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2002 Fiscal Year Final Research Report Summary

Evaluation of effectiveness of health checkups

Research Project

Project/Area Number 12470102
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionTeikyo University

Principal Investigator

YANO Eiji  Teikyo University, School of Medicine, Professor, 医学部, 教授 (50114690)

Co-Investigator(Kenkyū-buntansha) MURATA Katsuyuki  Akita University, School of Medicine,Professor, 医学部, 教授 (80157776)
YAMAOKA Kazue  National Institute of Public Health,Department of Technology Assessment, Chief, 室長 (50091038)
KOBAYASHI Yasuki  The University of Tokyo, Faculty of Medicine,Professor, 大学院・医学系研究科, 教授 (70178341)
HASHIMOTO Hideki  Teikyo University, School of Medicine,Assisstant Professor, 医学部, 講師 (50317682)
Project Period (FY) 2000 – 2002
KeywordsHealth checkups / Evidence Based Medicine / Evaluation of prevention / Specificity / Cost-effectiveness analysis / Liver function test / Urinalysis / Screening
Research Abstract

In Japan, health checkups, a part of the secondary prevention, has been particularly emphasized in the prevention programs. However, its effectiveness has been rarely evaluated. The aim of the present project is to evaluate the effectiveness of health checkups currently performed in the workplace and community in Japan by literature survey and epidemiological study. The preceding studies by randomized control trial demonstrated no practical benefit to those taking health checkups more often than the control. In order to find the cause of ineffectiveness of current checkups and to improve the health checkups we proposed eight requirements at four levels of health checkups and afterwards (target diseases, screening tests, diagnostic tests, treatments a innterventions). Based on the proposed requirements we evaluated all the screening items currently performed in the health checkups at the workplace. Also, we performed observational studies on some of the screening tests items. The latter found that the sensitivity of current liver function tests is poor and better methods are recomnended. In case of urinalysis for diabetes, the sample collection was generally performed at the least effective timing of fasting and the intervention after detecting diabetes and nephritis is still very ineffective or not universally accepted. Also, other items have poor evidence to support mandatory inclusion in the regular health checkups. These are in agreement with the reports by Canadian and US Preventive Services Task Forces. In conclusion, among the current health checkup items, only blood pressure and height and weight measurements are acceptable as effective with evidence. In addition, adverse effects of health checkups and privacy of the examinee should be considered. We published our results with proposals to improve the current system. We also published a textbook of medical statistics with newly developed package for statistical analysis to perform evidence based medicine.

  • Research Products

    (14 results)

All Other

All Publications (14 results)

  • [Publications] 矢野栄二: "健康診断の有効性と有用性"産業医学レビュー. 15. 1-31 (2002)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Yano E, Tagawa K, Yamaoka K, Mori M: "Test validity of periodic liver function tests in a population of Japanese male bank employees"J Clin Epidemiol. 54. 945-951 (2001)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Kobayashi K, Miyoshi Y, Yamaoka K, Yano E: "Relationship between hematological parameters and incidence of ischemic heart disease among Japanese white-color male workers"J Occup Health. 43. 85-89 (2001)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 矢野栄二: "成人病検診の根拠"公衆衛生. 65. 28-32 (2001)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 矢野栄二: "EBMより見た検尿の問題点"腎と透析. 52. 183-187 (2002)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 村田勝敬, 矢野栄二: "EBMのための医学統計:SPBSの活用方法"南江堂. 201 (2002)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 矢野栄二, 小林廉毅, 山岡和枝: "EBM健康診断(第2版)"医学書院(予定). 256 (2003)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Yano E, Tagawa K, Yamaoka K, Mori M: "Test validity of periodic liver function tests in a population of Japanese male bank employees"J Clin Epidemiol. 54. 945-951 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Kobayashi T, Miyoshi Y, Yamaoka K, Yano E.: "Rationship between hematological parameters and incidence of ischemic heart diseases among Japanese white-collar male workers."J Occup Health. 43. 85-89 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yano E: "Efficacy and effectiveness of health checkups(in Japanese)"Sangyo-igaku Review. 15. 1-31 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yano E: "Evidence for health checkups(in Japanese)"Koushu Eisei. 65. 28-32 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yano E: "Problems with urinalysis-evaluated by EBM(in Japanese)"Jin to Toseki. 52. 183-187 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Murata K, Yano E: "Medical Statistics for Evidence Based Medicine -How to Use SPBS-"Nankodo, Tokyo. (2002)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yano E, Kobayashi Y, Yamaoka K: "(ed) EBM Health Checkups 2nd Ed."Igakushoin, Tokyo. (2003)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2004-04-14  

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