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Hospitalized Patients, Treatments, and Quality of Care for Cardiovascular Diseases in Japan ― Outline of the Nationwide JROAD Investigation ―
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- Nishi Masahiro
- Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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- Miyamoto Yoshihiro
- Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center
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- Iwanaga Yoshitaka
- Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center
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- Kanaoka Koshiro
- Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center
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- Sumita Yoko
- Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center
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- Ishihara Masaharu
- Department of Cardiovascular and Renal Medicine, School of Medicine, Hyogo Medical University
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- Katamura Maki
- Department of Cardiology, Biwako Ohashi Hospital
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- Kohsaka Shun
- Department of Cardiology, Keio University School of Medicine
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- Nakayama Masaharu
- Department of Medical Informatics, Tohoku University Graduate School of Medicine
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- Node Koichi
- Department of Cardiovascular Medicine, Saga University
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- Bando Yasuko K.
- Department of Molecular Physiology and Cardiovascular Biology, Mie University Graduate School of Medicine
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- Hirao Yu
- Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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- Fukuda Keiichi
- Department of Cardiology, Keio University School of Medicine
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- Matoba Tetsuya
- Department of Cardiovascular Medicine, Kyushu University
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- Fukumoto Yoshihiro
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kurume University School of Medicine
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- Matoba Satoaki
- Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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Description
<p>Cardiovascular diseases (CVD) have imposed a substantial burden on population health and society. In Japan, the National Plan for the Promotion of Measures Against Cerebrovascular and Cardiovascular Disease, grounded in national legislation, seeks to improve the quality of care and standardize treatment for cerebrovascular disease and CVD. The plan emphasizes the need to develop standardized systems for collecting and disseminating medical information, as well as promoting data-driven research. The Japanese Registry Of All cardiac and vascular Diseases (JROAD) was launched by the Japanese Circulation Society to assess the clinical activities of institutions nationwide that have a dedicated cardiovascular inpatient service. Information from participating facilities is accumulated, and a database is constructed by linking Diagnosis Procedure Combination data, which includes patient characteristics and clinical data. Using this real-world data is expected to generate high-quality evidence, leading to a better understanding of CVD, improvements in the quality of care and clinical outcomes, and the implementation of effective health policies, including the appropriate allocation of medical resources and the reduction of medical costs. Ultimately, these efforts aim to extend the life span and healthy life expectancy. This design paper outlines the overall concept of the JROAD investigation in cardiovascular care. In addition, it summarizes representative CVD data, reviews the literature on the quality of care, and describes the prospects of the investigation.</p>
Journal
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- Circulation Journal
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Circulation Journal advpub (0), 2024-11-19
The Japanese Circulation Society