Linkage of medical consultation and health checkup records for seamless health administration among company retirees

• Project/Area Number: 15H04792
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Medical and hospital managemen
• Research Institution: Nagoya University
• Principal Investigator: KONDO Takaaki 名古屋大学, 医学系研究科(保健), 教授 (00195900)
• Project Period (FY): 2015-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2019)
• Budget Amount: ¥11,700,000 (Direct Cost: ¥9,000,000、Indirect Cost: ¥2,700,000); Fiscal Year 2018: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000); Fiscal Year 2017: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000); Fiscal Year 2016: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000); Fiscal Year 2015: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
• Keywords: レセプト / 健診 / 医療費 / メタボリック・シンドローム / 生存分析 / 医療情報学 / 医療経済学 / 社会医学 / 季節変動 / 自己相関 / 慢性疾患 / 共罹患 / 疫学 / ベイズ統計学 / 診療報酬 / 保険点数 / 傷病名 / 健康診断 / 生命表分析 / メタボリックシンドローム / 医療・福祉 / 医療情報

Outline of Final Research Achievements

Post-retirement period is a life stage accompanying risk of lifestyle-related disorders. However, shift of health insurers and check-up service providers after retirement interrupts the follow-up of health status. Our work handled these matters by 1) integrated analysis of health insurance claim, health check-up, and death data of retirees whose health care is managed by their ex-employer corporate, and 2) linkage of long-term health check-up data during employment and health claim data after retirement. The results showed that prescription for hypertension, hyperlipidemia, or diabetes during the follow-up period rises in proportion to the metabolic component accumulation at baseline check-up, while intervention for the risk reduction lower the incidence of metabolic disorders. Additionally, a significant elevation of the risk for metabolic disorders was observed among people whose health check-up of even 20 years ago indicated high values of blood pressure, lipid, or glucose profiles.

Academic Significance and Societal Importance of the Research Achievements

企業労働者は在職期間中には職域健診による健康管理と、加入健康保険による医療受診が継続して保障されているが、退職後は健診、医療保険とも地域に移行し、継続的データにもとづく健康管理が不可能となる。本研究では退職前後のデータを連続化し、長期的な観察データに基づく予防対策を目指している。結果では20年も過去の職域健診結果が、退職後のメタボリックシンドローム関連疾患による受診と有意に関連しており、在職期間の健康づくりが退職後の疾病発症予防に不可欠であるといえる。またメタボリックリスクが重積している場合でも、非医学的介入でリスクを減少させることで、疾病発症リスクを有意に減少させることが可能である。

Research Products

• [Journal Article] Preferences for health information in middle-aged Japanese workers based on health literacy levels: a descriptive study (2019)
  • Author(s): Adachi T, Hori M, Ishimaru Y, Fujii T, Kondo T, Yamada S
  • Journal Title: Public Health Volume: 174 Pages: 18-21
  • DOI: 10.1016/j.puhe.2019.05.036
  • Peer Reviewed
• [Journal Article] Association of genetic risk score and chronic kidney disease in a Japanese population (2019)
  • Author(s): Fujii R, Hishida A, Nakatochi M, Furusyo N, Murata M, Tanaka K, Shimanoe C, Suzuki S, Watanabe M, Kuriyama N, Koyama T, Takezaki T, Shimoshikiryo I, Arisawa K, Katsuura-Kamano S, Takashima N, Turin TC, Kuriki K, Endoh K, Mikami H, Nakamura Y, Oze I, Ito H, Kubo M, Momozawa Y, Kondo T, Naito M, Wakai K
  • Journal Title: Nephrology Volume: 印刷中 Issue: 6 Pages: 670-673
  • DOI: 10.1111/nep.13479
  • Peer Reviewed
• [Journal Article] Combined effects of obesity and objectively-measured physical activity on the risk of hypertension in middle-aged Japanese men: a 4-year prospective cohort study (2019)
  • Author(s): Adachi T, Kamiya K, Takagi D, Ashikawa H, Hori M, Kondo T, Yamada S
  • Journal Title: Obes Res Clin Pract Volume: 13 Issue: 4 Pages: 365-370
  • DOI: 10.1016/j.orcp.2019.04.002
  • Peer Reviewed
• [Journal Article] Association of interactions between dietary salt consumption and hypertension-susceptibility genetic polymorphisms with blood pressure among Japanese male workers. (2016)
  • Author(s): Imaizumi T, Ando M, Nakatochi M, Maruyama S, Yasuda Y, Honda H, Kuwatsuka Y, Kato S, Kondo T, Iwata M, Nakashima T, Yasui H, Takamatsu H, Okajima H, Yoshida Y, Matsuo S.
  • Journal Title: Clin Exp Nephrol Volume: 21 Issue: 3 Pages: 1-8
  • DOI: 10.1007/s10157-016-1315-3
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Identification of an interaction between VWF rs7965413 and platelet count as a novel risk marker for metabolic syndrome: an extensive search of candidate polymorphisms in a case-control study (2015)
  • Author(s): 1.Nakatochi M Ushida Y Yasuda Y, Yoshida Y, Kawai S, Kato R, Nakashima T, Iwata M, Kuwatsuka Y, Ando M, Hamajima N, Kondo T, Oda H, Hayashi M, Kato S, Yamaguchi M, Maruyama S, Matsuo S, and Honda H
  • Journal Title: PLoS One Volume: 10 Issue: 2 Pages: e0117591-e0117591
  • DOI: 10.1371/journal.pone.0117591
  • Peer Reviewed / Open Access
• [Presentation] 健常成人集団における身体活動レベルとメタボリックリスクの関連性：横断的および縦断的解析 (2019)
  • Author(s): 大村綾, 近藤高明, 大西丈二, 岡田理恵子, 菱田朝陽, 森田えみ, 川合紗世, 濵嶋信之, 内藤真理子, 若井建志
  • Organizer: 第30回日本疫学会学術総会
• [Presentation] Association Rules Miningを用いた生活習慣病のco-morbidityの解析 (2018)
  • Author(s): 松下真也, 近藤高明, 足立拓史, 岩崎眞明, 井出光昭, 今井俊博, 山田純生
  • Organizer: 第29回日本疫学会学術総会
• [Presentation] リスク因子の有無とヘルスリテラシーとの関連：就業年層を対象とした横断的調査 (2018)
  • Author(s): 堀将也, 足立拓史, 石丸曜, 藤井七虹, 岩崎眞明, 井出光, 今井俊, 近藤高明, 山田純生
  • Organizer: 第54回日本循環器病予防学会学術集会
• [Presentation] 企業健康保険組合レセプトデータを用いた生活習慣病受療率の季節変動 (2018)
  • Author(s): 松下真也, 近藤高明, 足立拓史, 岩崎眞明, 井出光昭, 今井俊博, 山田純生
  • Organizer: 第54回日本循環器病予防学会学術集会