Differences between Korea and Japan in Physician Decision Making Regarding Permanent Pacemaker Implantation
Korean Circulation Journal
; : 654-657, 2016.
Article
en En
| WPRIM
| ID: wpr-62509
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND AND OBJECTIVES: The number of permanent pacemakers (PPMs) implanted in patients in Japan and Korea differs significantly. We aimed to investigate the differences in decision making processes of implanting a PPM. MATERIALS AND METHODS: Our survey included 15 clinical case scenarios based on the 2008 AHA/ACC/HRS guidelines for device-based therapy of cardiac rhythm abnormalities (class unspecified). Members of the Korean and Japanese Societies of Cardiology were asked to rate each scenario according to a 5-point scale and to indicate their decisions for or against implantation. RESULTS: Eighty-nine Korean physicians and 192 Japanese physicians replied to the questionnaire. For the case scenarios in which there was a class I indication for PPM implantation, the decision to implant a PPM did not differ significantly between the two physician groups. However, the Japanese physicians were significantly more likely than the Korean physicians to choose implantation in class IIa scenarios (48% vs. 37%, p<0.001), class IIb scenarios (40% vs. 19%, p<0.001), and class III scenarios (36% vs. 18%, p<0.001). These results did not change when the cases were categorized based on disease entity, such as sinus node dysfunction and conduction abnormality. CONCLUSION: Korean physicians are less likely than Japanese physicians to favor a PPM implantation when considering a variety of clinical case scenarios, which probably contributes to the relatively small number of PPMs implanted in patients in Korea as compared with those in Japan.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Marcapaso Artificial
/
Síndrome del Seno Enfermo
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Cardiología
/
Toma de Decisiones
/
Pueblo Asiatico
/
Bloqueo Atrioventricular
/
Japón
/
Corea (Geográfico)
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Qualitative_research
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
Korean Circulation Journal
Año:
2016
Tipo del documento:
Article