Real world patterns of dyslipidemia care before and after a national fee revision in Japan: A nationwide study using a 30 million patient claims database
Satoshi Yamasaki, Tomotake Tokunou, Takahiko Horiuchi, Jennifer Tucker, Yee Gary Ang, Yee Gary Ang, Yee Gary Ang · 2026
Read Real world patterns of dyslipidemia care before and after a national fee revision in Japan: A nationwide study using a 30 million patient claims database by Satoshi Yamasaki, Tomotake Tokunou, Takahiko Horiuchi, Jennifer Tucker, Yee Gary Ang, Yee Gary Ang, Yee Gary Ang (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13577349.txt.
Description
Satoshi Yamasaki and co-authors study cholesterol care in Japan before and after a 2024 change in doctor payment rules, in a 2026 study. The old fee paid for disease-by-disease management plans. The new fee aims for whole-person plans with more patient input. The team used a claims database of thirty million patients to see if care or results shifted. They tracked goal rates for bad cholesterol and major heart events.
The data cover five hundred ninety thousand patients and millions of visits. Goal rates for bad cholesterol were near the same under both fees, at about fifty-eight percent of visits. Rates were lower for patients who already had heart disease, despite wide use of statin drugs. Heart event rates also looked alike, but time under the new fee was short. The authors call the comparison early and ask for longer follow-up.
Catalog record
| CREATOR | Satoshi Yamasaki, Tomotake Tokunou, Takahiko Horiuchi, Jennifer Tucker, Yee Gary Ang, Yee Gary Ang, Yee Gary Ang |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 98 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |