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Journal of Hypertension:
doi: 10.1097/01.hjh.0000249711.28769.80
Original papers: Cost analysis

Medical costs of patients with hypertension and/or diabetes: a 10-year follow-up study of National Health Insurance in Shiga, Japan

Nakamura, Koshia; Okamura, Tomonoria; Kanda, Hideyukib; Hayakawa, Takehitoc; Okayama, Akirad; Ueshima, Hirotsugua; for the Health Promotion Research Committee of the Shiga National Health Insurance Organizations

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Abstract

Background and methods: A cohort study investigating medical costs associated with the combination of hypertension and diabetes was conducted. The participants included 4535 community-dwelling Japanese individuals, aged 40–69 years, who were classified into the following four categories: ‘Neither hypertension nor diabetes’, ‘Hypertension alone’, ‘Diabetes alone’ or ‘Both hypertension and diabetes’. Medical costs per person per month were compared among the four categories.

Results and conclusion: Of the study population, 1.3% had both hypertension and diabetes. During the 10-year follow-up period, participants with both hypertension and diabetes incurred higher medical costs, as compared with those without hypertension, diabetes or their combination, even after adjustment for other confounding factors.

© 2006 Lippincott Williams & Wilkins, Inc.

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