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Value of systematic intervention for chronic obstructive pulmonary disease in a regional Japanese city based on case detection rate and medical cost

Research Project

Project/Area Number 24500589
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionNagasaki University

Principal Investigator

SENJYU Hideaki  長崎大学, 医歯薬学総合研究科(保健学科), 教授 (30179361)

Co-Investigator(Kenkyū-buntansha) TANAKA Takako  長崎大学, 医歯薬学総合研究科(保健学科), 助教 (00612409)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords慢性閉塞性肺疾患 / 早期発見 / 早期治療 / 病診連携 / 医療費抑制 / 病診連携システム / スクリーニング / 喫煙率 / 医療費 / リハビリテーション / 地域医療 / COPD
Outline of Final Research Achievements

Objective: This study evaluates the usefulness of the COPD taskforce and intervention based on COPD case detection rate and per capita medical costs. Results: As of 2014, 256 people have received a definitive diagnosis of COPD; representing 31% of the estimated total number of COPD patients. Of the cases detected, 87.5% were mild or moderate in severity. COPD medical costs per patient in Matsuura were significantly lower than the rest of Nagasaki Prefecture, as was rate of increase in cost over time. Conclusion: The COPD program in Matsuura enabled early detection and treatment of COPD patients and helped to lower the associated burden of medical costs. The success of this program suggests that a similar program could reduce the economic and human costs of COPD morbidity throughout Japan.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (34 results)

All 2015 2014 2013 2012 Other

All Journal Article (10 results) (of which Peer Reviewed: 10 results,  Acknowledgement Compliant: 3 results) Presentation (22 results) (of which Invited: 2 results) Book (1 results) Remarks (1 results)

  • [Journal Article] Effect of a Chronic Obstructive Pulmonary Disease (COPD) Intervention on COPD Awareness in a Regional City in Japan2015

    • Author(s)
      Asai M,Tanaka T. Kozu R, Kitagawa C, Tabusadani M, Senjyu H
    • Journal Title

      Internal Medicine

      Volume: 54 Issue: 2 Pages: 163-169

    • DOI

      10.2169/internalmedicine.54.2916

    • NAID

      130004903011

    • ISSN
      0918-2918, 1349-7235
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] High-Intensity lower limb endurance training in chronic respiratory disease2015

    • Author(s)
      Tanaka T. Arizono S, Hanada M, Senjyu H
    • Journal Title

      Health Science Research

      Volume: 27 Pages: 1-11

    • NAID

      110009873237

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Distractive Auditory Stimuli Alleviate the Perception of Dyspnea Induced by Low-Intensity Exercise in Elderly Subjects With COPD2015

    • Author(s)
      Shingai K, Kanezaki M, Senjyu H.
    • Journal Title

      Respir Care

      Volume: 60 Issue: 5 Pages: 1-3

    • DOI

      10.4187/respcare.03533

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Physical Function Traits of Long-term Officially Acknowledged Victims of Pollution-related Illnesses Compared with Elderly Patients with Chronic Obstructive Pulmonary Disease2014

    • Author(s)
      Tanaka T, Miyamoto N, Kozu R, Satomi K ,Honda S, Senjyu H.
    • Journal Title

      Journal of Physical Therapy Science

      Volume: 26 Issue: 10 Pages: 1605-1608

    • DOI

      10.1589/jpts.26.1605

    • NAID

      130004701583

    • ISSN
      0915-5287, 2187-5626
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Detection of airflow limitation using the 11-Q and pulmonary function tests.2013

    • Author(s)
      Oike T1, Senjyu H, Higa N, Kozu R, Tanaka T, Asai M, Tabusadani M, Honda S.
    • Journal Title

      Intern Med.

      Volume: 52(8) Pages: 887-93

    • NAID

      130003365999

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Relationship between depression in patients with copd and the percent of predicted fev1, bode index, and health-related quality of life2013

    • Author(s)
      Iguchi A, Senjyu H, Hayashi Y, Kanada R, Iwai S, Honda S, Kitagawa C, Ozawa H, Rikitomi N
    • Journal Title

      Respir Care

      Volume: 58 Pages: 334-339

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Detection of Airflow Limitation Using the 11-Q and Pulmonary Function Tests2013

    • Author(s)
      Oike T, Senjyu H, Higa N, Kozu R, Tanaka T, Asai M, et al.
    • Journal Title

      Internal Medicine

      Volume: 52 Issue: 8 Pages: 887-893

    • DOI

      10.2169/internalmedicine.52.9127

    • NAID

      130003365999

    • ISSN
      0918-2918, 1349-7235
    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Relationship Between Depression in Patients With COPD and the Percent of Predicted FEV1, BODE Index, and Health-Related Quality of Life2013

    • Author(s)
      Iguchi A, Senjyu H, Hayashi Y, Kanada R, Iwai S, Honda S, et al.
    • Journal Title

      Respir Care

      Volume: 58 Issue: 2 Pages: 334-339

    • DOI

      10.4187/respcare.01844

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 年代別にみたCOPD質問票のスクリーニングの検討2012

    • Author(s)
      田中健一朗, 宮城昭仁, 朝井政治, 比嘉信喜, 田中貴子, 千住秀明
    • Journal Title

      保健学研究

      Volume: 24 Pages: 41-48

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 年代による喫煙の有無と11-Q各質問項目の回答との関係2012

    • Author(s)
      宮城昭仁, 田中健一朗, 朝井政治, 田中貴子, 千住秀明
    • Journal Title

      保健学研究

      Volume: 24 Pages: 33-40

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] COPDの啓蒙にむけて 長崎のCOPD疫学調査、啓発活動への取り組み2014

    • Author(s)
      千住秀明,神津玲,田中貴子,髻谷満 朝井政治,北川知佳
    • Organizer
      第24回日本呼吸ケア・リハビリテーション学会
    • Place of Presentation
      奈良県ホテル日航奈良
    • Year and Date
      2014-10-24 – 2014-10-25
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Passive smoking, active smoking and COPD Tobacco use among confirmed pollution victims and its impact on lung function and respiratory symptoms2014

    • Author(s)
      Kotaki K, Senjyu H.
    • Organizer
      ERS International Congress 2014
    • Place of Presentation
      ICM-Messe Munich (Munich,Germany)
    • Year and Date
      2014-09-06 – 2014-09-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] Physical activity, exercise and physiotherapy in patients with COPD Efficacy of early COPD diagnosis and intervention system2014

    • Author(s)
      Tanaka K, Tanaka T, Tawara Y, Asai M, Nishinakagawa T, Itaki M, Kozu R, Senjyu H.
    • Organizer
      ERS International Congress 2014
    • Place of Presentation
      ICM-Messe Munich (Munich,Germany)
    • Year and Date
      2014-09-06 – 2014-09-10
    • Related Report
      2014 Annual Research Report
  • [Presentation] 国民の呼吸器の健康に対する理学療法士の役割 呼吸理学療法の歴史を踏まえて2014

    • Author(s)
      千住秀明
    • Organizer
      10.4187/respcare.03533
    • Place of Presentation
      神奈川県パシフィコ横浜
    • Year and Date
      2014-05-30 – 2014-06-01
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 呼吸リハビリテーション専任理学療法士がいる施設における実際2013

    • Author(s)
      神津 玲, 松瀬 厚人, 河野 茂, 北川 知佳, 力富 直人, 千住 秀明
    • Organizer
      日本呼吸器学会誌
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 疾患と運動時低酸素血症 運動時低酸素血症の呼吸リハビリテーション2013

    • Author(s)
      千住 秀明, 神津 玲, 北川 知佳, 田中 貴子, 髻谷 満
    • Organizer
      日本呼吸器学会誌
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 呼吸理学療法 コンディショニングの科学的根拠を求めて2013

    • Author(s)
      千住 秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 頭頸部の位置が咳嗽・huffingの強さに及ぼす影響2013

    • Author(s)
      及川 真人, 花田 匡利, 鋤崎 利貴, 矢野 雄大, 神津 玲, 千住 秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 入院呼吸リハビリテーションが重症間質性肺炎患者の身体機能に及ぼす効果 COPDとの比較2013

    • Author(s)
      北川 知佳, 宮本 直美, 角野 直, 城石 涼太, 小柳 春美, 野崎 博美, 力富 直人, 神津 玲, 千住 秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 当院における高齢NHCAP患者の臨床的特徴.2013

    • Author(s)
      阿南 裕樹, 俵 祐一, 千住 秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 外来呼吸リハビリテーションの長期効果 継続群と非継続群の比較2013

    • Author(s)
      池内 智之, 金田 瑠美, 堤 文生, 千住 秀明, 津田 徹
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 咳嗽時およびhuffing時の最大呼気流速に関する検討2013

    • Author(s)
      森下 辰也, 板木 雅俊, 朝井 政治, 千住 秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 呼吸介助法習熟度評価表と一回換気量の関係2013

    • Author(s)
      田中 貴子, 神津 玲, 北川 知佳, 朝井 政治, 千住 秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] NRADLとBODEindexの関係について2013

    • Author(s)
      岡本 一紀, 金田 瑠美, 津田 徹, 千住 秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] COPD質問票(IPAG)の男女別での検討2013

    • Author(s)
      町口 輝, 髻谷 満, 本田 純久, 千住 秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 急性肺損傷の診断と治療 理学療法の役割と実際2013

    • Author(s)
      神津 玲, 及川 真人, 花田 匡利, 槇田 徹次, 千住 秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      東京ドームホテル(東京都文京区)
    • Related Report
      2013 Research-status Report
  • [Presentation] A detached island residents smoking habits and their prevalence of COPD2012

    • Author(s)
      Yanagita Y, Oue K, Tanaka T, Senjyu H.
    • Organizer
      22th European Respiratory Society Annual Congress
    • Place of Presentation
      Vienna
    • Related Report
      2012 Research-status Report
  • [Presentation] Factors affecting physical activity in patients with air pollution-related illness compared to patients with COPD.2012

    • Author(s)
      Miyamoto N, Rikitomi N, Kitagawa C, Senjyu H.
    • Organizer
      22th European Respiratory Society Annual Congress
    • Place of Presentation
      Vienna
    • Related Report
      2012 Research-status Report
  • [Presentation] Effects of differences in exposure conditions on pulmonary functions.2012

    • Author(s)
      Nishinakagawa T, Senjyu H, Asai M, Tanaka T.
    • Organizer
      22th European Respiratory Society Annual Congress
    • Place of Presentation
      Vienna
    • Related Report
      2012 Research-status Report
  • [Presentation] 地方都市のCOPD有病率と年齢、性別、喫煙指数の関係について2012

    • Author(s)
      朝井政治, 田中貴子, 髻谷満, 神津玲, 北川知佳, 千住秀明
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      福井
    • Related Report
      2012 Research-status Report
  • [Presentation] COPD地域病診連携モデル構築 長崎の取り組みから.2012

    • Author(s)
      千住秀明, 田中貴子, 神津玲, 北川知佳, 髻谷満.
    • Organizer
      日本呼吸ケア・リハビリテーション学会誌
    • Place of Presentation
      福井
    • Related Report
      2012 Research-status Report
  • [Presentation] 地域特性が一般健診参加者の呼吸機能に与える影響 本土と離島における差異の検討2012

    • Author(s)
      大植かほり, 柳田頼英, 小柳春美, 岐部寛幸, 千住秀明.
    • Organizer
      理学療法学学術集会
    • Place of Presentation
      神戸
    • Related Report
      2012 Research-status Report
  • [Book] 今日の治療指針 私はこう治療している2012

    • Author(s)
      千住秀明
    • Publisher
      医学書院
    • Related Report
      2012 Research-status Report
  • [Remarks] 夢塾

    • URL

      http://www.senjyu.am.nagasaki-u.ac.jp/senjyulaboratory/main.html

    • Related Report
      2012 Research-status Report

URL: 

Published: 2013-05-31   Modified: 2019-07-29  

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