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January 1, 2021Journal of St Marianna UniversityOpen Access

Trends in Surgical Treatment for Valvular Heart Disease in Japan

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Why the study?

The prevalence of valvular heart disease has been increasing recently, prompting an investigation into surgical treatment trends in Japan.

Population

Patients undergoing surgical treatment for valvular heart disease from 1998 to 2017 in Japan

Comparison

Trends in surgical treatment over 20 years

Design

Registry-based survey study

Authors

TKTeruyuki KoyamaKameda Medical Center

Discussion

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Implication

Rising valvular surgery volumes with declining mortality may guide resource planning; leaves open causal factors in this observational cohort.

Structured PICO

P
Population
Patients undergoing surgical treatment for valvular heart disease in Japan between 1998 and 2017, based on data from the Japanese Association for Thoracic Surgery (JATS) annual reports and the Japanese Registry of All Cardiac and Vascular Diseases (JROAD).
I
Intervention
Surgical treatment for valvular heart disease, including valve replacement (mechanical and bioprosthesis), valve repair, and transcatheter aortic valve implantation (TAVI).
O
Outcome
Trends in the number of surgeries, types of procedures, 30-day mortality rate, and hospital mortality rate.hard clinical

Over a 20-year period in Japan, surgical treatments for valvular heart disease increased significantly with a strong shift toward bioprostheses and valve repair, while maintaining excellent and improving short-term mortality rates.

Limitations

  • The relationship between predicted mortality and actual mortality, along with mortality by age, could not be examined using the data collected.

Cite This Study

Teruyuki Koyama (2021) studied this question.

synapsesocial.com/papers/6a1d110f1c2cbcb15c5db57fhttps://doi.org/10.17264/stmarieng.12.19
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Thoracic and cardiovascular surgery in Japan during 20122014 · 158 citations
  2. 2Aortic valve reconstruction using self-developed aortic valve plasty system in aortic valve disease2011 · 244 citations
  3. 3Thoracic and cardiovascular surgeries in Japan during 20172020 · 165 citations
  4. 4Trends and outcomes of valve surgery: 16-year results of Netherlands Cardiac Surgery National Database†2014 · 77 citations
  5. 5Aortic Valve Reconstruction Using Autologous Pericardium for Aortic Stenosis2015 · 81 citations