scholarly journals Place of death trends among patients with dementia in Japan: a population-based observational study

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Toshihiro Koyama ◽  
Misato Sasaki ◽  
Hideharu Hagiya ◽  
Yoshito Zamami ◽  
Tomoko Funahashi ◽  
...  
Keyword(s):  
Observational Study ◽  
Population Based ◽  
Place Of Death ◽  
Health Concern ◽  
Joinpoint Regression ◽  
Joinpoint Regression Analysis ◽  
Hospital Deaths ◽  
Long Term Trends ◽  
Nationwide Observational Study

AbstractDementia is a major public health concern in ageing societies. Although the population of Japan is among the most aged worldwide, long-term trends in the place of death (PoD) among patients with dementia is unknown. In this Japanese nationwide observational study, we analysed trends in PoD using the data of patients with dementia who were aged ≥65 years and died during 1999–2016. Trends in the crude death rates and PoD frequencies were analysed using the Joinpoint regression model. Changes in these trends were assessed using the Joinpoint regression analysis in which significant change points, the annual percentage change (APC) and average APCs (AAPC) in hospitals, homes, or nursing homes were estimated. During 1999–2016, the number of deaths among patients with dementia increased from 3,235 to 23,757 (total: 182,000). A trend analysis revealed increased mortality rates, with an AAPC of 8.2% among men and 9.3% among women. Most patients with dementia died in the hospital, although the prevalence of hospital deaths decreased (AAPC: -1.0%). Moreover, the prevalence of nursing home deaths increased (AAPC: 5.6%), whereas the prevalence of home deaths decreased (AAPC: -5.8%). These findings support a reconsideration of the end-of-life care provided to patients with dementia.

A Joinpoint regression analysis of long-term trends in cancer mortality in Japan (1958-2004)

2009 ◽  
Vol 124 (2) ◽  
pp. 443-448 ◽  
Author(s):  
Dongmei Qiu ◽  
Kota Katanoda ◽  
Tomomi Marugame ◽  
Tomotaka Sobue
Keyword(s):  
Regression Analysis ◽  
Cancer Mortality ◽  
Joinpoint Regression ◽  
Joinpoint Regression Analysis ◽  
Long Term Trends

scholarly journals A JOINPOINT REGRESSION ANALYSIS OF LONG-TERM TRENDS IN LEUKEMIA INCIDENCE AND MORTALITY IN CENTRAL SERBIA AND NIŠAVA DISTRICT (1999-2014)

2019 ◽  
Vol 58 (1) ◽  
pp. 16-23
Author(s):  
Marija Andjelković-Apostolović ◽  
◽  
Aleksandra Ignjatović ◽  
Miodrag Stojanović ◽  
Zoran Milošević ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Joinpoint Regression ◽  
Joinpoint Regression Analysis ◽  
Incidence And Mortality ◽  
Long Term Trends

Long-term trends in the incidence and relative survival of pancreatic cancer in Canada: A population-based study

Pancreatology ◽  
2016 ◽  
Vol 16 (2) ◽  
pp. 259-265 ◽  
Author(s):  
Gileh-Gol Akhtar-Danesh ◽  
Christian Finley ◽  
Noori Akhtar-Danesh
Keyword(s):  
Pancreatic Cancer ◽  
Relative Survival ◽  
Population Based ◽  
Population Based Study ◽  
Long Term Trends

scholarly journals Did the introduction and increased prescribing of antidepressants lead to changes in long-term trends of suicide rates?

2020 ◽  
Author(s):  
Simone Amendola ◽  
Martin Plöderl ◽  
Michael P Hengartner
Keyword(s):  
General Pattern ◽  
Extended Period ◽  
Joinpoint Regression ◽  
Short Term ◽  
Term Study ◽  
Suicide Rates ◽  
Long Term Study ◽  
Prescription Rates ◽  
Long Term Trends

Abstract Background Ecological studies have explored associations between suicide rates and antidepressant prescriptions in the population, but most of them are limited as they analyzed short-term correlations that may be spurious. The aim of this long-term study was to examine whether trends in suicide rates changed in three European countries when the first antidepressants were introduced in 1960 and when prescription rates increased steeply after 1990 with the introduction of the serotonin reuptake inhibitors (SSRIs). Methods Data were extracted from the WHO Mortality Database. Suicide rates were calculated for people aged 10–89 years from 1951–2015 for Italy, 1955–2016 for Austria and 1951–2013 for Switzerland. Trends in suicide rates stratified by gender were analyzed using joinpoint regression models. Results There was a general pattern of long-term trends that was broadly consistent across all three countries. Suicide rates were stable or decreasing during the 1950s and 1960s, they rose during the 1970s, peaked in the early 1980s and thereafter they declined. There were a few notable exceptions to these general trends. In Italian men, suicide rates increased until 1997, then fell sharply until 2006 and increased again from 2006 to 2015. In women from all three countries, there was an extended period during the 2000s when suicide rates were stable. No trend changes occurred around 1960 or 1990. Conclusions The introduction of antidepressants around 1960 and the sharp increase in prescriptions after 1990 with the introduction of the SSRIs did not coincide with trend changes in suicide rates in Italy, Austria or Switzerland.

scholarly journals Characteristics and Trends of the Hospital Standardized Readmission Ratios for Pneumonia: A Retrospective Observational Study Using Japanese Administrative Claims Data from 2010 to 2018

2021 ◽  
Vol 18 (14) ◽  
pp. 7624
Author(s):  
Ryo Onishi ◽  
Yosuke Hatakeyama ◽  
Kunichika Matsumoto ◽  
Kanako Seto ◽  
Koki Hirata ◽  
...  
Keyword(s):  
Observational Study ◽  
Claims Data ◽  
Retrospective Observational Study ◽  
Administrative Claims ◽  
Optimal Care ◽  
Administrative Claims Data ◽  
Consecutive Period ◽  
Long Term Trends

Previous studies indicated that optimal care for pneumonia during hospitalization might reduce the risk of in-hospital mortality and subsequent readmission. This study was a retrospective observational study using Japanese administrative claims data from April 2010 to March 2019. We analyzed data from 167,120 inpatients with pneumonia ≥15 years old in the benchmarking project managed by All Japan Hospital Association. Hospital-level risk-adjusted ratios of 30-day readmission for pneumonia were calculated using multivariable logistic regression analyses. The Spearman’s correlation coefficient was used to assess the correlation in each consecutive period. In the analysis using complete 9-year data including 54,756 inpatients, the hospital standardized readmission ratios (HSRRs) showed wide variation among hospitals and improvement trend (r = −0.18, p = 0.03). In the analyses of trends in each consecutive period, the HSRRS were positively correlated between ‘2010–2012’ and ‘2013–2015’ (r = 0.255, p = 0.010), and ‘2013–2015’ and ‘2016–2018’ (r = 0.603, p < 0.001). This study denoted the HSRRs for pneumonia could be calculated using Japanese administrative claims data. The HSRRs significantly varied among hospitals with comparable case-mix, and could relatively evaluate the quality of preventing readmission including long-term trends. The HSRRs can be used as yet another measure to help improve quality of care over time if other indicators are examined in parallel.

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