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Trends in the Use of Cardiac Rehabilitation in Japan Between 2010 and 2017 ― An Epidemiological Survey ―

Background: Despite the prognostic effectiveness of cardiac rehabilitation (CR) in patients with cardiovascular disease (CVD), it has been underutilized. Understanding the trend of dissemination of CR over the years would help provide a perspective of CR in Japan. Methods and Results: A retrospectiv...

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Autores principales: Kanazawa, Natsuko, Yamada, Sumio, Fushimi, Kiyohide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Circulation Society 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8492403/
https://www.ncbi.nlm.nih.gov/pubmed/34703934
http://dx.doi.org/10.1253/circrep.CR-21-0018
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author Kanazawa, Natsuko
Yamada, Sumio
Fushimi, Kiyohide
author_facet Kanazawa, Natsuko
Yamada, Sumio
Fushimi, Kiyohide
author_sort Kanazawa, Natsuko
collection PubMed
description Background: Despite the prognostic effectiveness of cardiac rehabilitation (CR) in patients with cardiovascular disease (CVD), it has been underutilized. Understanding the trend of dissemination of CR over the years would help provide a perspective of CR in Japan. Methods and Results: A retrospective epidemiological survey between fiscal years 2010 and 2017 was conducted using the diagnosis procedure combination database (a Japanese administrative database). Data on 2,046,302 patients with CVD from 1,632 hospitals were extracted. The proportion of CR-certified hospitals among hospitals treating patients with CVD increased from 31.6% in 2010 to 56.6% in 2017. Over the same period, the participation rate in inpatient CR (ICR) increased from 18.3% to 39.0%, but the participation rate in outpatient CR (OCR) remained low (from 1.4% to 2.5%). The CR participation rates varied widely according to the main disease group. Approximately 95% of ICR participants did not continue CR after discharge. Conclusions: The number of CR-certified hospitals increased from 2010 to 2017, leading to increased ICR participation across patients with CVD; however, OCR has remained extremely underutilized. Immediate action is urgently required to increase the use of OCR.
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spelling pubmed-84924032021-10-25 Trends in the Use of Cardiac Rehabilitation in Japan Between 2010 and 2017 ― An Epidemiological Survey ― Kanazawa, Natsuko Yamada, Sumio Fushimi, Kiyohide Circ Rep Original article Background: Despite the prognostic effectiveness of cardiac rehabilitation (CR) in patients with cardiovascular disease (CVD), it has been underutilized. Understanding the trend of dissemination of CR over the years would help provide a perspective of CR in Japan. Methods and Results: A retrospective epidemiological survey between fiscal years 2010 and 2017 was conducted using the diagnosis procedure combination database (a Japanese administrative database). Data on 2,046,302 patients with CVD from 1,632 hospitals were extracted. The proportion of CR-certified hospitals among hospitals treating patients with CVD increased from 31.6% in 2010 to 56.6% in 2017. Over the same period, the participation rate in inpatient CR (ICR) increased from 18.3% to 39.0%, but the participation rate in outpatient CR (OCR) remained low (from 1.4% to 2.5%). The CR participation rates varied widely according to the main disease group. Approximately 95% of ICR participants did not continue CR after discharge. Conclusions: The number of CR-certified hospitals increased from 2010 to 2017, leading to increased ICR participation across patients with CVD; however, OCR has remained extremely underutilized. Immediate action is urgently required to increase the use of OCR. The Japanese Circulation Society 2021-09-25 /pmc/articles/PMC8492403/ /pubmed/34703934 http://dx.doi.org/10.1253/circrep.CR-21-0018 Text en Copyright © 2021, THE JAPANESE CIRCULATION SOCIETY https://creativecommons.org/licenses/by-nc-nd/4.0/This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
spellingShingle Original article
Kanazawa, Natsuko
Yamada, Sumio
Fushimi, Kiyohide
Trends in the Use of Cardiac Rehabilitation in Japan Between 2010 and 2017 ― An Epidemiological Survey ―
title Trends in the Use of Cardiac Rehabilitation in Japan Between 2010 and 2017 ― An Epidemiological Survey ―
title_full Trends in the Use of Cardiac Rehabilitation in Japan Between 2010 and 2017 ― An Epidemiological Survey ―
title_fullStr Trends in the Use of Cardiac Rehabilitation in Japan Between 2010 and 2017 ― An Epidemiological Survey ―
title_full_unstemmed Trends in the Use of Cardiac Rehabilitation in Japan Between 2010 and 2017 ― An Epidemiological Survey ―
title_short Trends in the Use of Cardiac Rehabilitation in Japan Between 2010 and 2017 ― An Epidemiological Survey ―
title_sort trends in the use of cardiac rehabilitation in japan between 2010 and 2017 ― an epidemiological survey ―
topic Original article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8492403/
https://www.ncbi.nlm.nih.gov/pubmed/34703934
http://dx.doi.org/10.1253/circrep.CR-21-0018
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