Document Detail


The education system to master endovascular aortic repair in Japan - the Japanese Committee for Stentgraft Management.
MedLine Citation:
PMID:  20153224     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The Japanese Committee for Stentgraft Management (JACSM) was established with the aim of ensuring the safe and proper reach of commercial stent grafts following their regulatory approval. This study examines the validity of the practice standards developed by JACSM. METHODS: JACSM comprises 10 associations related to endovascular treatment. Based on the practice standards developed by JACSM, the status of practising institutions, practising surgeons, supervising surgeons and the results of follow-up surveys were analysed. RESULTS: In the 2.5 years following the establishment of JACSM, 298 institutions have fulfilled the practice standards. The number of practising surgeons reached 493, and the number of supervising surgeons reached 177. There were 3089 registered cases up to June 2009. The present study analysed 1570 cases registered in the 2 years from July 2006 to June 2008. The hospital mortality rate was low (0.4%) in the follow-up surveys. CONCLUSIONS: Early results following the introduction of stent grafts were generally good. The procedure spread safely without the learning curve seen in the initial stages following introduction of new medical materials, indicating that the practice standards were appropriate.
Authors:
Y Obitsu; S Ishimaru; H Shigematsu
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Publication Detail:
Type:  Journal Article     Date:  2010-02-11
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  39 Suppl 1     ISSN:  1532-2165     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-15     Completed Date:  2010-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  S5-9     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan. obitsu@tokyo-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal / mortality,  radiography,  surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation* / education,  instrumentation,  mortality,  standards
Clinical Competence* / standards
Device Approval
Education, Medical, Graduate* / standards
Female
Health Care Surveys
Hospital Mortality
Humans
Japan
Male
Middle Aged
Outcome and Process Assessment (Health Care)* / standards
Practice Guidelines as Topic
Prosthesis Design
Quality Indicators, Health Care* / standards
Registries
Stents*
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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