Cost-effectiveness of the introduction of home blood pressure measurement : estimation based on a Markov model

2010 Fiscal Year Final Research Report

• Project/Area Number: 20590629
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Public health/Health science
• Research Institution: Tohoku University
• Principal Investigator: OHKUBO Takayoshi Tohoku University, 医学部, 准教授 (60344652)
• Project Period (FY): 2008 – 2010
• Keywords: 家庭血圧 / 高血圧 / 費用対効果 / 医療経済 / 降圧薬 / 医療費 / マルコフモデル / 自由行動下血圧

Research Abstract

Using a Markov model we examined cost-effectiveness of the introduction of home blood pressure measurement for the diagnosis and treatment of hypertension. The introduction of home blood pressure measurement for newly detected hypertensive patients in Japan was found to be very useful to reduce medical costs. Introduction of HBP measurement was also found to be cost-effective for newly confirmed masked uncontrolled hypertensive patients. The introduction of ambulatory blood pressure monitoring was also found to be cost-effective.

Research Products

• [Journal Article] 自由行動下血圧に基づく高血圧診療の医療経済学的評価. (2010)
  • Author(s): 田巻祐一朗、大久保孝義、小林慎、佐藤慶子、菊谷昌浩、小原拓、目時弘仁、浅山敬、廣瀬卓男、戸恒和人、鈴木一夫、今井潤.
  • Journal Title: YAKUGAKU ZASSHI. 130(6) Pages: 805-820.
  • Peer Reviewed
• [Journal Article] Stroke risk in treated hypertension based on home blood pressure : the Ohasama Study. (2010)
  • Author(s): Daisaku Yasui, Kei Asayama, Takayoshi Ohkubo, Masahiro Kikuya, Atsuhiro Ka nno, Azusa Hara, Takuo Hirose, Taku Obara, Hirohito Metoki, Ryusuke Inoue, Kazuhito Totsune, Haruhisa Hoshi, Hiroshi Satoh, Yutaka Imai
  • Journal Title: American Journal of Hypertension. 23 Pages: 508-514.
  • Peer Reviewed
• [Journal Article] Detection of silent cerebrovascular lesions in individuals with "masked" and"white-coat" hypertension by home blood pressure measurement : The Ohasama Study. (2009)
  • Author(s): Azusa Hara, Takayoshi Ohkubo, Takeo Kondo, Masahiro Kikuya, Yoko Aono, Sugiko Hanawa, Kyoko Shioda, Sayaka Miyamoto, Taku Obara, Hirohito Metoki, Ryusuke Inoue, Kei Asayama, Takuo Hirose, Kazuhito Totsune, Haruhisa Hoshi, Shin-Ichi Izumi, Hiroshi Satoh, Yutaka Imai
  • Journal Title: Journal of Hypertension. 27 Pages: 1049-1055.
  • Peer Reviewed
• [Journal Article] Cost-effectiveness of the introduction of home blood pressure measurement in patients with office hypertension. (2008)
  • Author(s): Hidefumi Fukunaga, Takayoshi Ohkubo, Makoto Kobayashi, Yuichiro Tamaki, Masahiro Kikuya, Taku Obara, Miwa Nakagawa, Azusa Hara, Kei Asayama, Hirohito Metoki, Ryusuke Inoue, Junichiro Hashimoto, Kazuhito Totsune, Yutaka Imai
  • Journal Title: Journal of Hypertension 26 Pages: 685-690.
  • Peer Reviewed
• [Journal Article] 日本の高血圧診療に家庭血圧測定を導入した場合の費用対効果分析. (2008)
  • Author(s): 福永英史、大久保孝義、小林慎、田巻佑一朗、菊谷昌浩、中川美和、小原拓、目時弘仁、浅山敬、戸恒和人、橋本潤一郎、鈴木一夫、今井潤.
  • Journal Title: 医療経済研究 19 Pages: 211-232
  • Peer Reviewed
• [Presentation] 家庭血圧を保健指導・服薬指導に活かすには. (2010)
  • Author(s): 大久保孝義.
  • Organizer: 日本高血圧学会
  • Place of Presentation: 福岡国際会議場(福岡県).(招待講演)
  • Year and Date: 2010-10-16
• [Presentation] 大迫研究. (2010)
  • Author(s): 大久保孝義.
  • Organizer: 日本高血圧学会
  • Place of Presentation: 福岡国際会議場(福岡県).(招待講演)
  • Year and Date: 2010-10-15
• [Presentation] 家庭血圧導入の医療経済学的評価:外来血圧コントロール良好高血圧患者における検討. (2009)
  • Author(s): 田巻佑一朗、中川美和、大久保孝義、小林慎、福永英史、菊谷昌浩、小原拓、原梓、浅山敬、目時弘仁、井上隆輔、橋本潤一郎、戸恒和人、今井潤.
  • Organizer: 第31回日本高血圧学会総会
  • Place of Presentation: 北海道札幌市.
  • Year and Date: 2009-10-10
• [Presentation] Stroke risk in treated hypertension based on home blood pressure : the Ohasama Study. (2009)
  • Author(s): Yasui Daisaku, Kei Asayama, Takayoshi Ohkubo, Atsuhiro Kanno, Azusa Hara, Takuo Hirose, Taku Obara, Hirohito Metoki, Ryusuke Inoue, Masahiro Kikuya, Kazuhito Totsune, Hiroshi Satoh, Yutaka Imai
  • Organizer: 第19回欧州高血圧学会.
  • Place of Presentation: イタリア国ミラノ市.
  • Year and Date: 2009-06-13