| Project/Area Number |
25460630
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Keio University |
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Principal Investigator |
Kohsaka Shun 慶應義塾大学, 医学部, 講師 (30528659)
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| Co-Investigator(Renkei-kenkyūsha) |
Ueda Ikuko 慶應義塾大学, 医学部, 特任助教 (80571398)
Miyata Hiroaki 東京大学, 医療品質評価学, 教授 (70409704)
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| Project Period (FY) |
2013-04-01 – 2016-03-31
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| Project Status |
Completed (Fiscal Year 2015)
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| Budget Amount *help |
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2013: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
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| Keywords | 冠動脈インターベンション / 医療の質 / 適切性基準 / データベース / レジストリ / アウトカム研究 / 大規模データベース / レジストリ研究 / 冠動脈疾患 / アウトカム |
|---|
| Outline of Final Research Achievements |
The aim of this study was to evaluate the appropriateness of percutaneous coronary intervention (PCI) in Japan and clarify the association between trends of pre-procedural noninvasive testing and changes in appropriateness ratings. In this contemporary, multicenter Japanese PCI registry (JCD-KiCS), almost all acute PCIs were acceptable regardless of the criteria applied. However, approximately one-sixth of nonacute PCIs were rated as inappropriate under the original criteria. Under the updated AUC/2012, the rate of inappropriate PCIs increased to nearly one-third because noninvasive stress testing was not performed before a large number of elective PCIs in Japan and was seemingly affected by the increasing trend of coronary CT angiogram.
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