Objective: In Japan, there are unique facilities (namely Ningen Dock) of health check-up, where asymptomatic participants undergo a medical examination at their own expense. The earlier occurrence of cervical cancer a...Objective: In Japan, there are unique facilities (namely Ningen Dock) of health check-up, where asymptomatic participants undergo a medical examination at their own expense. The earlier occurrence of cervical cancer and the concern on screening prompted us compare to the age distribution in the self-covered system with that of free physical check-up programs at public expense. Methods: We analyzed medical records of Japanese women, who underwent gynecological examinations at self-covered expense and at public expense between for the periods 2002-2011 and 2005-2009, respectively, restricting examinee’s age group. Results: For self-covered system, approximately 80% of the overall examinee population was occupied with three age groups 30-39, 40-49 and 50-59. The participants was extremely fewer in the over 60 years age group accounting for 10%, compared to those for the public expense-covered system, the over 60 years age group being 25%. Participant under the age of 30 years seemed to increase in chronological order in both systems. Conclusion: The level of knowledge on sexually transmitted infections may contribute to screening promotion for the younger women, while the elderly over 60 years’ attitudes toward screening may be mainly related to social-economic status and/or public expense support.展开更多
The present study aims to determine the gynecologic health status of asymptomatic women at a unique Japanese Health Check-up Institute, Ningen Dock. Medical records of Japanese women, who underwent gynecological medic...The present study aims to determine the gynecologic health status of asymptomatic women at a unique Japanese Health Check-up Institute, Ningen Dock. Medical records of Japanese women, who underwent gynecological medical (health) examinations between January 2011 and December 2016, were retrospectively reviewed. Of the cervical smears from 8927 women aged 18 - 85 years, 50 (0.6%) were classified as dysplastic and malignant changes: 18 of low-grade squamous intraepithelial lesion, 10 high-grade squamous intraepithelial lesion, 21 atypical squamous cells of undetermined significance and 1 cervical squamous cell carcinoma. No case of cervical adenocarcinoma was found. Ultrasonographic examination detected uterus enlargements and ovary tumors in 2.0% and 0.9% of cases, respectively. Most of participants (95.6%) revealed no gynecologic abnormalities. The present study based on the records of Ningen Dock, where asymptomatic participants undergo a medical examination at their own expense, showed very low incidence of abnormal cytologic and/or ultrasonographic findings.展开更多
Background:The high coverage of annual routine health check-up in China is a unique phenomenon throughout the world.However,its clinical value is controversial.In this cohort study,we chose pancreatic cancer as a dise...Background:The high coverage of annual routine health check-up in China is a unique phenomenon throughout the world.However,its clinical value is controversial.In this cohort study,we chose pancreatic cancer as a disease model to explore the role of routine check-up in the prognosis of patients with pancreatic cancer.Methods:Data from 157 patients who were diagnosed with pancreatic cancer between January 2010 and April 2014 were collected.Patients were divided into two groups depending on how their disease was detected.Group A(n=85):Patients were diagnosed with pancreatic cancer in clinic visits.Group B(n=72):Patients were diagnosed with pancreatic cancer in routine check-ups.We compared their prognosis.Results:The tumor stage in group B was earlier than that in group A.The 1-year survival rate in group B was significantly higher than that in group A(74.6%vs.42.4%,P<0.001),while the 3-and 5-year survival rates of the two groups showed no significant difference(P>0.05).The difference of overall survival time between the two groups was not significant(22.0 vs.9.0 months,P=0.078).Conclusions:The stage of pancreatic cancer diagnosed in routine check-ups was earlier and therefore,the intervention was earlier which improved short-term survival rate.However,early intervention did not improve overall survival in the long-term.展开更多
Objective: To study the prevalence characteristics of pulmonary nodules and their influencing factors in the health check-up population. Methods: A total of 500 cases of health checkups were selected for the data stud...Objective: To study the prevalence characteristics of pulmonary nodules and their influencing factors in the health check-up population. Methods: A total of 500 cases of health checkups were selected for the data study to analyze the detection and prevalence characteristics of pulmonary nodules. The influencing factors between the pulmonary nodules group and the no pulmonary nodules group were analyzed. Results: A total of 209 cases were detected, of which there were more males than females, and for female patients, the detection rate increased with age (P < 0.05). The distribution of gender, age, smoking, respiratory symptoms, and exposure to kitchen fumes between the two groups was compared (P < 0.05). The multifactorial analysis concluded that risk factors include, respiratory symptoms, older age, exposure to kitchen fumes, and smoking. In addition, patients who exercised more had a lower risk of developing lung nodules. Conclusion: The detection rate of pulmonary nodules was high in the health check-up population and the influencing factors analyzed involved the presence of respiratory symptoms, older age, kitchen fume exposure, and smoking, while the positive influencing factor was increased exercise.展开更多
Objective: To investigate and analyze the risk factors of lung cancer in the population of health checkups. Methods: A total of 500 cases of the health check-up population were selected for data study. Surveyed showed...Objective: To investigate and analyze the risk factors of lung cancer in the population of health checkups. Methods: A total of 500 cases of the health check-up population were selected for data study. Surveyed showed that 19 cases of lung cancer were grouped as the lung cancer group and the remaining 481 cases made up the control group, and the risk factors were analyzed. Results: Among men, there was a significant proportion of individuals aged 60-69 years old, and women aged 30-39 years old. Additionally, individuals aged 60 and above were at increased risk of developing lung cancer. The results of the multifactorial analysis were that the risk factors affecting the detection of lung cancer in healthy people were smoking history, family history of lung cancer, secondhand smoke, history of respiratory diseases, psychosomatic factors, living environment, and kitchen fumes. Conclusion: People over 60 years of age were prone to early lung cancer, followed by individuals aged 30-39 years. It is important to identify the risk factors of lung cancer to strengthen the screening of high-risk groups for early detection and treatment.展开更多
Objective:To investigate the application effects of intelligent guidance systems in optimizing health check-up process management.Methods:A total of 400 examinees who underwent physical examinations at the hospital’s...Objective:To investigate the application effects of intelligent guidance systems in optimizing health check-up process management.Methods:A total of 400 examinees who underwent physical examinations at the hospital’s Health Management Center from January to December 2024 were randomly divided into a control group(200 cases)and an observation group(200 cases).The control group used traditional manual guidance methods,while the observation group employed the intelligent guidance system.The study compared two groups in terms of completion time,waiting time for each procedure,check-up efficiency scores,examinee satisfaction,and report issuance time.Results:The overall examination time in the observation group(85.3±12.7 minutes)was significantly shorter than that in the control group(142.6±18.5 minutes)(P<0.01);average waiting time per procedure decreased by 62.4%;check-up efficiency scores(8.9±0.8 points)were significantly higher than those in the control group(5.2±1.1 points)(P<0.01);satisfaction reached 96.5%,significantly higher than the control group’s 78.0%(P<0.01);and report issuance time was advanced by 1.5 days.Conclusion:Intelligent guidance systems can significantly optimize check-up processes,improve work efficiency,and examinee satisfaction,demonstrating significant clinical application value.展开更多
目的了解我国中老年高血糖、血脂异常、高血压人群健康体检服务利用现状并分析其影响因素,为优化“三高共管”策略和卫生服务体系改革提供依据。方法依托中国健康与养老追踪调查(China health and retirement longitudinal study,CHARLS...目的了解我国中老年高血糖、血脂异常、高血压人群健康体检服务利用现状并分析其影响因素,为优化“三高共管”策略和卫生服务体系改革提供依据。方法依托中国健康与养老追踪调查(China health and retirement longitudinal study,CHARLS)于2020年开展的第五轮调查数据,共筛选中老年高血糖、血脂异常、高血压患者8227人作为研究对象,基于安德森模型框架,采用χ2检验和多因素Logistic回归分析影响我国中老年高血糖、血脂异常、高血压人群健康体检服务利用的主要因素。结果研究对象体检服务利用率为54.13%。多因素Logistic回归分析结果显示年龄(≥65岁:OR=2.024,95%CI=1.831~2.236,P<0.001)、受教育程度(高中及以上:OR=1.303,95%CI=1.123~1.511,P<0.001)、个人收入(有:OR=1.440,95%CI=1.285~1.614,P<0.001)、养老保险类别(企业职工养老保险:OR=0.655,95%CI=0.516~0.833,P<0.001;城镇居民/城乡居民养老保险:OR=0.633,95%CI=0.493~0.813,P<0.001;新型农村居民社会养老保险:OR=0.602,95%CI=0.466~0.778,P<0.001;其他养老保险:OR=0.549,95%CI=0.390~0.772,P<0.001;无养老保险:OR=0.473,95%CI=0.361~0.619,P<0.001)、医保类别(新农合、其他医保、无医保:OR=0.834,95%CI=0.726~0.959,P=0.011)、抑郁症状(是:OR=0.885,95%CI=0.804~0.975,P=0.014)、慢性病患病数量(2种:OR=1.158,95%CI=1.004~1.337,P=0.045;3种:OR=1.273,95%CI=1.099~1.475,P=0.001;≥4种:OR=1.282,95%CI=1.117~1.472,P<0.001)、社交情况(有:OR=1.396,95%CI=1.274~1.530,P<0.001)、住院服务利用(利用/需求:OR=1.207,95%CI:1.080~1.348,P<0.001)、饮酒(是:OR=1.127,95%CI=1.019~1.246,P=0.020)及吸烟(是:OR=0.761,95%CI=0.681~0.849,P<0.001)是影响我国中老年高血糖、血脂异常、高血压人群健康体检服务利用的主要因素。结论我国中老年高血糖、血脂异常、高血压人群体检服务利用率有待提高,建议将45~64岁人群纳入弹性体检补贴范围,推动体检费用医保报销,减轻贫困人群经费负担;深化医防融合机制,创新技术赋能,简化体检流程;加强慢性病防控政策及健康宣教,提升居民健康素养水平和健康管理依从性;针对低收入、低教育水平、有抑郁症状等人群,制定定向干预方案,实现慢性病防控关口前移,促进健康老龄化。展开更多
文摘Objective: In Japan, there are unique facilities (namely Ningen Dock) of health check-up, where asymptomatic participants undergo a medical examination at their own expense. The earlier occurrence of cervical cancer and the concern on screening prompted us compare to the age distribution in the self-covered system with that of free physical check-up programs at public expense. Methods: We analyzed medical records of Japanese women, who underwent gynecological examinations at self-covered expense and at public expense between for the periods 2002-2011 and 2005-2009, respectively, restricting examinee’s age group. Results: For self-covered system, approximately 80% of the overall examinee population was occupied with three age groups 30-39, 40-49 and 50-59. The participants was extremely fewer in the over 60 years age group accounting for 10%, compared to those for the public expense-covered system, the over 60 years age group being 25%. Participant under the age of 30 years seemed to increase in chronological order in both systems. Conclusion: The level of knowledge on sexually transmitted infections may contribute to screening promotion for the younger women, while the elderly over 60 years’ attitudes toward screening may be mainly related to social-economic status and/or public expense support.
文摘The present study aims to determine the gynecologic health status of asymptomatic women at a unique Japanese Health Check-up Institute, Ningen Dock. Medical records of Japanese women, who underwent gynecological medical (health) examinations between January 2011 and December 2016, were retrospectively reviewed. Of the cervical smears from 8927 women aged 18 - 85 years, 50 (0.6%) were classified as dysplastic and malignant changes: 18 of low-grade squamous intraepithelial lesion, 10 high-grade squamous intraepithelial lesion, 21 atypical squamous cells of undetermined significance and 1 cervical squamous cell carcinoma. No case of cervical adenocarcinoma was found. Ultrasonographic examination detected uterus enlargements and ovary tumors in 2.0% and 0.9% of cases, respectively. Most of participants (95.6%) revealed no gynecologic abnormalities. The present study based on the records of Ningen Dock, where asymptomatic participants undergo a medical examination at their own expense, showed very low incidence of abnormal cytologic and/or ultrasonographic findings.
基金the National Natural Science Foundation of China(81272075 and 81801572)the Medical and Health Science Foundation of Zhejiang Province(2019327552)+1 种基金the Foundation of Key Research Project of Zhejiang Province for Traditional Chinese Medicine(2019ZZ014)the Foundation of Key Discipline Construction of Zhejiang Province for Traditional Chinese Medicine(2017-XKA36).
文摘Background:The high coverage of annual routine health check-up in China is a unique phenomenon throughout the world.However,its clinical value is controversial.In this cohort study,we chose pancreatic cancer as a disease model to explore the role of routine check-up in the prognosis of patients with pancreatic cancer.Methods:Data from 157 patients who were diagnosed with pancreatic cancer between January 2010 and April 2014 were collected.Patients were divided into two groups depending on how their disease was detected.Group A(n=85):Patients were diagnosed with pancreatic cancer in clinic visits.Group B(n=72):Patients were diagnosed with pancreatic cancer in routine check-ups.We compared their prognosis.Results:The tumor stage in group B was earlier than that in group A.The 1-year survival rate in group B was significantly higher than that in group A(74.6%vs.42.4%,P<0.001),while the 3-and 5-year survival rates of the two groups showed no significant difference(P>0.05).The difference of overall survival time between the two groups was not significant(22.0 vs.9.0 months,P=0.078).Conclusions:The stage of pancreatic cancer diagnosed in routine check-ups was earlier and therefore,the intervention was earlier which improved short-term survival rate.However,early intervention did not improve overall survival in the long-term.
文摘Objective: To study the prevalence characteristics of pulmonary nodules and their influencing factors in the health check-up population. Methods: A total of 500 cases of health checkups were selected for the data study to analyze the detection and prevalence characteristics of pulmonary nodules. The influencing factors between the pulmonary nodules group and the no pulmonary nodules group were analyzed. Results: A total of 209 cases were detected, of which there were more males than females, and for female patients, the detection rate increased with age (P < 0.05). The distribution of gender, age, smoking, respiratory symptoms, and exposure to kitchen fumes between the two groups was compared (P < 0.05). The multifactorial analysis concluded that risk factors include, respiratory symptoms, older age, exposure to kitchen fumes, and smoking. In addition, patients who exercised more had a lower risk of developing lung nodules. Conclusion: The detection rate of pulmonary nodules was high in the health check-up population and the influencing factors analyzed involved the presence of respiratory symptoms, older age, kitchen fume exposure, and smoking, while the positive influencing factor was increased exercise.
文摘Objective: To investigate and analyze the risk factors of lung cancer in the population of health checkups. Methods: A total of 500 cases of the health check-up population were selected for data study. Surveyed showed that 19 cases of lung cancer were grouped as the lung cancer group and the remaining 481 cases made up the control group, and the risk factors were analyzed. Results: Among men, there was a significant proportion of individuals aged 60-69 years old, and women aged 30-39 years old. Additionally, individuals aged 60 and above were at increased risk of developing lung cancer. The results of the multifactorial analysis were that the risk factors affecting the detection of lung cancer in healthy people were smoking history, family history of lung cancer, secondhand smoke, history of respiratory diseases, psychosomatic factors, living environment, and kitchen fumes. Conclusion: People over 60 years of age were prone to early lung cancer, followed by individuals aged 30-39 years. It is important to identify the risk factors of lung cancer to strengthen the screening of high-risk groups for early detection and treatment.
文摘Objective:To investigate the application effects of intelligent guidance systems in optimizing health check-up process management.Methods:A total of 400 examinees who underwent physical examinations at the hospital’s Health Management Center from January to December 2024 were randomly divided into a control group(200 cases)and an observation group(200 cases).The control group used traditional manual guidance methods,while the observation group employed the intelligent guidance system.The study compared two groups in terms of completion time,waiting time for each procedure,check-up efficiency scores,examinee satisfaction,and report issuance time.Results:The overall examination time in the observation group(85.3±12.7 minutes)was significantly shorter than that in the control group(142.6±18.5 minutes)(P<0.01);average waiting time per procedure decreased by 62.4%;check-up efficiency scores(8.9±0.8 points)were significantly higher than those in the control group(5.2±1.1 points)(P<0.01);satisfaction reached 96.5%,significantly higher than the control group’s 78.0%(P<0.01);and report issuance time was advanced by 1.5 days.Conclusion:Intelligent guidance systems can significantly optimize check-up processes,improve work efficiency,and examinee satisfaction,demonstrating significant clinical application value.
文摘目的了解我国中老年高血糖、血脂异常、高血压人群健康体检服务利用现状并分析其影响因素,为优化“三高共管”策略和卫生服务体系改革提供依据。方法依托中国健康与养老追踪调查(China health and retirement longitudinal study,CHARLS)于2020年开展的第五轮调查数据,共筛选中老年高血糖、血脂异常、高血压患者8227人作为研究对象,基于安德森模型框架,采用χ2检验和多因素Logistic回归分析影响我国中老年高血糖、血脂异常、高血压人群健康体检服务利用的主要因素。结果研究对象体检服务利用率为54.13%。多因素Logistic回归分析结果显示年龄(≥65岁:OR=2.024,95%CI=1.831~2.236,P<0.001)、受教育程度(高中及以上:OR=1.303,95%CI=1.123~1.511,P<0.001)、个人收入(有:OR=1.440,95%CI=1.285~1.614,P<0.001)、养老保险类别(企业职工养老保险:OR=0.655,95%CI=0.516~0.833,P<0.001;城镇居民/城乡居民养老保险:OR=0.633,95%CI=0.493~0.813,P<0.001;新型农村居民社会养老保险:OR=0.602,95%CI=0.466~0.778,P<0.001;其他养老保险:OR=0.549,95%CI=0.390~0.772,P<0.001;无养老保险:OR=0.473,95%CI=0.361~0.619,P<0.001)、医保类别(新农合、其他医保、无医保:OR=0.834,95%CI=0.726~0.959,P=0.011)、抑郁症状(是:OR=0.885,95%CI=0.804~0.975,P=0.014)、慢性病患病数量(2种:OR=1.158,95%CI=1.004~1.337,P=0.045;3种:OR=1.273,95%CI=1.099~1.475,P=0.001;≥4种:OR=1.282,95%CI=1.117~1.472,P<0.001)、社交情况(有:OR=1.396,95%CI=1.274~1.530,P<0.001)、住院服务利用(利用/需求:OR=1.207,95%CI:1.080~1.348,P<0.001)、饮酒(是:OR=1.127,95%CI=1.019~1.246,P=0.020)及吸烟(是:OR=0.761,95%CI=0.681~0.849,P<0.001)是影响我国中老年高血糖、血脂异常、高血压人群健康体检服务利用的主要因素。结论我国中老年高血糖、血脂异常、高血压人群体检服务利用率有待提高,建议将45~64岁人群纳入弹性体检补贴范围,推动体检费用医保报销,减轻贫困人群经费负担;深化医防融合机制,创新技术赋能,简化体检流程;加强慢性病防控政策及健康宣教,提升居民健康素养水平和健康管理依从性;针对低收入、低教育水平、有抑郁症状等人群,制定定向干预方案,实现慢性病防控关口前移,促进健康老龄化。
