Dataset Information

Differences between Korea and Japan in Physician Decision Making Regarding Permanent Pacemaker Implantation.

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.

SUBMITTER: Jang SW

PROVIDER: S-EPMC5054177 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature

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Publications

Differences between Korea and Japan in Physician Decision Making Regarding Permanent Pacemaker Implantation.

Jang Sung-Won SW Rho Robert W RW Kim Tae-Seok TS Kim Sung-Hwan SH Shin Woo-Seung WS Kim Ji-Hoon JH Oh Yong-Seog YS Lee Man Young MY Zen Eiwa E Rho Tai-Ho TH

Korean circulation journal 20160928 5

<h4>Background and objectives</h4>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.<h4>Materials and methods</h4>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 ra ...[more]

PMID: 27721856

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Dataset Information

Differences between Korea and Japan in Physician Decision Making Regarding Permanent Pacemaker Implantation.

Background and objectives

Materials and methods

Results

Conclusion

Publications

Differences between Korea and Japan in Physician Decision Making Regarding Permanent Pacemaker Implantation.

Similar Datasets

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