Precision Medicine in Cardiology: Personalizing the Management in the Patients with Coronary Artery Disease
Project/Area Number |
16H05215
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Research Category |
Grant-in-Aid for Scientific Research (B)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Medical sociology
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Research Institution | Keio University |
Principal Investigator |
KOHSAKA Shun 慶應義塾大学, 医学部(信濃町), 講師 (30528659)
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Co-Investigator(Kenkyū-buntansha) |
宮田 裕章 東京大学, 医学部附属病院, 特任教授 (70409704)
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Project Period (FY) |
2016-04-01 – 2020-03-31
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Project Status |
Completed (Fiscal Year 2019)
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Budget Amount *help |
¥17,680,000 (Direct Cost: ¥13,600,000、Indirect Cost: ¥4,080,000)
Fiscal Year 2019: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Fiscal Year 2018: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2017: ¥5,590,000 (Direct Cost: ¥4,300,000、Indirect Cost: ¥1,290,000)
Fiscal Year 2016: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
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Keywords | 医療の質 / 冠動脈疾患 / 冠動脈インターベンション / アウトカム / 経皮的冠動脈インターベンション / 個別化医療 / 心不全・心房細動 / レジストリ・データベース / 心不全 / 心房細動 / レジストリ / 経皮的インターベンション / 循環器・高血圧 / 医療・福祉 / 社会医学 / 情報工学 |
Outline of Final Research Achievements |
The purpose of the project was to utilize the large-scale procedure-based registry dataset to establish infrastructure for providing 'precision medicine' in the management of patients with coronary artery disease. We aimed to benchmark the performance of PCI (percutaneous coronary intervention; non-surgical procedure that uses a catheter to place a small structure called a stent to open up blood vessels in the heart that have been narrowed by atherosclerosis) for participating institutions, and build risk-models related to adverse outcome during and after the procedure.
We have reported the baseline characteristics and clinical outcomes of patients who underwent PCI in the region (registered roughly 27.000 patients) and compared the information with the registries and database obtained in other countries. In additon, validation of the key in-hospital outcomes were performed, and aim to include the long-term follow-up information within our risk models in the near future.
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Academic Significance and Societal Importance of the Research Achievements |
その主要な成果に関しては主要な学会発表ならびに学術誌に公表されており、このうち数編は国内の診療ガイドラインにも引用されている(JCS 2020 Guideline Focused Update on Antithrombotic Therapy in Patients With Coronary Artery Disease; JCS 2018 Guideline on Diagnosis and Treatment of Acute Coronary Syndrome)。今後はさらに国際協力施設との連携を深め、我が国で規定される診療ガイドライン推奨の遵守率の算出や推移の評価を行う予定である。
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Report
(5 results)
Research Products
(39 results)
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[Journal Article] JCS 2018 Guideline on Diagnosis and Treatment of Acute Coronary Syndrome2019
Author(s)
Kimura Kazuo、Kimura Takeshi、Ishihara Masaharu、Tanaka Akihito、Tamura Toshihiro、Nakashima Takahiro、Noguchi Teruo、Fukamachi Daisuke、Mizuno Tomohiro、Yamaguchi Junichi、Yodogawa Kenji、Kosuge Masami、Kohsaka Shun et al.
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Journal Title
Circulation Journal
Volume: 83
Issue: 5
Pages: 1085-1196
DOI
NAID
ISSN
1346-9843, 1347-4820
Year and Date
2019-04-25
Related Report
Peer Reviewed / Open Access
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[Journal Article] Stroke After Percutaneous Coronary Intervention in the Era of Transradial Intervention.2018
Author(s)
Shoji S, Kohsaka S, Kumamaru H, Sawano M, Shiraishi Y, Ueda I, Noma S, Suzuki M, Numasawa Y, Hayashida K, Yuasa S, Miyata H, Fukuda K.
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Journal Title
Circ Cardiovasc Interv.
Volume: 11(12)
Issue: 12
DOI
Related Report
Peer Reviewed
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[Journal Article] Impact of catheter-induced iatrogenic coronary artery dissection with or without postprocedural flow impairment: A report from a Japanese multicenter percutaneous coronary intervention registry.2018
Author(s)
Hiraide T, Sawano M, Shiraishi Y, Ueda I, Numasawa Y, Noma S, Negishi K, Ohki T, Yuasa S, Hayashida K, Miyata H, Fukuda K, Kohsaka S.
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Journal Title
PLoS One.
Volume: 13(9)
Issue: 9
Pages: e0204333-e0204333
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Lower Cardiovascular Risk Associated with SGLT-2i in >400,000 Patients: The CVD-REAL 2 Study.2018
Author(s)
Kosiborod M, Lam CSP, Kohsaka S, Kim DJ, Karasik A, Shaw J, Tangri N, Goh SY, Thuresson M, Chen H, Surmont F, Hammar N, Fenici P; CVD-REAL Investigators and Study Group.
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Journal Title
J Am Coll Cardiol.
Volume: pii: S0735-1097(18)
Issue: 23
Pages: 33528-9
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Journal Article] Association between institutional procedural preference and in-hospital outcomes in laparoscopic surgeries; Insights from a retrospective cohort analysis of a nationwide surgical database in Japan.2018
Author(s)
Miyata H, Mori M, Kokudo N, Gotoh M, Konno H, Wakabayashi G, Matsubara H, Watanabe T, Ono M, Hashimoto H, Yamamoto H, Kumamaru H, Kohsaka S, Iwanaka T.
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Journal Title
PLoS One.
Volume: 13(3)
Issue: 3
Pages: e0193186-e0193186
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Prognostic Impact of Subsequent Acute Coronary Syndrome and Unplanned Revascularization on Long-Term Mortality After an Index Percutaneous Coronary Intervention: A Report From a Japanese Multicenter Registry.2017
Author(s)
Inohara T, Kohsaka S, Miyata H, Sawano M, Ueda I, Maekawa Y, Fukuda K, Jones PG, Cohen DJ, Zhao Z, Spertus JA, Smolderen KG.
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Journal Title
J Am Heart Assoc.
Volume: 6(11)
Issue: 11
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Barriers Associated With Door-to-Balloon Delay in Contemporary Japanese Practice2017
Author(s)
Ikemura N, Sawano M, Shiraishi Y, Ueda I, Miyata H, Numasawa Y, Noma S, Suzuki M, Momiyama Y, Inohara T, Hayashida K, Yuasa S, Maekawa Y, Fukuda K, Kohsaka S.
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Journal Title
Circulation Journal
Volume: 81
Issue: 6
Pages: 815-822
DOI
NAID
ISSN
1346-9843, 1347-4820
Related Report
Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
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[Journal Article] Impact of the Clinical Frailty Scale on Outcomes After Transcatheter Aortic Valve Replacement.2017
Author(s)
Shimura T, Yamamoto M, Kano S, Kagase A, Kodama A, Koyama Y, Tsuchikane E, Suzuki T, Otsuka T, Kohsaka S, Tada N, Yamanaka F, Naganuma T, Araki M, Shirai S, Watanabe Y, Hayashida K
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Journal Title
Circulation
Volume: Epub ahead of print
Issue: 21
Pages: 2013-2024
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Journal Article] Incidence and predictors of bleeding complications after percutaneous coronary intervention.2017
Author(s)
Numasawa Y, Kohsaka S, Ueda I, Miyata H, Sawano M, Kawamura A, Noma S, Suzuki M, Nakagawa S, Momiyama Y, Fukuda K.
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Journal Title
J Cardiol.
Volume: 69(1)
Issue: 1
Pages: 272-279
DOI
Related Report
Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
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[Journal Article] Use of renin-angiotensin system inhibitors after coronary interventions in patients with the guideline-based indications: A report from a Japanese multicenter registry.2016
Author(s)
Ikemura N, Sawano M, Miyata H, Ueda I, Numasawa Y, Noma S, Suzuki M, Momiyama Y, Maekawa Y, Fukuda K, Kohsaka S.
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Journal Title
Int J Cardiol.
Volume: 225
Pages: 362-364
DOI
Related Report
Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
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