Budget impact analysis of chronic kidney disease mass screening test in Japan

Masahide Kondo, Kunihiro Yamagata, Shu Ling Hoshi, Chie Saito, Koichi Asahi, Toshiki Moriyama, Kazuhiko Tsuruya, Tsuneo Konta, Shouichi Fujimoto, Ichiei Narita, Kenjiro Kimura, Kunitoshi Iseki, Tsuyoshi Watanabe

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Abstract

Results: Annual budget impacts of mass screening compared with do-nothing scenario were calculated as ¥79–¥−1,067 million for dipstick test only, ¥2,505–¥9,235 million for serum Cr assay only and ¥2,517–¥9,251 million for the use of both during a 15-year period. Annual budget impacts associated with the reforms were calculated as ¥975–¥4,129 million for mandating serum Cr assay in addition to the currently used mandatory dipstick test, and ¥963–¥4,113 million for mandating serum Cr assay only and abandoning dipstick test.

Conclusions: Estimated values associated with the reform from ¥963–¥4,129 million per year over 15 years are considerable amounts of money under limited resources. The most impressive finding of this study is the decreasing additional expenditures in dipstick test only scenario. This suggests that current policy which mandates dipstick test only would contain medical care expenditure.

Background: Our recently published cost-effectiveness study on chronic kidney disease mass screening test in Japan evaluated the use of dipstick test, serum creatinine (Cr) assay or both in specific health checkup (SHC). Mandating the use of serum Cr assay additionally, or the continuation of current policy mandating dipstick test only was found cost-effective. This study aims to examine the affordability of previously suggested reforms.

Methods: Budget impact analysis was conducted assuming the economic model would be good for 15 years and applying a population projection. Costs expended by social insurers without discounting were counted as budgets.

Original languageEnglish
Pages (from-to)885-891
Number of pages7
JournalClinical and Experimental Nephrology
Volume18
Issue number6
DOIs
Publication statusPublished - Dec 12 2014

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All Science Journal Classification (ASJC) codes

  • Physiology
  • Nephrology
  • Physiology (medical)

Cite this

Kondo, M., Yamagata, K., Hoshi, S. L., Saito, C., Asahi, K., Moriyama, T., ... Watanabe, T. (2014). Budget impact analysis of chronic kidney disease mass screening test in Japan. Clinical and Experimental Nephrology, 18(6), 885-891. https://doi.org/10.1007/s10157-014-0943-8