Cost-effectiveness of mass screening for dipstick hematuria in Japan

Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years...
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Autor*in:	Okubo, Reiko [verfasserIn] Hoshi, Shu-Ling Kimura, Tomokazu Kondo, Masahide Asahi, Koichi Iseki, Chiho Fujimoto, Shouichi Narita, Ichiei Nishiyama, Hiroyuki Yamagata, Kunihiro Iseki, Kunitoshi

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Cost-effectiveness Mass screening Dipstick hematuria test IgA nephropathy Bladder cancer

Anmerkung:	© Japanese Society of Nephrology 2022. corrected publication 2022

Übergeordnetes Werk:	Enthalten in: Clinical and experimental nephrology - [Tokyo] : Springer, 1997, 26(2022), 5 vom: 08. Jan., Seite 398-412
Übergeordnetes Werk:	volume:26 ; year:2022 ; number:5 ; day:08 ; month:01 ; pages:398-412

Links:	Volltext

DOI / URN:	10.1007/s10157-021-02170-0

Katalog-ID:	SPR046769730

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520			\|a Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. The results have implications for mass screening programs not only in Japan but worldwide.
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650		4	\|a Dipstick hematuria test \|7 (dpeaa)DE-He213
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650		4	\|a Bladder cancer \|7 (dpeaa)DE-He213
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700	1		\|a Yamagata, Kunihiro \|4 aut
700	1		\|a Iseki, Kunitoshi \|4 aut
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912			\|a GBV_ILN_224
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912			\|a GBV_ILN_250
912			\|a GBV_ILN_267
912			\|a GBV_ILN_281
912			\|a GBV_ILN_285
912			\|a GBV_ILN_293
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allfields	10.1007/s10157-021-02170-0 doi (DE-627)SPR046769730 (SPR)s10157-021-02170-0-e DE-627 ger DE-627 rakwb eng Okubo, Reiko verfasserin aut Cost-effectiveness of mass screening for dipstick hematuria in Japan 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Society of Nephrology 2022. corrected publication 2022 Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. The results have implications for mass screening programs not only in Japan but worldwide. Cost-effectiveness (dpeaa)DE-He213 Mass screening (dpeaa)DE-He213 Dipstick hematuria test (dpeaa)DE-He213 IgA nephropathy (dpeaa)DE-He213 Bladder cancer (dpeaa)DE-He213 Hoshi, Shu-Ling aut Kimura, Tomokazu aut Kondo, Masahide (orcid)0000-0001-9125-2040 aut Asahi, Koichi aut Iseki, Chiho aut Fujimoto, Shouichi aut Narita, Ichiei aut Nishiyama, Hiroyuki aut Yamagata, Kunihiro aut Iseki, Kunitoshi aut Enthalten in Clinical and experimental nephrology [Tokyo] : Springer, 1997 26(2022), 5 vom: 08. Jan., Seite 398-412 (DE-627)306646900 (DE-600)1499111-1 1437-7799 nnns volume:26 year:2022 number:5 day:08 month:01 pages:398-412 https://dx.doi.org/10.1007/s10157-021-02170-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 26 2022 5 08 01 398-412
spelling	10.1007/s10157-021-02170-0 doi (DE-627)SPR046769730 (SPR)s10157-021-02170-0-e DE-627 ger DE-627 rakwb eng Okubo, Reiko verfasserin aut Cost-effectiveness of mass screening for dipstick hematuria in Japan 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Society of Nephrology 2022. corrected publication 2022 Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. The results have implications for mass screening programs not only in Japan but worldwide. Cost-effectiveness (dpeaa)DE-He213 Mass screening (dpeaa)DE-He213 Dipstick hematuria test (dpeaa)DE-He213 IgA nephropathy (dpeaa)DE-He213 Bladder cancer (dpeaa)DE-He213 Hoshi, Shu-Ling aut Kimura, Tomokazu aut Kondo, Masahide (orcid)0000-0001-9125-2040 aut Asahi, Koichi aut Iseki, Chiho aut Fujimoto, Shouichi aut Narita, Ichiei aut Nishiyama, Hiroyuki aut Yamagata, Kunihiro aut Iseki, Kunitoshi aut Enthalten in Clinical and experimental nephrology [Tokyo] : Springer, 1997 26(2022), 5 vom: 08. Jan., Seite 398-412 (DE-627)306646900 (DE-600)1499111-1 1437-7799 nnns volume:26 year:2022 number:5 day:08 month:01 pages:398-412 https://dx.doi.org/10.1007/s10157-021-02170-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 26 2022 5 08 01 398-412
allfields_unstemmed	10.1007/s10157-021-02170-0 doi (DE-627)SPR046769730 (SPR)s10157-021-02170-0-e DE-627 ger DE-627 rakwb eng Okubo, Reiko verfasserin aut Cost-effectiveness of mass screening for dipstick hematuria in Japan 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Society of Nephrology 2022. corrected publication 2022 Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. The results have implications for mass screening programs not only in Japan but worldwide. Cost-effectiveness (dpeaa)DE-He213 Mass screening (dpeaa)DE-He213 Dipstick hematuria test (dpeaa)DE-He213 IgA nephropathy (dpeaa)DE-He213 Bladder cancer (dpeaa)DE-He213 Hoshi, Shu-Ling aut Kimura, Tomokazu aut Kondo, Masahide (orcid)0000-0001-9125-2040 aut Asahi, Koichi aut Iseki, Chiho aut Fujimoto, Shouichi aut Narita, Ichiei aut Nishiyama, Hiroyuki aut Yamagata, Kunihiro aut Iseki, Kunitoshi aut Enthalten in Clinical and experimental nephrology [Tokyo] : Springer, 1997 26(2022), 5 vom: 08. Jan., Seite 398-412 (DE-627)306646900 (DE-600)1499111-1 1437-7799 nnns volume:26 year:2022 number:5 day:08 month:01 pages:398-412 https://dx.doi.org/10.1007/s10157-021-02170-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 26 2022 5 08 01 398-412
allfieldsGer	10.1007/s10157-021-02170-0 doi (DE-627)SPR046769730 (SPR)s10157-021-02170-0-e DE-627 ger DE-627 rakwb eng Okubo, Reiko verfasserin aut Cost-effectiveness of mass screening for dipstick hematuria in Japan 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Society of Nephrology 2022. corrected publication 2022 Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. The results have implications for mass screening programs not only in Japan but worldwide. Cost-effectiveness (dpeaa)DE-He213 Mass screening (dpeaa)DE-He213 Dipstick hematuria test (dpeaa)DE-He213 IgA nephropathy (dpeaa)DE-He213 Bladder cancer (dpeaa)DE-He213 Hoshi, Shu-Ling aut Kimura, Tomokazu aut Kondo, Masahide (orcid)0000-0001-9125-2040 aut Asahi, Koichi aut Iseki, Chiho aut Fujimoto, Shouichi aut Narita, Ichiei aut Nishiyama, Hiroyuki aut Yamagata, Kunihiro aut Iseki, Kunitoshi aut Enthalten in Clinical and experimental nephrology [Tokyo] : Springer, 1997 26(2022), 5 vom: 08. Jan., Seite 398-412 (DE-627)306646900 (DE-600)1499111-1 1437-7799 nnns volume:26 year:2022 number:5 day:08 month:01 pages:398-412 https://dx.doi.org/10.1007/s10157-021-02170-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 26 2022 5 08 01 398-412
allfieldsSound	10.1007/s10157-021-02170-0 doi (DE-627)SPR046769730 (SPR)s10157-021-02170-0-e DE-627 ger DE-627 rakwb eng Okubo, Reiko verfasserin aut Cost-effectiveness of mass screening for dipstick hematuria in Japan 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Society of Nephrology 2022. corrected publication 2022 Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. The results have implications for mass screening programs not only in Japan but worldwide. Cost-effectiveness (dpeaa)DE-He213 Mass screening (dpeaa)DE-He213 Dipstick hematuria test (dpeaa)DE-He213 IgA nephropathy (dpeaa)DE-He213 Bladder cancer (dpeaa)DE-He213 Hoshi, Shu-Ling aut Kimura, Tomokazu aut Kondo, Masahide (orcid)0000-0001-9125-2040 aut Asahi, Koichi aut Iseki, Chiho aut Fujimoto, Shouichi aut Narita, Ichiei aut Nishiyama, Hiroyuki aut Yamagata, Kunihiro aut Iseki, Kunitoshi aut Enthalten in Clinical and experimental nephrology [Tokyo] : Springer, 1997 26(2022), 5 vom: 08. Jan., Seite 398-412 (DE-627)306646900 (DE-600)1499111-1 1437-7799 nnns volume:26 year:2022 number:5 day:08 month:01 pages:398-412 https://dx.doi.org/10.1007/s10157-021-02170-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 26 2022 5 08 01 398-412
language	English
source	Enthalten in Clinical and experimental nephrology 26(2022), 5 vom: 08. Jan., Seite 398-412 volume:26 year:2022 number:5 day:08 month:01 pages:398-412
sourceStr	Enthalten in Clinical and experimental nephrology 26(2022), 5 vom: 08. Jan., Seite 398-412 volume:26 year:2022 number:5 day:08 month:01 pages:398-412
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Cost-effectiveness Mass screening Dipstick hematuria test IgA nephropathy Bladder cancer
isfreeaccess_bool	false
container_title	Clinical and experimental nephrology
authorswithroles_txt_mv	Okubo, Reiko @@aut@@ Hoshi, Shu-Ling @@aut@@ Kimura, Tomokazu @@aut@@ Kondo, Masahide @@aut@@ Asahi, Koichi @@aut@@ Iseki, Chiho @@aut@@ Fujimoto, Shouichi @@aut@@ Narita, Ichiei @@aut@@ Nishiyama, Hiroyuki @@aut@@ Yamagata, Kunihiro @@aut@@ Iseki, Kunitoshi @@aut@@
publishDateDaySort_date	2022-01-08T00:00:00Z
hierarchy_top_id	306646900
id	SPR046769730
language_de	englisch
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author	Okubo, Reiko
spellingShingle	Okubo, Reiko misc Cost-effectiveness misc Mass screening misc Dipstick hematuria test misc IgA nephropathy misc Bladder cancer Cost-effectiveness of mass screening for dipstick hematuria in Japan
authorStr	Okubo, Reiko
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topic_title	Cost-effectiveness of mass screening for dipstick hematuria in Japan Cost-effectiveness (dpeaa)DE-He213 Mass screening (dpeaa)DE-He213 Dipstick hematuria test (dpeaa)DE-He213 IgA nephropathy (dpeaa)DE-He213 Bladder cancer (dpeaa)DE-He213
topic	misc Cost-effectiveness misc Mass screening misc Dipstick hematuria test misc IgA nephropathy misc Bladder cancer
topic_unstemmed	misc Cost-effectiveness misc Mass screening misc Dipstick hematuria test misc IgA nephropathy misc Bladder cancer
topic_browse	misc Cost-effectiveness misc Mass screening misc Dipstick hematuria test misc IgA nephropathy misc Bladder cancer
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title	Cost-effectiveness of mass screening for dipstick hematuria in Japan
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title_full	Cost-effectiveness of mass screening for dipstick hematuria in Japan
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author_browse	Okubo, Reiko Hoshi, Shu-Ling Kimura, Tomokazu Kondo, Masahide Asahi, Koichi Iseki, Chiho Fujimoto, Shouichi Narita, Ichiei Nishiyama, Hiroyuki Yamagata, Kunihiro Iseki, Kunitoshi
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title_sort	cost-effectiveness of mass screening for dipstick hematuria in japan
title_auth	Cost-effectiveness of mass screening for dipstick hematuria in Japan
abstract	Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. The results have implications for mass screening programs not only in Japan but worldwide. © Japanese Society of Nephrology 2022. corrected publication 2022
abstractGer	Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. The results have implications for mass screening programs not only in Japan but worldwide. © Japanese Society of Nephrology 2022. corrected publication 2022
abstract_unstemmed	Background Dipstick urine tests are a simple and inexpensive method for detecting kidney and urological diseases, such as IgA nephropathy and bladder cancer. The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. The results have implications for mass screening programs not only in Japan but worldwide. © Japanese Society of Nephrology 2022. corrected publication 2022
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title_short	Cost-effectiveness of mass screening for dipstick hematuria in Japan
url	https://dx.doi.org/10.1007/s10157-021-02170-0
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author2	Hoshi, Shu-Ling Kimura, Tomokazu Kondo, Masahide Asahi, Koichi Iseki, Chiho Fujimoto, Shouichi Narita, Ichiei Nishiyama, Hiroyuki Yamagata, Kunihiro Iseki, Kunitoshi
author2Str	Hoshi, Shu-Ling Kimura, Tomokazu Kondo, Masahide Asahi, Koichi Iseki, Chiho Fujimoto, Shouichi Narita, Ichiei Nishiyama, Hiroyuki Yamagata, Kunihiro Iseki, Kunitoshi
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doi_str	10.1007/s10157-021-02170-0
up_date	2024-07-04T00:18:46.749Z
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The nationwide mass screening program, Specific Health Checkup (SHC), started in Japan in 2008 and targeted all adults between 40 and 74 years of age. Dipstick urine tests for proteinuria and glucosuria are mandatory as part of the SHC, but dipstick urine tests for hematuria are not. However, the dipstick hematuria test is often administered simultaneously with these mandatory tests by some health insurers. Hematuria is common in Japanese general screening participants, particularly elderly women, and the necessity of mass screening using the dipstick hematuria test has been discussed. This study aimed to evaluate the cost-effectiveness of mass screening for dipstick hematuria tests in addition to the SHC. Methods Using a decision tree and Markov modeling, we conducted a cost-effectiveness analysis from a Japanese societal perspective. Results Compared with the current SHC, mass screening for dipstick hematuria tests, in addition to the SHC, costs less and gains more, which means cost-saving. Similar findings were observed in the sex-specific analysis. Conclusion Our results suggest that mandating the dipstick hematuria test could be justifiable as an efficient use of finite healthcare resources. 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Cost-effectiveness of mass screening for dipstick hematuria in Japan

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