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Research article
Shinya Tsuzuki
National Center for Global Health and Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8504-1244
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: This study aimed to make a quantitative assessment of the management of influenza-like illnesses in Japanese healthcare settings.
Methods: We analysed participants’ healthcare-seeking behaviour and physicians’ practice in January 2019 using an online survey of 200 households in Japan. Quality of life score, quality-adjusted life years lost, the duration of symptoms, and the duration of absence from work were compared between influenza group and influenza-like illness group with one-to-one propensity score matching. Missing data were imputed using multiple imputation.
Results: In total, 261 of the 600 (43.5%) participants had at least one episode of influenza-like illness during January 2019. Of these, 194 (75.5%) visited healthcare facilities, 167 (86.1%) within 2 days of onset of symptoms. A total of 169 out of 191 (88.5%) received a rapid influenza diagnostic test and 101 were diagnosed with influenza, of whom 95.0% were treated with antivirals. The median quality-adjusted life-years lost was 0.0055 (interquartile range, IQR 0.0040–0.0072) and median absence from work for a single episode of influenza-like illness was 2 days (IQR 1–5 days).
Conclusions: In Japan, most people with influenza-like illnesses visit healthcare facilities soon after symptoms first occur and receive a diagnostic test. Those with influenza are usually treated with antivirals. Absence from work was longer for influenza than other similar illnesses.
Keywords
influenza, clinical practice, healthcare-seeking behaviour, disease burden, rapid influenza diagnostic test
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View the published article at BMC Public Health.
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Posted 19 Mar, 2020
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Editor assigned
On 16 Mar, 2020
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On 15 Mar, 2020
Editor invited
On 15 Mar, 2020
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Review #2 received
Received 11 Mar, 2020
Editorial decision: Minor revision
On 11 Mar, 2020
Review #1 received
Received 26 Dec, 2019
Reviewer #2 agreed
On 14 Dec, 2019
Reviewer #1 agreed
On 09 Dec, 2019
Reviewers invited
Invitations sent on 08 Dec, 2019
Editor assigned
On 26 Nov, 2019
Submission checks complete
On 25 Nov, 2019
Editor invited
On 25 Nov, 2019
First submitted
On 18 Nov, 2019
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A new preprint design is coming!
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See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Shinya Tsuzuki
National Center for Global Health and Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8504-1244
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
Version 2
Posted 19 Mar, 2020
No community comments so far
Editor assigned
On 16 Mar, 2020
Submission checks complete
On 15 Mar, 2020
Editor invited
On 15 Mar, 2020
No comments provided
Review #2 received
Received 11 Mar, 2020
Editorial decision: Minor revision
On 11 Mar, 2020
Review #1 received
Received 26 Dec, 2019
Reviewer #2 agreed
On 14 Dec, 2019
Reviewer #1 agreed
On 09 Dec, 2019
Reviewers invited
Invitations sent on 08 Dec, 2019
Editor assigned
On 26 Nov, 2019
Submission checks complete
On 25 Nov, 2019
Editor invited
On 25 Nov, 2019
First submitted
On 18 Nov, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background: This study aimed to make a quantitative assessment of the management of influenza-like illnesses in Japanese healthcare settings.
Methods: We analysed participants’ healthcare-seeking behaviour and physicians’ practice in January 2019 using an online survey of 200 households in Japan. Quality of life score, quality-adjusted life years lost, the duration of symptoms, and the duration of absence from work were compared between influenza group and influenza-like illness group with one-to-one propensity score matching. Missing data were imputed using multiple imputation.
Results: In total, 261 of the 600 (43.5%) participants had at least one episode of influenza-like illness during January 2019. Of these, 194 (75.5%) visited healthcare facilities, 167 (86.1%) within 2 days of onset of symptoms. A total of 169 out of 191 (88.5%) received a rapid influenza diagnostic test and 101 were diagnosed with influenza, of whom 95.0% were treated with antivirals. The median quality-adjusted life-years lost was 0.0055 (interquartile range, IQR 0.0040–0.0072) and median absence from work for a single episode of influenza-like illness was 2 days (IQR 1–5 days).
Conclusions: In Japan, most people with influenza-like illnesses visit healthcare facilities soon after symptoms first occur and receive a diagnostic test. Those with influenza are usually treated with antivirals. Absence from work was longer for influenza than other similar illnesses.
Figure 1
Figure 2
Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
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