Evaluation of the impact of a recommended shift in glycaemic management targets for older adults on clinical outcomes and healthcare expenditures in Japan: a protocol for interrupted time-series analysis using a nationwide health insurance claims database.

ABSTRACT:

Introduction

In 2017, the Japan Diabetes Society and Japan Geriatrics Society published the Clinical Practice Guidelines for the Treatment of Diabetes in older adults, marking a major shift in glycaemic management policy for older adults. The guidelines represented a transition from conventional, uniform targets, originally developed for the general adult population, to stratified glycaemic goals tailored to the complex care needs of older patients, including comorbidities and frailty. Although the 2017 guidelines aimed to promote individualised care and reduce adverse events such as severe hypoglycaemia, the real-world impact on patient outcomes, clinical practice and healthcare expenditures has not been evaluated at the national level.

Method and analysis

A population-base

SUBMITTER: Takashi N 

PROVIDER: S-EPMC12829341 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature