TY - JOUR
T1 - Association of cardiovascular health screening with mortality, clinical outcomes, and health care cost
T2 - A nationwide cohort study
AU - Lee, Hyejin
AU - Cho, Juhee
AU - Shin, Dong Wook
AU - Lee, Seung Pyo
AU - Hwang, Seung Sik
AU - Oh, Juhwan
AU - Yang, Hyung Kook
AU - Hwang, Soo Hee
AU - Son, Ki Young
AU - Chun, So Hyun
AU - Cho, Be Long
AU - Guallar, Eliseo
N1 - Publisher Copyright:
© 2014.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Objective: To determine whether a cardiovascular disease (CVD) health screening program is associated with CVD-related health conditions, incidence of cardiovascular events, mortality, healthcare utilization, and costs. Methods: Cohort study of a 3% random sample of all Korea National Health Insurance members 40. years of age or older and free of CVD or CVD-related health conditions was conducted. A total 443,337 study participants were followed-up from January 1, 2005 through December 31, 2010. Results: In primary analysis, the hazard ratios for CVD mortality, all-cause mortality, incident composite CVD events, myocardial infarction, cerebral infarction, and cerebral hemorrhage comparing participants who attended a screening exam during 2003-2004 compared to those who did not were 0.58 (95% CI: 0.53-0.63), 0.62 (95% CI: 0.60-0.64), 0.82 (95% CI: 0.78-0.85), 0.84 (95% CI: 0.75-0.93), 0.84 (95% CI: 0.79-0.89), and 0.73 (95% CI: 0.67-0.80), respectively. Screening attenders had higher rates of newly diagnosed hypertension, diabetes mellitus, and dyslipidemia, lower inpatient days of stay and cost, and lower outpatient cost compared to non-attenders. Conclusions: Participation in CVD health screening was associated with lower rates of CVD, all-cause mortality, and CVD events, higher detection of CVD-related health conditions, and lower healthcare utilization and costs.
AB - Objective: To determine whether a cardiovascular disease (CVD) health screening program is associated with CVD-related health conditions, incidence of cardiovascular events, mortality, healthcare utilization, and costs. Methods: Cohort study of a 3% random sample of all Korea National Health Insurance members 40. years of age or older and free of CVD or CVD-related health conditions was conducted. A total 443,337 study participants were followed-up from January 1, 2005 through December 31, 2010. Results: In primary analysis, the hazard ratios for CVD mortality, all-cause mortality, incident composite CVD events, myocardial infarction, cerebral infarction, and cerebral hemorrhage comparing participants who attended a screening exam during 2003-2004 compared to those who did not were 0.58 (95% CI: 0.53-0.63), 0.62 (95% CI: 0.60-0.64), 0.82 (95% CI: 0.78-0.85), 0.84 (95% CI: 0.75-0.93), 0.84 (95% CI: 0.79-0.89), and 0.73 (95% CI: 0.67-0.80), respectively. Screening attenders had higher rates of newly diagnosed hypertension, diabetes mellitus, and dyslipidemia, lower inpatient days of stay and cost, and lower outpatient cost compared to non-attenders. Conclusions: Participation in CVD health screening was associated with lower rates of CVD, all-cause mortality, and CVD events, higher detection of CVD-related health conditions, and lower healthcare utilization and costs.
KW - Cardiovascular diseases
KW - Mortality
KW - Risk factors
KW - Screening
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U2 - 10.1016/j.ypmed.2014.11.007
DO - 10.1016/j.ypmed.2014.11.007
M3 - Article
C2 - 25445334
AN - SCOPUS:84912094155
SN - 0091-7435
VL - 70
SP - 19
EP - 25
JO - Preventive Medicine
JF - Preventive Medicine
ER -