Table 1. Study participant characteristics (N = 59,133).

From: Prescription of Ninjin’yoeito, A Japanese Kampo Medicine, in Relation to Levels of Long-Term Care Needs or Disabilities in Older Adults: A Cross-Sectional Study

n (%) / median [IQR]
Age (years) 80 [77-85]
Age group (years) 75-79 26,244 (44.4)
80-89 27,722 (46.9)
≥90 5,167 (8.7)
Sex Female 34,652 (58.6)
LTC needs levels Independent 41,310 (69.9)
Support level 1 or 2 6,331 (10.7)
Care level 1 or 2 7,653 (12.9)
Care levels 3 to 5 3,839 (6.5)
Physical disabilitya Independent 41,317 (69.9)
Independent living (rank J) 6,223 (10.5)
Semi-bedridden/bedridden (rank A, B, or C) 11,593 (19.6)
Cognitive impairmentb Independent 43,328 (73.3)
Mild/moderate (rank I or II) 13,335 (22.6)
Severe (rank III, IV, or M) 2,470 (4.2)
Table 2. Association of Levels of Long-Term Care Needs or Disability with Ninjin’yoeito Prescription.

From: Prescription of Ninjin’yoeito, A Japanese Kampo Medicine, in Relation to Levels of Long-Term Care Needs or Disabilities in Older Adults: A Cross-Sectional Study

n N % aOR (95% CI) p-Value
LTC needs levels
Independent 65 41,310 0.16 Reference Reference
Support level 1 or 2 30 6,331 0.47 2.68 (1.70-4.21) <0.001
Care level 1 or 2 26 7,653 0.34 1.91 (1.18-3.10) 0.009
Care levels 3 to 5 <10 3,839 1.29 (0.62-2.68) 0.497
Hosmer-Lemeshow χ2 (df = 5) 2.13 0.831
Disability levels (physical disabilitya and cognitive impairmentb)
Independent and independent 65 41,313 0.16 Reference Reference
Independent and mild/moderate <10 <10 - -
Independent and severe <10 <10 - -
Independent living and independent <10 1,270 1.82 (0.66-5.03) 0.248
Independent living and mild/moderate 28 4,895 0.57 3.24 (2.04-5.15) <0.001
Independent living and severe <10 58 - -
Semi-bedridden/bedridden and independent <10 745 1.57 (0.38-6.46) 0.530
Semi-bedridden/bedridden and mild/moderate 24 8,437 0.28 1.58 (0.96-2.61) 0.075
Semi-bedridden/bedridden and severe <10 2,411 1.57 (0.70-3.54) 0.277
Hosmer-Lemeshow χ2 (df = 6) 2.17 0.903
Table 3. Top 10 ICD-10 Diagnoses with the Large Differences in Diagnosis Rates According to the Presence or Absence of Ninjin’yoeito Prescriptions.

From: Prescription of Ninjin’yoeito, A Japanese Kampo Medicine, in Relation to Levels of Long-Term Care Needs or Disabilities in Older Adults: A Cross-Sectional Study

ICD-10 Diseases Prescribed
(N = 130)
Not prescribed
(N = 59,003)
n (%) n (%)
R63 Symptoms and signs concerning food and fluid intake 57 (43.8) 1,889 (3.2)
R53 Malaise and fatigue 33 (25.4) 669 (1.1)
M54 Dorsalgia 59 (45.4) 17,010 (28.8)
K59 Other functional intestinal disorders 69 (53.1) 22,418 (38.0)
M81 Osteoporosis without pathological fracture 56 (43.1) 16,642 (28.2)
M47 Spondylosis 45 (34.6) 12,419 (21.0)
K29 Gastritis and duodenitis 67 (51.5) 22,650 (38.4)
I50 Heart failure 44 (33.8) 12,377 (21.0)
J30 Vasomotor and allergic rhinitis 47 (36.2) 13,826 (23.4)
G47 Sleep disorders 56 (43.1) 18,134 (30.7)
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