{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T17:13:12Z","timestamp":1770916392030,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T00:00:00Z","timestamp":1742515200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to examine the differences in the impact of dementia and hip fracture onset on the burden of healthcare and long\u2010term care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study utilized electronic medical receipt data issued between April 2019 and March 2023 from the National Health Insurance scheme and the medical care system for older individuals aged \u226575\u2009years from Sendai City. Female patients aged \u226565\u2009years who were newly registered as patients with dementia (<jats:italic>n<\/jats:italic>\u2009=\u20092696) and\/or hip fracture (<jats:italic>n<\/jats:italic>\u2009=\u20091118) were investigated. Monthly healthcare and long\u2010term care costs for 12\u2009months before and after the entry were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After the onset of dementia, a very small temporary change was observed in healthcare and long\u2010term care costs, which then tended to increase gradually throughout the entire course. By contrast, after the onset of hip fracture with and without dementia, healthcare costs temporarily increased for 3\u20134\u2009months, while the long\u2010term care costs temporarily decreased. Subsequently, long\u2010term care costs rose and high costs followed compared with before the onset of hip fracture. In the hip fracture with dementia group, an upward trend in long\u2010term care costs was observed within 12\u2009months before entry but not after entry. Long\u2010term care costs could not increase further because they might reach the maximum cost.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>With the onset of hip fractures, the level of care for patients with dementia would further increase. Hence, fracture prevention measures for patients with dementia are important. <jats:bold>Geriatr Gerontol Int 2025; 25: 677\u2013685<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.70034","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T14:46:48Z","timestamp":1742741208000},"page":"677-685","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of dementia and hip fracture onset on the healthcare and long\u2010term care burden: Healthcare and long\u2010term care insurance data analyses in Sendai City, Japan"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7928-0014","authenticated-orcid":false,"given":"Shinichi","family":"Nakatoh","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Asahi General Hospital  Toyama Japan"},{"name":"National Database Japan\u2013Osteoporosis Management Study Group, Department of Public Health Kindai University Faculty of Medicine  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Fujimori","sequence":"additional","affiliation":[{"name":"National Database Japan\u2013Osteoporosis Management Study Group, Department of Public Health Kindai University Faculty of Medicine  Osaka Japan"},{"name":"Department of Regulatory Science School of Pharmacy, Tokyo University of Pharmacy and Life Sciences  Hachiouji, Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeyuki","family":"Ishii","sequence":"additional","affiliation":[{"name":"National Database Japan\u2013Osteoporosis Management Study Group, Department of Public Health Kindai University Faculty of Medicine  Osaka Japan"},{"name":"Department of Hygiene and Public Health Osaka Medical and Pharmaceutical University  Takatsuki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junko","family":"Tamaki","sequence":"additional","affiliation":[{"name":"National Database Japan\u2013Osteoporosis Management Study Group, Department of Public Health Kindai University Faculty of Medicine  Osaka Japan"},{"name":"Okimoto Clinic  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobukazu","family":"Okimoto","sequence":"additional","affiliation":[{"name":"National Database Japan\u2013Osteoporosis Management Study Group, Department of Public Health Kindai University Faculty of Medicine  Osaka Japan"},{"name":"Department of Geriatric Medicine Graduate School of Medicine, The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumito","family":"Ogawa","sequence":"additional","affiliation":[{"name":"National Database Japan\u2013Osteoporosis Management Study Group, Department of Public Health Kindai University Faculty of Medicine  Osaka Japan"},{"name":"Department of Public Health Kindai University Faculty of Medicine  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Iki","sequence":"additional","affiliation":[{"name":"National Database Japan\u2013Osteoporosis Management Study Group, Department of Public Health Kindai University Faculty of Medicine  Osaka Japan"},{"name":"Department of Health Administration and Policy Tohoku University School of Medicine  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,21]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Ministry of Health Labour and Welfare.Comprehensive survey of living conditions 2022. 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Available from:https:\/\/www.e\u2010stat.go.jp\/stat\u2010search\/files?page=1&layout=datalist&toukei=00450061&tstat=000001206248&cycle=7&tclass1=000001206252&tclass2val=0&metadata=1&data=1."},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-022-01953-8"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.04.015"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-018-0456-2"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-022-06460-5"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0200143"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000480497"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0265636"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-014-0175-2"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2022.07.013"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.4431"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-018-0448-2"},{"key":"e_1_2_13_14_1","unstructured":"Sendai City Official Website.The data of January 1 2024 in the Basic Resident Register of Sendai city. 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