the long-term effect of health examination.…”

Section: Discussionmentioning

confidence: 99%

“…The elder's baseline laboratory data were adjusted in the analysis, an important confounder which was seldom analysed. Previous studies rarely controlled lifestyle or comorbidities [7]. Previous literature usually compared screened to non-screened people [6,7,13,14,20].…”

Section: Discussionmentioning

confidence: 99%

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Differences in mortality rates between frequent and occasional participants of periodic health check-ups: An observational study and propensity analysis

Chen

Liu

et al. 2015

European Geriatric Medicine

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Differences in mortality rates between frequent and occasional participants of periodic health check-ups: An observational study and propensity analysis

Chen

Liu

et al. 2015

European Geriatric Medicine

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“…27 People who participate in regular health checkups are normally healthier and have better prognosis than people who do not. 28 Third, microalbuminuria was determined only once by using random spot urine samples. Because of variations in the excretion rate of urinary albumin, multiple measurements should preferably be performed for the diagnosis of microalbuminuria.…”

Section: Risk Of Microalbuminuria M Munakata Et Almentioning

confidence: 99%

High-normal blood pressure is associated with microalbuminuria in the general population: the Watari study

et al. 2011

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Microalbuminuria, for which hypertension and diabetes are well-known risk factors, has recently been used to detect individuals at risk for cardiovascular and chronic kidney diseases in the general population. We aimed to determine the thresholds of blood pressure or blood glucose concentration at which the odds ratio of having microalbuminuria begins to increase. An annual public health checkup was conducted on 3166 participants aged 29-84 years (mean, 61 ± 11 years; 40% men) living in Watari town, Japan. We studied their demographic data, medical history of hypertension, diabetes, dyslipidemia, sitting blood pressure and fasting blood samples. Urinary albumin excretion was examined in terms of the albumin/creatinine ratio in spot urine samples. Microalbuminuria was defined as 30-299 mg albumin per gram creatinine. Final analyses included 2133 participants under no anti-hypertensive or anti-diabetic medication. Microalbuminuria was detected in 118 subjects (5.5%). We used the adjusted odds ratios for microalbuminuria in different blood pressure and blood glucose groupings as the reference. The adjusted odds ratio increased linearly with increase in systolic blood pressure. A similar trend, although not as linear, was observed with diastolic blood pressure. The odds ratio increased significantly with high-normal levels of both systolic and diastolic blood pressure. For blood glucose, the adjusted odds ratio increased significantly from the impaired fasting glucose level. Therefore, the odds ratio for microalbuminuria begins to increase from high-normal blood pressure and impaired fasting glucose levels in comparison with the reference. Early intervention in such cases may be useful for reducing cardiovascular and renal risks.

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Association between mandatory health examination attendance and diabetes treatment initiation among employees being treated for hypertension

Yamana

Ono

Okada

et al. 2020

Journal of Occupational Health

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Participation in health check-ups and mortality using propensity score matched cohort analyses

Cited by 48 publications

References 18 publications

Differences in mortality rates between frequent and occasional participants of periodic health check-ups: An observational study and propensity analysis

Differences in mortality rates between frequent and occasional participants of periodic health check-ups: An observational study and propensity analysis

High-normal blood pressure is associated with microalbuminuria in the general population: the Watari study

Association between mandatory health examination attendance and diabetes treatment initiation among employees being treated for hypertension

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