Unique ID issued by UMIN | UMIN000044267 |
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Receipt number | R000050537 |
Scientific Title | Verification of benefits by the prevention program for deterioration of diabetic nephropathy in Japan: Effects of medical consultation by public health nurse or registered dietitian using telephone on the rate of hospital/clinic visits for diabetes among patients never having hospital/clinical visits and patients discontinuing hospital/clinical visits |
Date of disclosure of the study information | 2021/05/19 |
Last modified on | 2021/05/19 17:33:02 |
Verification of benefits by the prevention program for deterioration of diabetic nephropathy in Japan: Effects of medical consultation by public health nurse or registered dietitian using telephone on the rate of hospital/clinic visits for diabetes among patients never having hospital/clinical visits and patients discontinuing hospital/clinical visits
PPDN-J
Verification of benefits by the prevention program for deterioration of diabetic nephropathy in Japan: Effects of medical consultation by public health nurse or registered dietitian using telephone on the rate of hospital/clinic visits for diabetes among patients never having hospital/clinical visits and patients discontinuing hospital/clinical visits
PPDN-J
Japan |
Diabetes
Medicine in general | Endocrinology and Metabolism | Nephrology |
Others
NO
It is important to encourage hospital/clinical visits for diabetes to patients never having hospital/clinical visits and those discontinuing hospital/clinical visits, who are at elevated risk of deterioration of diabetes nephropathy; and engage these patients to appropriate diabetes treatment. To this end, medical consultation by public health nurse or registered dietitian have been promoted through the nationwide prevention program for deterioration of diabetic nephropathy in Japan. The current study was designed to validate effects of medical consultation by public health nurse or registered dietitian using telephone on the rate of hospital/clinic visits for diabetes among patients never having hospital/clinical visits and patients discontinuing hospital/clinical visits.
Efficacy
the rate of hospital/clinic visits for diabetes
100X[the number of insured patients who visited hospital/clinic visits for diabetes (ICD-10 E10-E14) after medical consultation*] divided by [the number of insured patients who received medical consultation]
*, medical consultation (i.e., notification letter, telephone or home visit) conducted at last
the rate of hospital/clinic continuous visits for diabetes
100X[the number of insured patients who visited hospital/clinic visits for diabetes (ICD-10 E10-E14) twice or more after medical consultation*] divided by [the number of insured patients who received medical consultation]
*, medical consultation (i.e., notification letter, telephone or home visit) conducted at last
Interventional
Parallel
Randomized
Cluster
Open -no one is blinded
Active
2
Educational,Counseling,Training
Other |
Notification letter plus medical consultation by public health nurse or registered dietician using telephone
Notification letter
40 | years-old | <= |
74 | years-old | >= |
Male and Female
Insured patients never having hospital/clinical visits and those discontinuing hospital/clinical visits who meet following inclusion criteria:
1) Never having hospital/clinical visits
- With diabetes nephropathy stage 1 or 2 (see below for definition)
- Without no diabetes treatment in interview at medical health checkup
- Without diabetes disease code in health insurance claims (FY2018 to FY2021)
- Without diabetes drug code in health insurance claims (FY2018 to FY2021)
2) Patients discontinuing hospital/clinical visits
2-1) Patients who meet following all criteria with medical health checkup in 2020:
- With diabetes nephropathy stage 1 or 2 (see below for definition)
- Without no diabetes treatment in interview at medical health checkup
- Meeting following all criteria:
# Without diabetes disease code in health insurance claims (January to March, 2022)
# Without diabetes drug code in health insurance claims (January to March, 2022)
# Meeting one of following criteria:
$ With diabetes disease code in health insurance claims (April 2018 to December 2021)
$ Patients with diabetes drug code in health insurance claims (April 2018 to December 2021)
2-2) Patients who meet following all criteria without medical health checkup in 2020:
# Without diabetes disease code in health insurance claims (January to March, 2022)
# Without diabetes drug code in health insurance claims (January to March, 2022)
# Meeting one of following criteria:
$ With diabetes disease code in health insurance claims (April 2018 to December 2021)
$ With diabetes drug code in health insurance claims (April 2018 to December 2021)
(Definition of Patients with diabetes nephropathy stage 1 or 2)
Patients who meet following all criteria:
#HbA1c 6.5% or above; or fasting plasma glucose 126 mg/dL or above (casual plasma glucose 200 mg/dL or above)
#urinary protein (-) or (+/-)
1) Insured patients never having hospital/clinical visits and those discontinuing hospital/clinical visits who are suspected to have diabetes nephropathy stage 3 or above
(Definition of Patients with diabetes nephropathy stage 1 or 2)
Patients who meet following all criteria:
# HbA1c 6.5% or above; or fasting plasma glucose 126 mg/dL or above (casual plasma glucose 200 mg/dL or above)
# Albuminuria (300 mg/gCre or above), proteinuria (0.5g/gCre or above) or eGFR 30 ml/min/1.73m2 or below
2) Insured patients who show their intention not to participate the current study
3600
1st name | Daisuke |
Middle name | |
Last name | Yabe |
Gifu University, Tokai National Higher Education and Research System
Department of Diabetes, Endocrinology and Metabolism, Graduate School of Medicine
501-1194
1-1 Yanagido, Gifu
058-230-6377
ydaisuke@gifu-u.ac.jp
1st name | Takehiro |
Middle name | |
Last name | Kato |
Gifu University, Tokai National Higher Education and Research System
Department of Diabetes, Endocrinology and Metabolism, Graduate School of Medicine
501-1194
1-1 Yanagido, Gifu
058-230-6377
t_kato@gifu-u.ac.jp
Gifu University, Tokai National Higher Education and Research System
Ministry of Health, Labor and Welfare
Japanese Governmental office
Gifu University, Tokai National Higher Education and Research System
1-1 Yanagido, Gifu
058-230-6377
ydaisuke@gifu-u.ac.jp
NO
2021 | Year | 05 | Month | 19 | Day |
Unpublished
Preinitiation
2021 | Year | 01 | Month | 19 | Day |
2021 | Year | 03 | Month | 08 | Day |
2023 | Year | 09 | Month | 30 | Day |
2021 | Year | 05 | Month | 19 | Day |
2021 | Year | 05 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050537
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