Productivity burden of hypertension in Japan

Asakura, Eri; Ademi, Zanfina; Liew, Danny; Zomer, Ella

doi:10.1038/s41440-021-00731-0

Cited by 8 publications

(5 citation statements)

References 20 publications

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“…According to data from the World Health Organization's Global Health Observatory [(GHO; ( 1 ))], hypertension affects around 1.13 billion people globally, resulting in millions of fatalities each year ( 2 ). In developed countries, hypertension affects about one-third of the individuals in the United States [(US); ( 3 )], 26.3 million (37.5%) people in Japan ( 4 ), 30.5% of Koreans ( 5 ), and 30.1% of the French ( 6 ). In some developing countries, the prevalence of hypertension in Bangladesh is 25.7% ( 7 ), Malaysia 35.3% ( 8 ), and India 29.8% ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Follow-up management service and health outcomes of hypertensive patients in China: A cross-sectional analysis from the national health service survey in Jiangsu province

Peng

Shi²,

Zhu³

et al. 2022

Front. Public Health

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BackgroundHypertension is a major cause of early mortality worldwide. Health follow-up management services can encourage patients with hypertension to improve their health behavior and outcomes. However, a lack of studies on the relationship between specific factors of follow-up management and both subjective and objective health outcome among hypertensive patients exists. The current study investigated the relationship between service content, frequency, mode, and institutions of follow-up management and health outcomes among Chinese hypertensives.MethodsData were obtained from the sixth National Health Service Survey (NHSS) of Jiangsu Province, which was conducted in 2018. Descriptive statistics were used to analyze the sample characteristics and the utilization of follow-up management services. Both multiple linear regression and logistic regression were used to estimate the association of follow-up management service and other factors with hypertensives' subjective and objective health outcomes.ResultSome respondents (19.30%) reported hypertension, and 75.36% of these patients obtained follow-up management services. Hypertensive patients' subjective health outcome self-reported health status and objective health outcome blood pressure (BP) control were found to be significantly associated with follow-up management services. The outcomes were both significantly improved by a high frequency of management services, a high level of follow-up providers, the mode of visiting healthcare facilities and/or calling, and receiving instructions on medication use. However, inquiring about patients' symptoms was negatively associated with self-reported health status and BP control. In addition, BP measurement was significantly and positively associated with hypertensive patients' self-reported health status; the patients receiving lifestyle guidance were more likely to have their BP levels under control.ConclusionsHypertension management strategies should further focus on the frequency of healthcare follow-up management via categorization of the follow-up services and appropriate adjustment of service delivery modes to optimize health follow-up management for hypertensives further improve their outcomes. Meanwhile, complementary policies are also needed to address other socioeconomic factors that can promote good health conditions for hypertension patients.

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Section: Introductionmentioning

confidence: 99%

Follow-up management service and health outcomes of hypertensive patients in China: A cross-sectional analysis from the national health service survey in Jiangsu province

Peng

Shi²,

Zhu³

et al. 2022

Front. Public Health

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“…The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019) has estimated the number of hypertensives to be about 43 million, including only 12 million (27%) well-controlled ones [1][2][3][4]. Furthermore, approximately 50% of cardiovascular deaths are estimated to be due to blood pressure > 120/80 mmHg [1,2,5,6].…”

Section: Introductionmentioning

confidence: 99%

Effects of Alcohol Consumption and Smoking on the Onset of Hypertension in a Long-Term Longitudinal Study in a Male Workers’ Cohort

Nagao

Nogawa

Sakata

et al. 2021

IJERPH

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Aim: To determine the effects of alcohol consumption and smoking on the onset of hypertension in a long-term longitudinal study. Methods: 7511 non-hypertensive male workers were enrolled. This cohort study was performed over an 8-year period using the results of the annual workers-health screening. The end-point was defined as systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg, or use of antihypertensive drugs. For alcohol consumption, weekly alcohol intake (g ethanol/week) was estimated (1 “gou” = 22 g ethanol). Annual survey data were analyzed by pooled logistic regression that included alcohol consumption, smoking, age, body mass index, job schedule types, habitual exercise, and blood test measurements into the statistical model. Results: A significant positive dose–response relationship between alcohol consumption and onset of hypertension was observed, with synergistic health effects present. Compared with abstainers and nonsmokers, the adjusted odds ratios (95% confidence interval) for the onset of hypertension were: 1.51 (1.27–1.79) for 154 g ethanol/week and nonsmokers, and 1.81 (1.54–2.11) for 154 g ethanol/week and smokers. An interaction between alcohol and smoking was confirmed. Conclusions: This study provided information useful to the prevention of hypertension. By reducing alcohol consumption and smoking simultaneously, the risk of hypertension may be considerably lowered.

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“…PA LY s are calculated by multiplying the 'productivity index' from 0 (not productive at all) to 1 (fully productive) by the number of life-years lived [24]. Several studies have reported work productivity using PALY, including studies on osteoarthritis, type 2 diabetes, hypertension, depression, and acute myeloid leukemia [25][26][27][28][29]. The novelty of the current study lies in the use of PALY to calculate the benefits of increased screening-detected BC and work productivity from an economic perspective in Japan.…”

Section: Introductionmentioning

confidence: 99%

Economic Impact of Screening on Postdiagnosis Work Productivity in Japanese Women with Breast Cancer – A Life-Table Modeling Approach

Takatori-Shirakami,

Saito,

Yokoyama

2023

Preprint

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Background: In Japan, biennial mammography screening has been recommended for the early detection of breast cancer (BC) in women aged 40 years or above since 2004 by the Ministry of Health, Labor and Welfare. The purpose of this study is to estimate the economic impact of BC screening on work productivity, using a new measure called the productivity-adjusted life-year (PALY). Methods: We used a dynamic life table modeling approach to estimate the work productivity of female patients aged 40-64 years diagnosed with BC in 2019 over the subsequent 5 years. Changes in life-years, PALYs, and gross domestic product (GDP) were assessed by changing the screening detection rate from the current (34.2%) to an ideal (100%) percentage. Each input for modeling was obtained from the most recent public database available. Results: BC patients were estimated to lose 2,104 in life-years, 3,517 in PALYs, and US$365 million in GDP at the current screening detection rate compared with the ideal detection rate. On the other hand, the following gains are expected when the current screening detection rate was increased to 40-80%; life-years gain; 185 - 1,464, PALYs gain; 905 - 7,146, GDP gain: US$32 - 254 million. Conclusion: This study has used modeling to show that detecting BC without screening is associated with a lower work productivity and an economic and life-years loss. Encouraging BC screening may be beneficial to maintaining work productivity after diagnosis.

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Productivity burden of hypertension in Japan

Cited by 8 publications

References 20 publications

Follow-up management service and health outcomes of hypertensive patients in China: A cross-sectional analysis from the national health service survey in Jiangsu province

Follow-up management service and health outcomes of hypertensive patients in China: A cross-sectional analysis from the national health service survey in Jiangsu province

Effects of Alcohol Consumption and Smoking on the Onset of Hypertension in a Long-Term Longitudinal Study in a Male Workers’ Cohort

Economic Impact of Screening on Postdiagnosis Work Productivity in Japanese Women with Breast Cancer – A Life-Table Modeling Approach

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