Differences between Korea and Japan in Physician Decision Making Regarding Permanent Pacemaker Implantation
Korean Circulation Journal
;
: 654-657, 2016.
Article
in English
| WPRIM
| ID: wpr-62509
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 ANDMETHODS:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pacemaker, Artificial
/
Sick Sinus Syndrome
/
Cardiology
/
Decision Making
/
Asian People
/
Atrioventricular Block
/
Japan
/
Korea
Type of study:
Practice guideline
/
Prognostic study
/
Qualitative research
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Korean Circulation Journal
Year:
2016
Type:
Article
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