Real-world feedback from the multicenter regitsry (KiCS) for invasive cardiovascular procedrures.

2015 Fiscal Year Final Research Report

• Project/Area Number: 25460630
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical sociology
• Research Institution: Keio University
• Principal Investigator: Kohsaka Shun 慶應義塾大学, 医学部, 講師 (30528659)
• 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)
• Project Period (FY): 2013-04-01 – 2016-03-31
• Keywords: 冠動脈インターベンション / 医療の質 / 適切性基準

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.

Free Research Field

医療の質、アウトカム研究、循環器内科