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  • Title: Medical costs of patients with hypertension and/or diabetes: A 10-year follow-up study of National Health Insurance in Shiga, Japan.
    Author: Nakamura K, Okamura T, Kanda H, Hayakawa T, Okayama A, Ueshima H, Health Promotion Research Committee of the Shiga National Health Insurance Organizations.
    Journal: J Hypertens; 2006 Nov; 24(11):2305-9. PubMed ID: 17053555.
    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.
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