Stroke Research Using Administrative Claims Database in Japan: A Narrative Review.

IF 3 2区 医学 Q2 PERIPHERAL VASCULAR DISEASE
Journal of atherosclerosis and thrombosis Pub Date : 2024-10-01 Epub Date: 2024-08-03 DOI:10.5551/jat.RV22022
Shuhei Egashira, Yuichi Imanaka
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引用次数: 0

Abstract

Aims: Although administrative claims databases have recently been used for clinical research in Japan, no detailed description of their utilization in stroke research is available. We reviewed stroke studies using the Diagnosis Procedure Combination (DPC), the National Database of Health Insurance Claims and Specific Health Checkups (NDB), and several commercial databases sourced from social health insurance associations, focusing on their applications and limitations.

Methods: Original articles on stroke published by April 2024 using the DPC, NDB, and commercial databases were identified in Ovid MEDLINE. The characteristics of each database were compared in terms of comprehensiveness, traceability, baseline information, and outcome assessment in stroke research.

Results: A total of 114 studies were included (83 for DPC, 6 for NDB, and 25 for commercial databases). The number of stroke studies using administrative databases in Japan is still approximately 10 per year, although there is a slowly increasing trend. The DPC database was utilized for short-term outcome studies because of its detailed baseline and outcome information, although the inability to track patients once they changed facilities limits their use in long-term studies. The NDB database is potentially useful for long-term studies because of its comprehensiveness and traceability, but difficulties in data access restrict its usage. The most commonly used commercial database utilizes baseline information on lifestyle and blood test data, although the lack of coverage for those over 75 years old may limit its generalizability.

Conclusions: Administrative claims databases are beginning to be used in stroke research in Japan but are not yet fully utilized. Researchers need to understand their applications and limitations.

日本利用行政索赔数据库开展的脑卒中研究:叙述性综述。
目的:虽然日本最近已将行政索赔数据库用于临床研究,但还没有关于其在卒中研究中的 应用的详细描述。我们回顾了使用诊断程序组合(DPC)、国家健康保险索赔和特定健康检查数据库(NDB)以及来自社会健康保险协会的几个商业数据库进行的脑卒中研究,重点关注它们的应用和局限性:方法:在 Ovid MEDLINE 中使用 DPC、NDB 和商业数据库对 2024 年 4 月之前发表的有关中风的原创文章进行了识别。从全面性、可追溯性、基线信息和卒中研究结果评估等方面比较了各数据库的特点:结果:共纳入 114 项研究(DPC 83 项,NDB 6 项,商业数据库 25 项)。在日本,使用行政数据库进行的脑卒中研究数量仍为每年约 10 项,但有缓慢增加的趋势。DPC 数据库因其详细的基线和预后信息而被用于短期预后研究,但由于无法在患者更换医疗机构后对其进行追踪,这限制了其在长期研究中的应用。NDB 数据库因其全面性和可追溯性而可用于长期研究,但数据访问方面的困难限制了其使用。最常用的商业数据库利用了有关生活方式和血液检测数据的基线信息,但缺乏对 75 岁以上人群的覆盖可能会限制其普遍性:结论:在日本,行政索赔数据库已开始用于卒中研究,但尚未得到充分利用。研究人员需要了解其应用和局限性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.60
自引率
15.90%
发文量
271
审稿时长
1 months
期刊介绍: JAT publishes articles focused on all aspects of research on atherosclerosis, vascular biology, thrombosis, lipid and metabolism.
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