Regional Disparities in Transvenous Lead Extraction for Cardiac Implantable Electronic Device Infection in Japanã- A Descriptive Study Using the National Database Open Data.
Circ J
; 87(7): 1000-1006, 2023 06 23.
Article
in En
| MEDLINE
| ID: mdl-37197942
ABSTRACT
BACKGROUND:
Because the penetration of transvenous lead extraction (TLE) for cardiac implantable electronic device (CIED) infection has not been investigated in Japan, we conducted a population-based, retrospective, descriptive study to evaluate regional disparities in the use of TLE for CIED infection and the potential undertreatment of CIED infection using a nationwide insurance claims database.MethodsâandâResults:
Patients who underwent CIED implantation or generator exchange and TLE between April 2018 and March 2020 were identified. Moreover, the penetration ratio of TLE for CIED infection in each prefecture was estimated. CIED implantation and TLE were most prevalent in the age categories of 80-89 years (40.3%) and 80-89 years (36.9%), respectively. There was no correlation between the number of CIED implantations and that of TLE (rho=-0.087, 95% confidence interval -0.374 to 0.211, P=0.56). The median penetration ratio was 0.00 (interquartile range 0.00-1.29). Of the 47 prefectures, 6, comprising Okinawa, Miyagi, Okayama, Fukuoka, Tokyo, and Osaka, showed a penetration ratio ≥2.00.CONCLUSIONS:
Our study data indicated great regional disparities in the penetration of TLE and potential undertreatment of CIED infection in Japan. Additional measures are needed to address these issues.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pacemaker, Artificial
/
Defibrillators, Implantable
/
Heart Diseases
Type of study:
Observational_studies
/
Risk_factors_studies
Aspects:
Equity_inequality
Limits:
Aged80
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Circ J
Journal subject:
ANGIOLOGIA
/
CARDIOLOGIA
Year:
2023
Document type:
Article