Key result
Over ~82% of possible hypertension cases lack follow-up, predicted by younger age and lower BMI.
Why the study?
What is the prevalence and what are the predictors of failure to follow-up after screening for possible hypertension in working-age individuals?
Cohort (n=17,173)
Yes
What is the prevalence and what are the predictors of failure to follow-up after screening for possible hypertension in working-age individuals?
A vast majority (80-90%) of working-age individuals in Japan with screen-detected possible hypertension fail to seek clinical follow-up within 6 months, with younger age and lower BMI being key predictors of non-adherence.
Substantial non-follow-up after hypertension screening may delay care in working-age adults; leaves open targeted strategies for prospective evaluation.
BACKGROUND: This study aimed to determine the prevalence and predictors of working-age individuals who did not follow-up for possible hypertension that was detected in the population-based screening. METHODS: We conducted a retrospective cohort study, using the database of health insurance claims and health checkups from several health insurance societies for employees in Japan. Screened participants aged ≥20 years, with possible hypertension (systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg) and without known antihypertensive treatment, were included. The outcome was lack of clinical follow-up for possible hypertension within 6 months of the latest screening. Multivariate logistic regression analysis was performed to identify predictors. RESULTS: Among 17,173 participants (15,793 males and 1380 females) who were identified as possible hypertensives, 89.7 and 82.3% of them, respectively, did not consult physicians for screened possible hypertension. Predictors of no clinical follow-up for males included younger age, lower body mass index (BMI), lower hemoglobin A1c and milder hypertension. Predictors for females included younger age, lower BMI and being insured. CONCLUSIONS: Approximately 80% of participants failed to consult physicians even with positive screening results. Younger individuals with lower BMI are at high risk of no clinical follow-up.
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Kuriyama et al. (2014) conducted a cohort in Possible hypertension (n=17,173). Predictors of no clinical follow-up (e.g., younger age, lower BMI) was evaluated on Lack of clinical follow-up for possible hypertension within 6 months of the latest screening. Among 17,173 participants with possible hypertension, 89.7% of males and 82.3% of females failed to consult a physician within 6 months, with younger age and lower BMI predicting lack of follow-up.
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