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To enhance performance measurement and feedback method regarding treatment of cardiovascular disease.

Research Project

Project/Area Number 21790492
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Medical sociology
Research InstitutionThe University of Tokyo

Principal Investigator

MIYATA Hiroaki  The University of Tokyo, 医学部附属病院, 特任准教授 (70409704)

Project Period (FY) 2009 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2010: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2009: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords医療の質 / 循環器疾患 / ベンチマーキング / 重症度補正 / データベース / アウトカム分析
Research Abstract

In addition to mortality risk-adjustment model, we developed risk-adjustment model for morbidities (reoperation, dialysis newly required, stroke, infection, parparesis, ventilation over 24 hours, ICU stay over 7 day) regarding adult cardiac surgery field. Based on these risk model, we also established feedback system ; useful information for both program management and informed consent. In the next stage, we examined surgical performance including not only patient preoperative risk, but also structure and process of care. As for congenital heart surgery field, we developed risk-adjustment model and started to feedback benchmarking report.

Report

(3 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report

Research Products

(29 results)

All 2011 2010 2009 Other

All Journal Article Presentation Remarks

  • [Journal Article] 臨床データベースにおける科学的質の評価II:医療水準評価に用いるデータの信頼性と中立性2011

    • Author(s)
      宮田裕章, 友滝愛, 大久保豪, 本村昇, 村上新, 木内貴弘, 橋本英樹, 後藤満一, 岩中督
    • Journal Title

      外科治療 104(4)

      Pages: 381-386

    • Related Report
      2010 Final Research Report
  • [Journal Article] 社会医学領域における定性的研究の評価基準の活用の検討2011

    • Author(s)
      宮田裕章, 大久保豪, 吉江悟, 甲斐一郎
    • Journal Title

      日本衛生学雑誌 66(1)

      Pages: 83-94

    • NAID

      10029363894

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] ともに生きる医療を支える臨床データベース:現状と展望2011

    • Author(s)
      宮田裕章, 本村昇, 村上新, 後藤満一, 小野稔, 橋本英樹, 岩中督, 高本眞一
    • Journal Title

      Jpn Pharmacol Ther 39(supplement)

    • Related Report
      2010 Final Research Report
  • [Journal Article] 多施設共同大規模データベースの意義2011

    • Author(s)
      岩中督, 宮田裕章, 大久保豪
    • Journal Title

      日本臨牀 69(増刊3)

      Pages: 625-630

    • Related Report
      2010 Final Research Report
  • [Journal Article] Japan Cardiovascular Surgery Database.Risk models including high-risk cardiovascular procedures : clinical predictors of mortality and morbidity.2011

    • Author(s)
      Hiroaki Miyata, Noboru Motomura, Hiroyuki Tsukihara, Shinichi Takamoto
    • Journal Title

      Eur J Cardiothorac Surg 39(5)

      Pages: 667-674

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Japan Cardiovascular Surgery Database Organization. Age-specific risk stratification in 13488 isolated coronary artery bypass grafting procedures.2011

    • Author(s)
      Aya Saito, Noboru Motomura, Hiroaki Miyata, Shinichi Takamoto, Shunei Kyo, Minoru Ono
    • Journal Title

      Interact Cardiovasc Thorac Surg 12(4)

      Pages: 575-580

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Nationwide survey and establishment of a clinical database for gastrointestinal surgery in Japan : Targeting integration of a cancer registration system and improving the outcome of cancer treatment.2011

    • Author(s)
      Hiroyuki Suzuki, Mitsukazu Gotoh, Kenichi Sugihara, Yuko Kitagawa, Wataru Kimura, Satoshi Kondo, Mituso Shimada, Naohiro Tomita, Tohru Nakagoe, Hideki Hashimoto, Hideo Baba, Hiroaki Miyata, Noboru Motomura.
    • Journal Title

      Cancer Sci 102(1)

      Pages: 226-230

    • NAID

      10029289208

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Quantitative assessment of the advantages of laparoscopic gastrectomy and the impact of volume-related hospital characteristics on resource use and outcomes of gastrectomy patients in Japan.2011

    • Author(s)
      Kazuaki Kuwabara, Shinya Matsuda, Kiyohide Fushimi, Koichi B. Ishikawa, Hiromasa Horiguchi, Kenji Fujimori, Hideo Yasunaga, Hiroaki Miyata.
    • Journal Title

      Ann Surg 253(1)

      Pages: 64-70

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 臨床データベースにおける科学的質の評価I:医療水準を測定する枠組みの妥当性2011

    • Author(s)
      宮田裕章, 大久保豪, 友滝愛, 橋本英樹, 本村昇, 村上新, 後藤満一, 木内貴弘, 岩中督
    • Journal Title

      外科治療 104(2)

      Pages: 198-203

    • Related Report
      2010 Final Research Report
  • [Journal Article] Risk models including high risk cardiovascular procedures : clinical predictors of mortality and morbidity.2011

    • Author(s)
      Hiroaki Miyata, et al.
    • Journal Title

      Eur J Cardiothorac Surg

      Volume: Volume 39, Issue 5 Pages: 667-674

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cardiovascular Surgery Risk Prediction from the Patient Perspective.Journal of Cardiovascular and Thoracic Surgery2011

    • Author(s)
      Hiroaki Miyata, et al.
    • Journal Title

      J Thorac Cardiovasc Surg.

      Volume: (In press)(掲載確定)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Quantitative Assessment of the Advantages of Laparoscopic Gastrectomy and the Impact of Volume-Related Hospital Characteristics on Resource Use and Outcomes of Gastrectomy Patients in Japan.2011

    • Author(s)
      Kuwabara K, et al.
    • Journal Title

      Ann Surg

      Volume: 253 Pages: 64-70

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] AGE-SPECIFIC RISK STRATIFICATION IN 13488 ISOLATED CORONARY ARTERY BYPASS GRAFTING PROCEDURES.2011

    • Author(s)
      Saito A, et al.
    • Journal Title

      Interact CardioVasc Thorac Surg

      Volume: 12 Pages: 575-581

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 社会医学領域における定性的研究の評価基準の活用の検討2011

    • Author(s)
      宮田裕章, 他
    • Journal Title

      日本衛生学雑誌

      Volume: 66 Pages: 83-94

    • NAID

      10029363894

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Assessment of hospital performance with a case-mix standardized mortality model using an existing administrative database in Japan.2010

    • Author(s)
      Hiroaki Miyata, Hideki Hashimoto, Hiromasa Horiguchi, Kiyohide Fushimi, Shinya Matsuda.
    • Journal Title

      BMC Health Serv Res 10

      Pages: 130-130

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Japan Cardiovascular Surgery Database Organization. Risk model of valve surgery in Japan using the Japan Adult Cardiovascular Surgery Database.2010

    • Author(s)
      Noboru Motomura, Hiroaki Miyata, Hiroyuki Tsukihara, Shinichi Takamoto
    • Journal Title

      J Heart Valve Dis 19(6)

      Pages: 684-691

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 大規模臨床データベースの意義と展望2010

    • Author(s)
      宮田裕章, 後藤満一, 岩中督, 橋本英樹, 香坂俊, 本村昇, 村上新, 木内貴弘, 兼松隆之, 永井良三, 里見進, 杉原健一, 高本眞一
    • Journal Title

      外科治療 102(4)

      Pages: 332-339

    • Related Report
      2010 Final Research Report
  • [Journal Article] 臨床データベースの意義と展望(2):正当性と実現可能性の検証2010

    • Author(s)
      宮田裕章, 橋本英樹, 本村昇, 村上新, 木内貴弘, 後藤満一
    • Journal Title

      外科治療 102(5)

      Pages: 797-805

    • NAID

      40017117199

    • Related Report
      2010 Final Research Report
  • [Journal Article] Japan Cardiovascular Surgery Database Organization.Risk Model of Valve Surgery in Japan Using the Japan Adult Cardiovascular Surgery Database.2010

    • Author(s)
      Noboru Motomura, et al.
    • Journal Title

      J Heart Valve Dis.

      Volume: 19 Pages: 684-91

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reconsidering evaluation criteria for scientific adequacy in health care research : an integrative framework of quantitative and qualitative criteria.2009

    • Author(s)
      Hiroaki Miyata, Ichiro Kai.
    • Journal Title

      International Journal of Qualitative Methods 8(1)

      Pages: 64-75

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Toward quality improvement of cardiovascular surgery in Japan: an estimation of regionalization effects from a nationwide survey.2009

    • Author(s)
      Hiroaki Miyata, Noboru Motomura, Masaakira James Kondo, Kiyohide Fushimi, Koichi B. Ishikawa, Shinichi Takamoto.
    • Journal Title

      Health Policy 91(3)

      Pages: 246-251

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Toward quality improvement of thoracic aortic surgery : estimating volume-outcome effect from nationwide survey.2009

    • Author(s)
      Hiroaki Miyata, Noboru Motomura, Yuichi Ueda, Hiroyuki Tsukihara, Koichi Tabayashi, Shinichi Takamoto.
    • Journal Title

      Eur J Cardiothorac Surg 36(3)

      Pages: 517-521

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 日本の心臓外科医療の体制および臨床プロセスの現状成人心臓外科施設調査報告2009

    • Author(s)
      宮田裕章, 本村昇, 月原弘之, 入江嘉仁, 高本眞一
    • Journal Title

      日本心臓血管外科学会雑誌 38(3)

      Pages: 184-192

    • NAID

      130004548234

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Toward quality improvement of thoracic aortic surgery : estimating volume-outcome effect from nationwide survey2009

    • Author(s)
      Hiroaki Miyata
    • Journal Title

      Eur J Cardiothorac Surgery 36

      Pages: 517-21

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Toward quality improvement of cardiovascular surgery in Japan : An estimation of regionalization effects from a nationwide survey2009

    • Author(s)
      Hiroaki Miyata
    • Journal Title

      Health Policy 91

      Pages: 246-51

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reconsidering evaluation criteria for scientific adequacy in healthcare research : An integrative framework of quantitative and qualitative criteria2009

    • Author(s)
      Hiroaki Miyata
    • Journal Title

      International Journal of Qualitative Methods 8

      Pages: 64-75

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] Effects of the benchmarking project on outcomes of CABG surgery : challenges and prospects regarding quality improvement initiative in JAPAN.2010

    • Author(s)
      Hiroaki Miyata, et al.
    • Organizer
      American Heart Association : Quality of Care and Outcome Research in Cardiovascular Disease and Stroke Conference
    • Place of Presentation
      Washington D.C.
    • Year and Date
      2010-05-21
    • Related Report
      2010 Annual Research Report
  • [Presentation] Hospital Performance Assessment with Existing Administrative Database : Enhancement of Case-Mix In-Hospital Mortality Risk-Adjustment for Benchmarking2009

    • Author(s)
      Hiroaki Miyata
    • Organizer
      Academy Health
    • Place of Presentation
      Chicago, USA
    • Year and Date
      2009-06-29
    • Related Report
      2009 Annual Research Report
  • [Remarks] ホームページ等

    • Related Report
      2010 Final Research Report

URL: 

Published: 2009-03-31   Modified: 2016-04-21  

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