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Higher participation rates for specific health checkups are associated with a lower incidence of treated ESKD in Japan by Minako Wakasugi; Ichiei Narita is a Medicine article available to read on EtoBox.

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## Background A Japanese cohort study previously reported that not attending health checkups was associated with an increased risk of treated end-stage kidney disease (ESKD). The present study aimed to examine this association at the prefecture level. ## Methods We conducted an ecological study of all prefectures in Japan (__n__ = 47) using five sources of nationwide open data. We explored associations of participation rates for Specific Health Checkups (SHC participation rates), the estimated prevalence of chronic kidney disease (CKD), and the ratio of nephrology specialists for each prefecture with prefecture-specific standardized incidence rates (SIRs) of treated ESKD using structural equation modeling. ## Results Prefecture-specific SHC participation rates ranged from 44.2% to 65.9%, and were negatively correlated with prefecture-specific SIRs and prevalence of CKD, and positively correlated with the ratio of nephrology specialists. SHC participation rates had significant negative effects on prefecture-specific SIRs (standardized estimate (__β__) = − 0.38, __p__ = 0.01) and prefecture-specific prevalence of CKD (__β__ = − 0.32, __p__ = 0.02). Through SHC participation rates, th

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Author

Minako Wakasugi; Ichiei Narita

Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)