Periodic health checkups reduce the risk of hospitalization in patients with type 2 diabetes.

Hidetaka Hamasaki, Hidekatsu Yanai
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Abstract

Introduction: Periodic health checkups (PHCs) represent a unique system in Japan that is useful for the early detection of lifestyle-related diseases and cardiovascular diseases (CVDs). This study aims to investigate the association of PHCs with the hospitalization risk of patients with type 2 diabetes mellitus (T2DM).

Methods: A retrospective cohort study was conducted from April 2013 to December 2015 and included participant information such as CVD history, lifestyle, and whether PHC was conducted in addition to regular medical examinations. Difference in clinical data between patients with and without PHC was examined. Furthermore, Cox regression analysis was performed to investigate the independent association of PHCs with hospitalization.

Results: Herein, 1,256 patients were selected and followed up for 2.35 ± 0.73 years. In the PHC group, body mass index, waist circumference, proportion of patients with a history of CVD, and number of hospitalizations were lower than those in the non-PHC group. Furthermore, the PHC group exhibited a significant association with lower hospitalization risk (hazard ratio = 0.825; 95% confidence interval, 0.684 to 0.997; p = 0.046) in the Cox model.

Conclusion: This study revealed that PHCs minimized the risk of hospitalization in patients with T2DM. Furthermore, we discussed the effectiveness of PHCs in enhancing health outcomes and reducing health care costs in such patients.

定期健康检查可以降低2型糖尿病患者住院的风险。
简介:在日本,定期健康检查(PHCs)是一种独特的系统,有助于早期发现与生活方式相关的疾病和心血管疾病(cvd)。本研究旨在探讨PHCs与2型糖尿病(T2DM)患者住院风险的关系。方法:2013年4月至2015年12月进行回顾性队列研究,包括参与者的CVD病史、生活方式、除定期体检外是否进行过PHC等信息。研究了PHC患者与非PHC患者临床资料的差异。此外,采用Cox回归分析来调查PHCs与住院的独立关系。结果:入选1256例患者,随访时间为2.35±0.73年。PHC组的体重指数、腰围、有心血管病史的患者比例、住院次数均低于非PHC组。此外,PHC组与较低的住院风险显著相关(风险比= 0.825;95%置信区间为0.684 ~ 0.997;p = 0.046)。结论:本研究表明,PHCs可将2型糖尿病患者住院的风险降至最低。此外,我们还讨论了初级保健中心在提高这类患者的健康结果和降低医疗成本方面的有效性。
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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