National survey on the secondary preventive measures for coronary artery disease among interventional cardiologists: a report from the Japanese Association of Cardiovascular Intervention and Therapeutics
National survey on the secondary preventive measures for coronary artery disease among interventional cardiologists: a report from the Japanese Association of Cardiovascular Intervention and Therapeutics
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介入心脏病专家冠状动脉疾病二级预防措施的全国调查：日本心血管介入治疗协会的报告
DOI：
10.1007/s12928-022-00874-y
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发表时间：
2023
影响因子：
3.2
通讯作者：
Amano T
中科院分区：
文献类型：
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作者：
Yamada S;Adachi T;Ashikawa H;Funaki K;Kohsaka S;Ikari Y;Amano T
从最近的临床试验测试血运重建策略的见解有兴趣介入心脏病学家在最佳的药物治疗和二级预防模式。由于最近没有进行大规模的调查，本报告介绍了一项全国性调查的结果，介入医生对经皮冠状动脉介入治疗（PCI）后的二级预防的关注，并讨论了日本的医疗支持系统的需求。向心血管介入技术（CVIT）认证的医院提供了一份调查问卷，以评估介入心脏病专家在门诊访视期间二级预防干预的现状和挑战。由每家医院的代表性心脏病专家回答，包括三个问题：（1）门诊心脏康复促进PCI术后生活方式指导的必要性;（2）提供生活方式指导的可行性;（3）门诊访视期间生活方式指导的障碍。问题1和2使用5分制李克特量表回答。调查答复来自391家医院（占712家CVIT-certified设施的54.9%）。对于问题1，327家医院（84.1%）回答“同意”，386家医院（98.7%）回答“同意”或“有些同意”。对于问题二，10%的医院回答“同意”，“同意”和“有点同意”的比例不足50%。对于问题3，83.5%的设施回答缺乏时间是主要原因）。其次的原因包括PCI术后早期反向转诊给家庭医生，以及缺乏管理优势（分别占60%和40%）。总之，干预者关心他们的病人的二级预防。调查中澄清的问题对于发展下一代二级预防系统将是重要的。
Insights from recent clinical trial testing revascularization strategies have interested interventional cardiologists in optimal medical therapy and secondary prevention modalities. As no large-scale survey has been recently conducted, this report presents the results of a nationwide survey on interventionists’ concerns regarding secondary prevention after percutaneous coronary intervention (PCI) and discusses medical support system needs in Japan. A questionnaire to assess the status and challenges of secondary prevention interventions by interventional cardiologists during outpatient visits was supplied to Cardiovascular Interventional Technology (CVIT)-certificated hospitals. This was answered by representative cardiologists of each hospital and comprised three queries: (1) the necessity of outpatient cardiac rehabilitation to promote post-PCI lifestyle guidance; (2) the feasibility of providing lifestyle guidance; and (3) the barriers to lifestyle guidance, during outpatient visits. Questions 1 and 2 were answered using a 5-point Likert scale. Survey responses were received from 391 hospitals (54.9% of 712 CVIT-certificated facilities). For Question 1, 327 hospitals (84.1%) answered “agree”, and 386 hospitals (98.7%) answered “agree” or “somewhat agree”. For Question 2, 10% of hospitals answered “agree”, and "agree" and "somewhat agree" amounted to less than 50%. For Question 3, 83.5% of the facilities answered lack of time as the major reason). The next reasons included an early reverse referral to family doctors after PCI, and a lack of managerial advantage (60% and 40% of the hospitals, respectively). In conclusion, interventionists are concerned about secondary prevention for their patients. The issues clarified in the survey will be important for developing next-generation secondary prevention systems.
影响因子：
1.7
作者：
Itoh H;Amiya E;Narita K;Shimbo M;Taya M;Komuro I;Hasegawa T;Makita S;Kimura Y
通讯作者：
Kimura Y
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DOI：
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发表时间：
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期刊：
影响因子：
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作者：
通讯作者：
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DOI：
10.1056/nejmoa0805796
发表时间：
2009-06-11
期刊：
The New England journal of medicine
影响因子：
--
作者：
BARI 2D Study Group;Frye RL;August P;Brooks MM;Hardison RM;Kelsey SF;MacGregor JM;Orchard TJ;Chaitman BR;Genuth SM;Goldberg SH;Hlatky MA;Jones TL;Molitch ME;Nesto RW;Sako EY;Sobel BE
通讯作者：
Sobel BE