Effectiveness of CKD Exacerbation Countermeasures in Izumo City

Area of Science:

• Nephrology
• Public Health
• Preventive Medicine

Background:

• Early diagnosis of chronic kidney disease (CKD) is crucial for effective management.
• Promoting health guidance and consultation recommendations aids in early CKD detection.
• Izumo City launched the CKD Exacerbation Countermeasures program in FY2018.

Purpose of the Study:

• To evaluate the methods and effects of the Izumo City CKD Exacerbation Countermeasures program.
• To compare CKD-related health metrics before and after program implementation.
• To assess the impact on re-examination rates and referral patterns.

Main Methods:

• Analysis of health checkup data for residents aged 40-74 in Izumo City (FY2018-2019).
• Comparison of rates for CKD re-examination candidates, re-examination implementation, nephrologist referrals, and health guidance referrals.
• Statistical analysis to determine significant changes in these rates.

Main Results:

• CKD re-examination candidate rates remained stable at approximately 7%.
• Re-examination implementation rates significantly increased in FY2019 compared to FY2018 (p < 0.001).
• Nephrologist referral rates did not increase, but health guidance referral rates significantly increased (p < 0.001).

Conclusions:

• The program successfully increased CKD re-examination and health guidance rates.
• This suggests improved awareness of CKD among the public and healthcare providers.
• The findings are expected to contribute to preventing future CKD exacerbations.