Patterns of Co-Occurrence of Chronic Disease Among Older Adults in Tokyo, Japan

Seigo Mitsutake

doi:10.5888/pcd16.180807

Patterns of Co-Occurrence of Chronic Disease Among Older Adults in Tokyo, Japan

ORIGINAL RESEARCH — Volume 16 — December 18, 2018

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Figure 1.
The 15 most common 3-way chronic disease patterns among men aged 75 or older in Tokyo, Japan (N = 505,057) by rank and age group with average number of chronic diseases and annual number of outpatient facilities visited, hospital admissions, and outpatient medical expenditures. Percentages do not total 100 because of rounding. Source: Tokyo Extended Association of Medical Care System for the Latter-Stage Elderly People (14). Abbreviation: SD, standard deviation.

Rank	Three-Way Patterns Of Chronic Disease	n (%)	Age, y	%	Number of Chronic Diseases, Mean (SD)	Number of Outpatient Facilities Visited, Mean (SD)	Number of Admissions, Mean (SD)	Total Outpatient Medical Expenditure (US$), Mean (SD)
1	Hypertension, peptic ulcer disease, coronary heart disease	62,480 (12.4)	75–79	11.0	6.5 (1.7)	3.6 (2.1)	0.7 (1.2)	7,208 (8,345)
			80–84	13.8
			85–89	14.2
			90–94	13.0
			95–99	10.4
			≥100	7.4
2	Hypertension, dyslipidemia, peptic ulcer disease	55,741 (11.0)	75–79	11.1	6.4 (1.7)	3.6 (2.1)	0.6 (1.1)	6,464 (6,726)
			80–84	12.1
			85–89	10.4
			90–94	7.5
			95–99	4.3
			≥100	2.9
3	Hypertension, dyslipidemia, coronary heart disease	54,460 (10.8)	75–79	10.6	6.3 (1.8)	3.5 (2.0)	0.6 (1.1)	6,211 (6,645)
			80–84	11.8
			85–89	10.7
			90–94	8.0
			95–99	4.9
			≥100	2.4
4	Hypertension, peptic ulcer disease, cerebrovascular accident	46,798 (9.3)	75–79	7.9	6.5 (1.8)	3.7 (2.1)	0.7 (1.2)	6,783 (7,226)
			80–84	10.4
			85–89	11.4
			90–94	10.5
			95–99	8.6
			≥100	6.6
5	Hypertension, peptic ulcer disease, urologic disease	41,346 (8.2)	75–79	6.7	6.6 (1.8)	4.1 (2.2)	0.7 (1.2)	7,100 (5,971)
			80–84	9.4
			85–89	10.4
			90–94	10.1
			95–99	7.6
			≥100	6.2
6	Dyslipidemia, peptic ulcer disease, coronary heart disease	41,263 (8.2)	75–79	8.0	6.6 (1.7)	3.7 (2.1)	0.7 (1.2)	6,861 (7,345)
			80–84	9.1
			85–89	8.1
			90–94	6.1
			95–99	3.6
			≥100	2.0
7	Hypertension, peptic ulcer disease, cancer	38,295 (7.6)	75–79	6.7	6.5 (1.8)	3.9 (2.1)	1.0 (1.4)	8,035 (8,193)
			80–84	8.8
			85–89	8.5
			90–94	7.2
			95–99	5.1
			≥100	3.4
8	Hypertension, dyslipidemia, cerebrovascular accident	37,825 (7.5)	75–79	7.0	6.4 (1.8)	3.6 (2.1)	0.6 (1.1)	6,052 (5,851)
			80–84	8.5
			85–89	8.0
			90–94	5.9
			95–99	3.7
			≥100	2.2
9	Hypertension, cerebrovascular accident, coronary heart disease	37,755 (7.5)	75–79	6.0	6.7 (1.8)	3.7 (2.1)	0.7 (1.2)	6,877 (7,586)
			80–84	8.5
			85–89	9.7
			90–94	9.4
			95–99	8.2
			≥100	5.4
10	Hypertension, peptic ulcer disease, osteoarthritis/spine disorder	37,352 (7.4)	75–79	6.6	6.6 (1.8)	4.4 (2.3)	0.7 (1.1)	7,400 (7,316)
			80–84	8.4
			85–89	8.3
			90–94	7.3
			95–99	5.5
			≥100	4.0
11	Hypertension, peptic ulcer disease, hyperuricemia	33,579 (6.6)	75–79	6.3	6.6 (1.8)	3.5 (2.0)	0.7 (1.2)	6,694 (7,121)
			80–84	7.3
			85–89	6.8
			90–94	6.1
			95–99	4.5
			≥100	2.5
12	Hypertension, urologic disease, coronary heart disease	33,331 (6.6)	75–79	5.1	6.8 (1.8)	4.0 (2.2)	0.7 (1.2)	7,006 (6,557)
			80–84	7.6
			85–89	9.1
			90–94	8.7
			95–99	7.1
			≥100	4.9
13	Hypertension, dyslipidemia, diabetes mellitus	33,067 (6.5)	75–79	7.4	6.2 (1.9)	3.2 (1.9)	0.5 (1.0)	6,373 (6,328)
			80–84	6.7
			85–89	4.8
			90–94	2.6
			95–99	1.5
			≥100	0.5
14	Hypertension, dyslipidemia, urologic disease	31,911 (6.3)	75–79	5.7	6.6 (1.9)	3.9 (2.2)	0.5 (1.0)	6,519 (5,078)
			80–84	7.3
			85–89	7.0
			90–94	5.4
			95–99	3.4
			≥100	1.9
15	Hypertension, dyslipidemia, hyperuricemia	31,777 (6.3)	75–79	6.6	6.2 (1.9)	3.3 (2.0)	0.5 (1.0)	5,696 (5,722)
			80–84	6.7
			85–89	5.3
			90–94	4.0
			95–99	2.0
			≥100	1.5

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Figure 2.
The 15 most common 3-way chronic disease patterns among women aged 75 or older in Tokyo, Japan (n = 806,059) by rank and age group with average number of chronic diseases and annual number of outpatient facilities visited, hospital admissions, and outpatient medical expenditures. Percentages do not total 100 because of rounding. Source: Tokyo Extended Association of Medical Care System for the Latter-Stage Elderly People (14). Abbreviation: SD, standard deviation.

Rank	3-way patterns of chronic disease	n (%)	Age, y	%	Number of chronic diseases Mean (SD)	Number of outpatient facilities visited Mean (SD)	Number of admissions Mean (SD)	Total outpatient medical expenditure (US$) Mean (SD)
1	Hypertension, Dyslipidemia, Peptic ulcer disease	102,907 (12.8)	75–79	12.5	6.0 (1.7)	3.8 (2.1)	0.4 (0.9)	5,871 (4,944)
			80–84	14.9
			85–89	13.1
			90–94	8.9
			95–99	5.2
			≥100	2.6
2	Hypertension, Peptic ulcer disease, Osteoarthritis/Spine disorder	90,394 (11.2)	75–79	10.0	6.2 (1.7)	4.3 (2.2)	0.5 (1.0)	6,551 (5,342)
			80–84	13.3
			85–89	12.3
			90–94	9.5
			95–99	6.8
			≥100	3.8
3	Hypertension, Dyslipidemia, Osteoarthritis/Spine disorder	85,869 (10.7)	75–79	10.9	6.0 (1.8)	4.2 (2.1)	0.4 (0.8)	5,848 (4,148)
			80–84	12.6
			85–89	10.2
			90–94	6.1
			95–99	3.4
			≥100	1.2
4	Hypertension, Peptic ulcer disease, Coronary heart disease	81,226 (10.1)	75–79	7.8	6.3 (1.7)	3.8 (2.2)	0.6 (1.1)	6,462 (6,530)
			80–84	11.3
			85–89	12.7
			90–94	12.1
			95–99	9.9
			≥100	6.7
5	Hypertension, Dyslipidemia, Coronary heart disease	78,426 (9.7)	75–79	8.9	6.1 (1.8)	3.7 (2.1)	0.4 (0.9)	5,627 (5,068)
			80–84	11.2
			85–89	11.0
			90–94	8.0
			95–99	5.1
			≥100	2.4
6	Hypertension, Insomnia, Peptic ulcer disease	64,299 (8.0)	75–79	6.9	6.4 (1.7)	4.1 (2.3)	0.6 (1.0)	6,629 (6,021)
			80–84	9.3
			85–89	9.0
			90–94	7.6
			95–99	5.7
			≥100	3.5
7	Hypertension, Peptic ulcer disease, Cerebrovascular accident	63,959 (7.9)	75–79	5.9	6.4 (1.8)	3.9 (2.2)	0.6 (1.0)	6,228 (5,518)
			80–84	9.0
			85–89	10.3
			90–94	9.4
			95–99	7.9
			≥100	5.4
8	Dyslipidemia, Peptic ulcer disease, Osteoarthritis/Spine disorder	61,579 (7.6)	75–79	8.0	6.5 (1.7)	4.5 (2.3)	0.4 (0.9)	6,455 (4,639)
			80–84	9.1
			85–89	7.0
			90–94	4.1
			95–99	2.2
			≥100	0.9
9	Hypertension, Osteoporosis, Osteoarthritis/Spine disorder	60,609 (7.5)	75–79	6.5	6.1 (1.8)	4.4 (2.2)	0.4 (0.8)	6,236 (4,387)
			80–84	9.3
			85–89	8.6
			90–94	5.9
			95–99	3.3
			≥100	1.3
10	Hypertension, Insomnia, Dyslipidemia	60,545 (7.5)	75–79	7.5	6.2 (1.8)	4.0 (2.2)	0.4 (0.9)	5,729 (4,769)
			80–84	8.9
			85–89	7.4
			90–94	4.7
			95–99	2.6
			≥100	1.3
11	Hypertension, Dyslipidemia, Cerebrovascular accident	60,292 (7.5)	75–79	6.6	6.2 (1.8)	3.8 (2.2)	0.4 (0.9)	5,572 (4,436)
			80–84	8.8
			85–89	8.6
			90–94	6.1
			95–99	4.1
			≥100	1.8
12	Hypertension, Osteoporosis, Peptic ulcer disease	58,183 (7.2)	75–79	6.0	6.4 (1.7)	4.2 (2.2)	0.5 (0.9)	6,509 (4,829)
			80–84	8.8
			85–89	8.6
			90–94	6.6
			95–99	3.7
			≥100	1.6
13	Hypertension, Osteoarthritis/Spine disorder, Coronary heart disease	57,035 (7.1)	75–79	5.7	6.5 (1.7)	4.3 (2.2)	0.5 (1.0)	6,542 (5,749)
			80–84	8.3
			85–89	8.6
			90–94	7.1
			95–99	5.6
			≥100	3.1
14	Hypertension, Osteoporosis, Dyslipidemia	56,245 (7.0)	75–79	6.5	6.1 (1.8)	4.0 (2.1)	0.3 (0.8)	5,863 (3,904)
			80–84	8.6
			85–89	7.5
			90–94	4.6
			95–99	2.1
			≥100	0.9
15	Dyslipidemia, Peptic ulcer disease, Coronary heart disease	56,085 (7.0)	75–79	6.4	6.5 (1.7)	3.9 (2.2)	0.5 (1.0)	6,296 (5,739)
			80–84	8.1
			85–89	7.7
			90–94	5.6
			95–99	3.1
			≥100	1.7

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