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

研究成果: ジャーナルへの寄稿学術誌査読

11 被引用数 (Scopus)

抄録

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.

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.

本文言語英語
ページ(範囲)885-891
ページ数7
ジャーナルClinical and Experimental Nephrology
18
6
DOI
出版ステータス出版済み - 12月 12 2014

All Science Journal Classification (ASJC) codes

  • 生理学
  • 腎臓病学
  • 生理学(医学)

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