| アブストラクト | BACKGROUND: Comprehensive monitoring of cardiovascular disease (CVD) is essential in rapidly aging societies such as Japan. The Japanese Circulation Society (JCS) launched the Japanese Registry Of All cardiac and vascular Diseases-Diagnosis Procedure Combination (JROAD-DPC) registry, linking annual JROAD questionnaires with nationwide DPC administrative claims to enable patient-level analyses of hospitalized CVD care. This Protocol Paper presents a comprehensive overview of the registry. METHODS AND RESULTS: Using anonymized data (April 2012-March 2023), we described temporal trends in patient demographics, principal CVD diagnoses, major interventions, disease-specific severity, and hospital characteristics. From FY2012-FY2022, participating facilities increased from 610 to 860, with registered patients more than doubling. Median age rose from 73.0 to 75.0 years; patients aged >/=90 years nearly quadrupled. The proportion of angina pectoris admissions declined (26.8% to 11.7%), while absolute numbers remained stable. Atrial fibrillation/flutter admissions rose in both proportion (4.1% to 5.9%) and absolute number. Heart failure admissions increased steadily, with its proportion showing a U-shaped trend. Catheter ablations for atrial fibrillation/flutter increased over fivefold, exceeding 64,000, while percutaneous coronary interventions for acute myocardial infarction surpassed 46,000. CONCLUSIONS: JROAD-DPC now captures over 1.5 million annual CVD hospitalizations, providing a nationwide, large-scale longitudinal view of cardiovascular care in Japan. Its scale and validated coding enable robust analyses of trends and outcomes, supporting national CVD policy evaluation and improvement. |
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| ジャーナル名 | Circulation reports |
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| Pubmed追加日 | 2026/1/12 |
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| 投稿者 | Shibata, Tatsuhiro; Kanaoka, Koshiro; Iwanaga, Yoshitaka; Sumita, Yoko; Matoba, Satoaki; Ieda, Masaki; Yasuda, Satoshi; Kohsaka, Shun; Matoba, Tetsuya; Nakayama, Masaharu; Amano, Tetsuya; Bando, Yasuko K; Enomoto, Mika; Saito, Aya; Tada, Hiroshi; Fukumoto, Yoshihiro |
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| 組織名 | Division of Cardiovascular Medicine, Department of Internal Medicine, Kurume;University School of Medicine Fukuoka Japan.;Department of Medical and Health Information Management, National Cerebral and;Cardiovascular Center Osaka Japan.;Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto;Prefectural University of Medicine Kyoto Japan.;Department of Cardiology, Keio University School of Medicine Tokyo Japan.;Department of Cardiovascular Medicine, Tohoku University Graduate School of;Medicine Sendai Japan.;Department of Cardiovascular Medicine, Kyushu University Fukuoka Japan.;Department of Medical Informatics, Tohoku University Graduate School of Medicine;Sendai Japan.;Department of Cardiology, Aichi Medical University Aichi Japan.;Department of Molecular Physiology and Cardiovascular Biology, Mie University;Graduate School of Medicine Mie Japan.;Department of Surgery, Yokohama City University Yokohama Japan.;Division of Cardiovascular Medicine, Faculty of Medical Sciences, University of;Fukui Fukui Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/41523939/ |
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