Current Trends in Lifestyle-Related Disease Management by General Practitioners: A Report from the "Heart Care Network" Groups

被引：1

作者：

Daida, Hiroyuki ^{[1
]}

Kasai, Takatoshi

Takahashi, Junichiro ^{[2
]}

Suzuki, Shinichiro ^{[2
]}

Okuno, Kazuyoshi ^{[2
]}

Funayama, Naoki ^{[3
]}

Kadono, Yutaka ^{[3
]}

Aoki, Shin ^{[3
]}

Oimatsu, Hiroshi ^{[4
]}

Mukaida, Harumi ^{[5
]}

Adachi, Toshiyuki ^{[5
]}

Ogyu, Naoyuki ^{[5
]}

Suzuki, Tomomi ^{[6
]}

Ninomiya, Kazumi ^{[6
]}

Kaneko, Hirozumi ^{[6
]}

Ichuhara, Toshikatsu ^{[7
]}

Saito, Tomiyoshi ^{[8
]}

Saito, Tsuneyoshi ^{[8
]}

Sato, Yoshio ^{[8
]}

Tsukahara, Yasunori ^{[8
]}

Utsunomiya, Hidetoshi ^{[8
]}

Oki, Kiyoshi ^{[9
]}

Ota, Tadashi ^{[9
]}

Maezawa, Hirotada ^{[9
]}

Murata, Minoru ^{[10
]}

Morooka, Nobuhiro ^{[10
]}

Yokozuka, Hitoshi

Seki, Takao

Ichukawa, Shuichi ^{[11
]}

Takayama, Yoshiaki ^{[11
]}

Kawashima, Takashi ^{[11
]}

Kogure, Masami ^{[11
]}

Kobayashi, Nobuyuki

Fukushima, Hiroki

Arisaka, Minoru

Okabe, Masaaki

Kitamura, Yuya

Itakura, Kyotsu

Nagao, Masanosuke

Nakajima, Shigeru

Yoshioka, Mitsuaki ^{[12
]}

Takahashi, Keiichi ^{[12
]}

Takano, Satoshi ^{[12
]}

Misawa, Tetsuji

Okudaira, Sadahide

Toba, Kenji

Mizoue, Nagao

Miyazawa, Ken

Yokoyama, Tetsuo

Miyazaki, Akira

机构：

[1] Juntendo Univ, Sch Med, Dept Cardiol, Bunkyo Ku, Tokyo 1138421, Japan

[2] HCN Ebetsu Sapporo, Sapporo, Hokkaido, Japan

[3] HCN Sapporo, Sapporo, Hokkaido, Japan

[4] HCN Hakodate, Hakodate, Hokkaido, Japan

[5] HCN Hachinohe, Hachinohe, Aomori, Japan

[6] HCN Morioka, Morioka, Iwate, Japan

[7] HCN Iwaki, Iwaki, Fukushima, Japan

[8] HCN Shirakawa, Shirakawa, Japan

[9] HCN Koga, Koga, Japan

[10] HCN Mito, Mito, Ibaraki, Japan

[11] HCN Gunma, Gunma, Japan

[12] HCN Joetsu, Joetsu, Niigata, Japan

[13] HCN Soka Yashio, Yashio, Saitama, Japan

[14] HCN Shibuya, Shibuya, Tokyo, Japan

[15] HCN Yokohama Aoba, Yokohama, Kanagawa, Japan

[16] HCN Minami Yokohama, Yokohama, Kanagawa, Japan

[17] HCN Sagami, Sagami, Japan

[18] HCN Hamamatsu, Hamamatsu, Shizuoka, Japan

[19] HCN Higashi Mikawa, Mikawa, Yamagata, Japan

[20] HCN Matsusaka, Matsusaka, Japan

[21] HCN Fushimi, Fushimi, Kyoto, Japan

[22] HCN Uji Fushimi, Fushimi, Japan

[23] HCN Otsu, Otsu, Shiga, Japan

[24] HCN Noto, Noto, Ishikawa, Japan

[25] HCN Fukui, Fukui, Japan

[26] HCN Higashi Yodogawa, Yodogawa, Japan

[27] HCN Osaka, Osaka, Japan

[28] HCN Higashi Osaka, Osaka, Japan

[29] HCN Hokusetsu, Hokusetsu, Japan

[30] HCN Kishiwada, Kishiwada, Japan

[31] HCN Wakayama, Wakayama, Japan

[32] HCN Kobe, Kobe, Hyogo, Japan

[33] HCN Himeji, Himeji, Hyogo, Japan

[34] HCN Ehime, Ehime, Japan

[35] HCN Mitoyo Kanonji, Kanonji, Japan

[36] HCN Tokushima, Tokushima, Japan

[37] HCN Kochi, Kochi, Japan

[38] HCN Okayama, Okayama, Japan

[39] HCN Kurashiki, Kurashiki, Okayama, Japan

[40] HCN Tottri, Tottri, Japan

[41] HCN Izumo, Izumo, Shimane, Japan

[42] HCN Matsue, Matsue, Shimane, Japan

[43] HCN Hagi, Hagi, Japan

[44] HCN Tokuyama, Tokuyama, Yamaguchi, Japan

[45] HCN Fukuoka, Fukuoka, Japan

[46] HCN Chikuho, Chikuho, Fukuoka, Japan

[47] HCN Omuta, Omuta, Japan

[48] HCN Nagasaki, Nagasaki, Japan

[49] HCN Kumamoto, Kumamoto, Japan

[50] HCN Kagoshima, Kagoshima, Japan

来源：

JOURNAL OF ATHEROSCLEROSIS AND THROMBOSIS | 2009年 / 16卷 / 06期

关键词：

Coronary heart disease; Hypertension; Hyperlipidemia; Diabetes mellitus; RISK-FACTORS; HYPERTENSION; GUIDELINE; DIAGNOSIS; MORTALITY; LOSARTAN;

D O I：

暂无

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Aims: In Japan, it is believed that guidelines for lifestyle-related disease are used in routine clinical practice, however, there are few reports on the actual rate of healthcare conducted in accordance with these guidelines by general practitioners and on their usefulness in preventing cardiovascular events. Therefore, the Heart Care Network (HCN) groups were organized mainly by general practitioners treating lifestyle diseases in 62 areas of Japan. Methods: The HCN has collected data on lifestyle diseases in high-risk patients in routine practices and investigated management conditions, guideline target achievement rates and medication. Additionally, the incidence of cardiovascular events was assessed. Results: We analyzed 14,064 cases. The lipid profile, blood pressure, glycemic control were significantly improved over the 3 years. The incidence of cardiovascular events were significantly reduced by the achievement of target LDL cholesterol, systolic blood pressure and hemoglobin A1c and even after adjustment for age, gender, history of myocardial infarction, the reduction of these lifestyle-related parameters remains significant. Conclusion: These results revealed the current trends in the healthcare activities of general practitioners, the management conditions for lifestyle diseases in CHD high-risk patients and their effects on reducing cardiovascular events.

引用

页码：799 / 806

页数：8

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