ArticleScientific reports2021
A nationwide survey on participation in cardiac rehabilitation among patients with coronary heart disease using health claims data in Japan.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- X-CircuiT and conventional exercise in home-based cardiac rehabilitation for patients with coronary artery disease and risk factors: a randomized controlled non-inferiority trial.Annals of medicine · 2025Trial
- Adoption of the cardiopulmonary exercise test in the exercise ability and cardiopulmonary function rehabilitation of coronary artery disease (CAD) patients.BMC cardiovascular disorders · 2024Trial
- A nationwide survey of medical resource usage for cancer treatment using Japanese health claims data from 2011 to 2022.Scientific reports · 2026Article
- Regional Disparities in Rehabilitation Resources and Service Provision for Older Adults in Secondary Healthcare Regions: Analysis of a Large Health Insurance Claim Database in Japan.Health services insights · 2026Article
- Effectiveness of Cardiopulmonary Exercise Testing as an Incentive to Enhance Outpatient Cardiac Rehabilitation Participation in Acute Coronary Syndrome Survivors: A Study Protocol for a Randomized Controlled Trial with Determinant Analysis.Journal of clinical medicine · 2026Article
- The Role of Dietary Education in Cardiac Rehabilitation.Nutrients · 2025Review
- Development and Validation of the CHD-PEBBS: A Scale to Assess Perceived Exercise Benefits and Barriers in Coronary Heart Disease Patients.Patient preference and adherence · 2025Article
- Regional Variation in End-of-life Care Just Before Death Among the Oldest Old in Japan: A Descriptive Study.Journal of epidemiology · 2024Article
- Literature Review of Studies Using the National Database of the Health Insurance Claims of Japan (NDB): Limitations and Strategies in Using the NDB for Research.JMA journal · 2024Review
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- Article
- A cross-sectoral approach to utilizing health claims data for quality assurance in medical rehabilitation: study protocol of a combined prospective longitudinal and retrospective cohort study.BMC health services research · 2023Article
- Hospital-Level Variation in Cardiac Rehabilitation After Myocardial Infarction in Japan During Fiscal Years 2014-2015 Using the National Database.Circulation reports · 2023Article
- Trends in cardiac rehabilitation rates among patients admitted for acute heart failure in Japan, 2009-2020.PloS one · 2023Article
- Study Design of the Japanese Association of Cardiac Rehabilitation Registry (J-CARRY) - Protocol for a Prospective, Multicenter, Open Registry.Circulation reports · 2022Article
- Rehabilitation services and related health databases, Japan.Bulletin of the World Health Organization · 2022Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Poor implementation and variable quality of cardiac rehabilitation (CR) for coronary heart disease (CHD) have been a global concern. This nationwide study aimed to clarify the implementation of and participation in CR among CHD patients and associated factors in Japan. We conducted a retrospective cohort study using data extracted from the National Database of Health Insurance Claims and Specific Health Checkups of Japan. Patients who underwent percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) in 2017-2018 were included. Aspects of CR were assessed in terms of (1) participation in exercise-based CR, (2) pharmacological education, and (3) nutritional education. Of 87,829 eligible patients, 32% had participated in exercise-based CR, with a mean program length of 40 ± 71 days. CABG was associated with higher CR participation compared to PCI (OR 10.2, 95% CI 9.6-10.8). Patients living in the Kyushu region were more likely to participate in CR (OR 2.59, 95% CI 2.39-2.81). Among patients who participated in CR, 92% received pharmacological education, whereas only 67% received nutritional education. In Japan, the implementation of CR for CHD is insufficient and involved varying personal, therapeutic, and geographical factors. CR implementation needs to be promoted in the future.
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