Developing Multidisciplinary Management of Heart Failure in the Super-Aging Society of Japan

The Japanese population is rapidly aging because of its long life expectancy and low birth rate; additionally, the number of patients with heart failure (HF) is increasing to the extent that HF is now considered a pandemic. According to a recent HF registry study, Japanese patients with HF have both...

Full description

Saved in:
Bibliographic Details
Published inCirculation Journal Vol. 88; no. 1; pp. 2 - 9
Main Authors Sato, Yukihito, Kuragaichi, Takashi, Nakayama, Hiroyuki, Hotta, Kozo, Nishimoto, Yuji, Kato, Takao, Taniguchi, Ryoji, Washida, Koichi
Format Journal Article
LanguageEnglish
Published Japan The Japanese Circulation Society 25.12.2023
Subjects
Aged
Aging
Cardiac Rehabilitation
Heart failure
Heart Failure - diagnosis
Heart Failure - epidemiology
Heart Failure - therapy
Humans
Japan - epidemiology
Long-term care
Nutritional support
Palliative care
Quality of Life
Japan
Heart failure
Palliative care
Long-term care
Cardiac rehabilitation
Nutritional support
Online AccessGet full text

Cover

Abstract The Japanese population is rapidly aging because of its long life expectancy and low birth rate; additionally, the number of patients with heart failure (HF) is increasing to the extent that HF is now considered a pandemic. According to a recent HF registry study, Japanese patients with HF have both medical and care-related problems. Although hospitalization is used to provide medical services, and institutionalization is used to provide care for frail older adults, it can be difficult to distinguish between them. In this context, multidisciplinary management of HF has become increasingly important in preventing hospital readmissions and maintaining a patient’s quality of life. Academia has promoted an increase in the number of certified HF nurses and educators. Researchers have issued numerous guidelines or statements on topics such as cardiac rehabilitation, nutrition, and palliative care, in addition to the diagnosis and treatment of acute and chronic HF. Moreover, the Japanese government has created incentives through various medical and long-term care systems adjustments to increase collaboration between these two fields. This review summarizes current epidemiological registries that focus not only on medical but also care-related problems and the 10 years of multidisciplinary management experience in Japanese medical and long-term care systems.
AbstractList The Japanese population is rapidly aging because of its long life expectancy and low birth rate; additionally, the number of patients with heart failure (HF) is increasing to the extent that HF is now considered a pandemic. According to a recent HF registry study, Japanese patients with HF have both medical and care-related problems. Although hospitalization is used to provide medical services, and institutionalization is used to provide care for frail older adults, it can be difficult to distinguish between them. In this context, multidisciplinary management of HF has become increasingly important in preventing hospital readmissions and maintaining a patient’s quality of life. Academia has promoted an increase in the number of certified HF nurses and educators. Researchers have issued numerous guidelines or statements on topics such as cardiac rehabilitation, nutrition, and palliative care, in addition to the diagnosis and treatment of acute and chronic HF. Moreover, the Japanese government has created incentives through various medical and long-term care systems adjustments to increase collaboration between these two fields. This review summarizes current epidemiological registries that focus not only on medical but also care-related problems and the 10 years of multidisciplinary management experience in Japanese medical and long-term care systems.
ArticleNumber CJ-22-0675
Author Nishimoto, Yuji
Kato, Takao
Sato, Yukihito
Taniguchi, Ryoji
Kuragaichi, Takashi
Hotta, Kozo
Washida, Koichi
Nakayama, Hiroyuki
Author_xml – sequence: 1
  fullname: Sato, Yukihito
  organization: Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center
– sequence: 2
  fullname: Kuragaichi, Takashi
  organization: Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center
– sequence: 3
  fullname: Nakayama, Hiroyuki
  organization: Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center
– sequence: 4
  fullname: Hotta, Kozo
  organization: Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center
– sequence: 5
  fullname: Nishimoto, Yuji
  organization: Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center
– sequence: 6
  fullname: Kato, Takao
  organization: Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine
– sequence: 7
  fullname: Taniguchi, Ryoji
  organization: Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center
– sequence: 8
  fullname: Washida, Koichi
  organization: Department of Nursing, Hyogo Prefectural Amagasaki General Medical Center
BackLink https://www.ncbi.nlm.nih.gov/pubmed/36567108$$D View this record in MEDLINE/PubMed
BookMark eNpFkM9PwjAYhhujEUHvnsyOXob9sW7t0aCIBOIBvZk0pXyDktHNdjPhv3cD1Eu_Hp73zfc9fXTuSgcI3RI8JJSzB2O92Q5H05jSGKcZP0NXhCVZnAiKzw__NJYiYT3UD2GLMZWYy0vUYylPM4LFFfp8gm8oysq6dTRvitqubDC2KqzTfh_NtdNr2IGrozKPJqB9HY21LRoPkXVRvYFo0VTg48d1V7AojYV637FTXWl3jS5yXQS4Oc0B-hg_v48m8ezt5XX0OIsN50kdS0owSMxWLNcmzRNpsBactwuuRK6ZlpJlmmSGgCQyFUB1vlxSxjBnucFtcIDuj72VL78aCLXatVdAUWgHZRMUzbhgPGFph-IjanwZgodcVd7u2lsVwapzqg5O1WiqKFWd0zZyd2pvljtY_QV-JbbA-AhsQ93q-gNaW9YUcGoUQpHu-W_-BzbaK3DsB3QjjkM
CitedBy_id crossref_primary_10_1253_circrep_CR_23_0059
crossref_primary_10_1186_s12877_023_04050_6
crossref_primary_10_24018_ejmed_2024_6_2_2038
Cites_doi 10.1016/S0002-9343(00)00743-9
10.1253/circj.CJ-19-0986
10.1161/CIRCHEARTFAILURE.119.006798
10.1371/journal.pone.0190979
10.1161/01.CIR.0000151811.53450.B8
10.1253/circj.CJ-19-0562
10.1002/ehf2.13363
10.1001/archinte.161.18.2223
10.1016/j.jacc.2021.01.030
10.1016/j.jjcc.2020.07.015
10.1253/circj.CJ-19-0670
10.1161/CIRCULATIONAHA.120.052737
10.1161/CIRCULATIONAHA.118.035858
10.1016/j.jjcc.2012.01.008
10.1186/1472-6963-12-237
10.1253/circrep.CR-20-0033
10.3390/ijerph17238916
10.1253/circrep.CR-20-0011
10.1161/JAHA.118.008687
10.1002/ejhf.1783
10.1536/ihj.54.382
10.1016/j.amjcard.2020.12.082
10.1186/1472-6963-14-351
10.1093/eurjcn/zvab105
10.1016/j.gheart.2019.07.004
10.1016/j.jchf.2015.06.017
10.1007/s00380-018-1133-5
10.1186/1472-6963-10-345
10.1016/j.ahj.2007.10.001
10.1016/j.ahj.2020.11.011
10.1253/circrep.CR-18-0006
10.1253/circj.CJ-21-0335
10.1016/j.ijnurstu.2011.11.002
10.1016/j.cardfail.2019.07.455
10.1056/NEJM199511023331806
10.1002/ejhf.765
10.1002/ejhf.1926
10.1536/ihj.19-313
10.1002/ehf2.12677
10.1111/ggi.14013
10.1371/journal.pone.0254019
10.1253/circj.CJ-19-0342
10.1016/j.archger.2013.08.010
10.1007/s13539-010-0008-0
10.1016/j.cjca.2020.01.006
10.1253/circj.CJ-19-0241
10.1016/S0195-668X(03)00112-X
10.1016/j.jacc.2021.03.232
10.1001/jama.291.11.1358
10.1007/s00380-017-1099-8
10.1253/circj.CJ-17-1386
10.1067/mhj.2001.117964
10.1016/S0140-6736(11)60828-3
10.1016/j.clnu.2008.06.013
10.1002/ehf2.14200
10.1536/ihj.21-102
10.1253/circj.CJ-20-1127
10.5334/ijic.988
10.1016/j.ahj.2020.09.009
10.1002/jpen.2118
10.1002/ejhf.568
10.1002/ejhf.2008
10.1016/j.jchf.2019.04.023
10.1016/j.ijcard.2021.08.041
10.1016/j.cardfail.2021.05.008
10.1253/circj.CJ-20-0322
10.1253/circj.CJ-13-0115
10.1002/ehf2.13898
10.1016/S0140-6736(11)61176-8
10.1253/circj.CJ-16-0914
10.1161/01.CIR.0000019067.99013.67
10.1253/circj.CJ-17-1305
ContentType Journal Article
Copyright 2024, THE JAPANESE CIRCULATION SOCIETY
Copyright_xml – notice: 2024, THE JAPANESE CIRCULATION SOCIETY
DBID CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7X8
DOI 10.1253/circj.CJ-22-0675
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
MEDLINE - Academic
DatabaseTitleList
MEDLINE
MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1347-4820
EndPage 9
ExternalDocumentID 10_1253_circj_CJ_22_0675
36567108
article_circj_88_1_88_CJ_22_0675_article_char_en
Genre Journal Article
Review
GeographicLocations Japan
GeographicLocations_xml – name: Japan
GroupedDBID ---
.55
29B
2WC
53G
5GY
5RE
6J9
ACGFO
ADBBV
AENEX
ALMA_UNASSIGNED_HOLDINGS
BAWUL
CS3
DIK
DU5
E3Z
EBS
EJD
F5P
GX1
JSF
JSH
KQ8
M~E
OK1
P2P
RJT
RNS
RZJ
TR2
W2D
X7M
XSB
ZXP
CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7X8
ID FETCH-LOGICAL-c554t-9210e903d3fac6f49c0a855710d8fa3a9937a17c1e91968e2afbb233053fc0903
ISSN 1346-9843
IngestDate Thu Jul 25 10:30:30 EDT 2024
Fri Aug 23 02:59:15 EDT 2024
Sat Nov 02 12:28:01 EDT 2024
Sun Jul 28 06:07:40 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Keywords Heart failure
Palliative care
Long-term care
Cardiac rehabilitation
Nutritional support
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c554t-9210e903d3fac6f49c0a855710d8fa3a9937a17c1e91968e2afbb233053fc0903
Notes ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
OpenAccessLink https://www.jstage.jst.go.jp/article/circj/88/1/88_CJ-22-0675/_article/-char/en
PMID 36567108
PQID 2758354360
PQPubID 23479
PageCount 8
ParticipantIDs proquest_miscellaneous_2758354360
crossref_primary_10_1253_circj_CJ_22_0675
pubmed_primary_36567108
jstage_primary_article_circj_88_1_88_CJ_22_0675_article_char_en
PublicationCentury 2000
PublicationDate 2023-Dec-25
PublicationDateYYYYMMDD 2023-12-25
PublicationDate_xml – month: 12
  year: 2023
  text: 2023-Dec-25
  day: 25
PublicationDecade 2020
PublicationPlace Japan
PublicationPlace_xml – name: Japan
PublicationTitle Circulation Journal
PublicationTitleAlternate Circ J
PublicationYear 2023
Publisher The Japanese Circulation Society
Publisher_xml – name: The Japanese Circulation Society
References 1. Ferreira JP, Kraus S, Mitchell S, Perel P, Piñeiro D, Chioncel O, et al. World Heart Federation roadmap for heart failure. Glob Heart 2019; 14: 197–214.
53. Suzuki M, Matsue Y, Izumi S, Kimura A, Hashimoto T, Otomo K, et al. Pharmacist-led intervention in the multidisciplinary team approach optimizes heart failure medication. Heart Vessels 2018; 33: 615–622.
9. Tamiya N, Noguchi H, Nishi A, Reich MR, Ikegami N, Hashimoto H, et al. Population ageing and wellbeing: Lessons from Japan’s long-term care insurance policy. Lancet 2011; 378: 1183–1192.
31. Kinugasa Y, Saitoh M, Ikegame T, Ikarashi A, Kadota K, Kamiya K, et al. Differences in priorities for heart failure management between cardiologists and general practitioners in Japan. Circ J 2021; 85: 1565–1574.
48. Rozentryt P, von Haehling S, Lainscak M, Nowak JU, Kalantar-Zadeh K, Polonski L, et al. The effects of a high-caloric protein-rich oral nutritional supplement in patients with chronic heart failure and cachexia on quality of life, body composition, and inflammation markers: A randomized, double-blind pilot study. J Cachexia Sarcopenia Muscle 2010; 1: 35–42.
64. Kaneko H, Itoh H, Kamiya K, Morita K, Sugimoto T, Konishi M, et al. Acute-phase initiation of cardiac rehabilitation and clinical outcomes in hospitalized patients for acute heart failure. Int J Cardiol 2021; 340: 36–41.
33. Washida K, Kato T, Ozasa N, Morimoto T, Yaku H, Inuzuka Y, et al. A comparison between hospital follow-up and collaborative follow-up in patients with acute heart failure. ESC Heart Fail 2023; 10: 353–365.
55. Phillips CO, Wright SM, Kern DE, Singa RM, Shepperd S, Rubin HR. Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure: A meta-analysis. JAMA 2004; 291: 1358–1367.
56. Nagata S, Tomura H, Murashima S. Expansion of discharge planning system in Japan: Comparison of results of a nationwide survey between 2001 and 2010. BMC Health Serv Res 2012; 12: 237.
10. Shiraishi Y, Kohsaka S, Sato N, Takano T, Kitai T, Yoshikawa T, et al. 9-Year trend in the management of acute heart failure in Japan: A report from the National Consortium of Acute Heart Failure Registries. J Am Heart Assoc 2018; 7: e008687.
28. Kuragaichi T, Kurozumi Y, Ohishi S, Sugano Y, Sakashita A, Kotooka N, et al. Nationwide survey of palliative care for patients with heart failure in Japan. Circ J 2018; 82: 1336–1343.
41. Riley JP, Astin F, Crespo-Leiro MG, Deaton CM, Kienhorst J, Lambrinou E, et al. Heart Failure Association of the European Society of Cardiology heart failure nurse curriculum. Eur J Heart Fail 2016; 18: 736–743.
54. Japanese Society of Hospital Pharmacists. Statement of pharmacological management of heart failure palliative care. https://www.jshp.or.jp/banner/guideline/20210916–1.pdf (accessed November 10, 2022).
40. Japanese Nursing Association. Certification in chronic HF nursing. https://www.jacn.jp/chronic/ (accessed November 10, 2022).
19. Rich MW, Beckham V, Wittenberg C, Leven CL, Freedland KE, Carney RM. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 1995; 333: 1190–1195.
66. Saijo T, Yasumoto K, Ohashi M, Momoki C, Habu D. Association between early enteral nutrition and clinical outcome in patients with severe acute heart failure who require invasive mechanical ventilation. J Parenter Enteral Nutr 2022; 46: 443–453.
25. Aamodt IT, Strömberg A, Hellesø R, Jaarsma T, Lie I. Tools to support self-care monitoring at home: Perspectives of patients with heart failure. Int J Environ Res Public Health 2020; 17: 8916.
8. Nishimoto Y, Kato T, Morimoto T, Taniguchi R, Yaku H, Inuzuka Y, et al. Public assistance in patients with acute heart failure: A report from the KCHF registry. ESC Heart Fail 2022; 9: 1920–1930.
29. Kamiya K, Yamamoto T, Tsuchihashi-Makaya M, Ikegame T, Takahashi T, Sato Y, et al. Nationwide survey of multidisciplinary care and cardiac rehabilitation for patients with heart failure in Japan: An analysis of the AMED-CHF Study. Circ J 2019; 83: 1546–1552.
50. Higashiguchi T. Effectiveness of nutrition support teams and future outlook in an aging society. Nihon Geka Gakkai Zasshi 2016; 117: 204–211 (in Japanese).
61. Iwata E, Kondo T, Kato T, Okumura T, Nishiyama I, Kazama S, et al. Prognostic value of delirium in patients with acute heart failure in the intensive care unit. Can J Cardiol 2020; 36: 1649–1657.
46. Evans WJ, Morley JE, Argilés J, Bales C, Baracos V, Guttridge D, et al. Cachexia: A new definition. Clin Nutr 2008; 27: 793–799.
78. Mizukawa M, Moriyama M, Yamamoto H, Rahman MM, Naka M, Kitagawa T, et al. Nurse-led collaborative management using telemonitoring improves quality of life and prevention of rehospitalization in patients with heart failure. Int Heart J 2019; 60: 1293–1302.
59. Kamiya K, Sato Y, Takahashi T, Tsuchihashi-Makaya M, Kotooka N, Ikegame T, et al. Multidisciplinary cardiac rehabilitation and long-term prognosis in patients with heart failure. Circ Heart Fail 2020; 13: e006798.
38. Stewart S, Horowitz JD. Home-based intervention in congestive heart failure: Long-term implications on readmission and survival. Circulation 2002; 105: 2861–2866.
60. Kitagawa T, Oda N, Mizukawa M, Hidaka T, Naka M, Nakayama S, et al. Hospitalization and medical cost of patients with elevated serum N-terminal pro-brain natriuretic peptide levels. PLoS One 2018; 13: e0190979.
77. Kotooka N, Kitakaze M, Nagashima K, Asaka M, Kinugasa Y, Nochioka K, et al. The first multicenter, randomized, controlled trial of home telemonitoring for Japanese patients with heart failure: Home telemonitoring study for patients with heart failure (HOMES-HF). Heart Vessels 2018; 33: 866–876.
80. Umegaki H, Yanagawa M, Nonogaki Z, Nakashima H, Kuzuya M, Endo H. Burden reduction of caregivers for users of care services provided by the public long-term care insurance system in Japan. Arch Gerontol Geriatr 2014; 58: 130–133.
71. Nishi K, Sato Y, Miyamoto T, Toma M, Taniguchi R, Fukuhara R, et al. Intermittent infusions of carperitide or inotoropes in out-patients with advanced heart failure. J Cardiol 2012; 59: 366–373.
5. Kuwabara M, Mori M, Komoto S. Japanese National Plan for Promotion of Measures Against Cerebrovascular and Cardiovascular Disease. Circulation 2021; 143: 1929–1931.
16. Takabayashi K, Fujita R, Iwatsu K, Ikeda T, Morikami Y, Ichinohe T, et al. Impact of home- and community-based services in the long-term care insurance system on outcomes of patients with acute heart failure: Insights from the Kitakawachi Clinical Background and Outcome of Heart Failure registry. Geriatr Gerontol Int 2020; 20: 967–973.
58. Tsuchihashi-Makaya M, Matsuo H, Kakinoki S, Takechi S, Kinugawa S, Tsutsui H; J-HOMECARE Investigators. Home-based disease management program to improve psychological status in patients with heart failure in Japan. Circ J 2013; 77: 926–933.
15. Obata H, Izumi T, Yamashita M, Mitsuma W, Suzuki K, Noto S, et al. Characteristics of elderly patients with heart failure and impact on activities of daily living: A registry report from super-aged society. J Card Fail 2021; 27: 1203–1213.
24. Kato N, Kinugawa K, Nakayama E, Tsuji T, Kumagai Y, Imamura T, et al. Insufficient self-care is an independent risk factor for adverse clinical outcomes in Japanese patients with heart failure. Int Heart J 2013; 54: 382–389.
26. Heart Failure Diary. Japanese Heart Failure Society. http://asas.or.jp/jhfs/topics/shinhuzentecho.html (accessed November 10, 2022).
81. Japanese Circulation Association. https://j-circ-assoc.or.jp/ (accessed November 10, 2022).
43. Taylor RS, Long L, Mordi IR, Madsen MT, Davies EJ, Dalal H, et al. Exercise-based rehabilitation for heart failure: Cochrane systematic review, meta-analysis, and trial sequential analysis. JACC Heart Fail 2019; 7: 691–705.
23. Jaarsma T, Hill L, Bayes-Genis A, La Rocca HB, Castiello T, Čelutkienė J, et al. Self-care of heart failure patients: Practical management recommendations from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2021; 23: 157–174.
79. Miyoshi A, Nishii N, Okamoto Y, Fujita S, Kawamoto K, Okawa K, et al. Lifestyle modification or medication to improve condition of patients with asymptomatic heart failure: Monitoring and management of OptiVol Alert to Reduce Heart Failure Hospitalization II (MOMOTARO II) Study. Circ J 2020; 84: 456–462.
17. Matsue Y, Kamiya K, Saito H, Saito K, Ogasahara Y, Maekawa E, et al. Prevalence and prognostic impact of the coexistence of multiple frailty domains in elderly patients with heart failure: The FRAGILE-HF cohort study. Eur J Heart Fail 2020; 22: 2112–2119.
32. Isobe Group. Guidebook on heart failure treatment for general practitioners and medical care staff. https://plaza.umin.ac.jp/isobegroup/ (accessed November 10, 2022).
49. Hersberger L, Dietz A, Bürgler H, Bargetzi A, Bargetzi L, Kägi-Braun N, et al. Individualized nutritional support for hospitalized patients with chronic heart failure. J Am Coll Cardiol 2021; 77: 2307–2319.
68. Ministry of Health, Labour and Welfare, Japan. Vital statistics of Japan. 2019. https://www.mhlw.go.jp/english/database/db-hw/index.html (accessed October 14, 2021).
34. Lambrinou E, Kalogirou F, Lamnisos D, Sourtzi P. Effectiveness of heart failure management programmes with nurse-led discharge planning in reducing re-admissions: A systematic review and meta-analysis. Int J Nurs Stud 2012; 49: 610–624.
36. Koelling TM, Johnson ML, Cody RJ, Aaronson KD. Discharge education improves clinical outcomes in patients with chronic heart failure. Circulation 2005; 111: 179–185.
35. Van Spall HGC, Rahman T, Mytton O, Ramasundarahettige C, Ibrahim Q, Kabali C, et al. Comparative effectiveness of transitional care services in patients discharged from the hospital with heart failure: A systematic review and network meta-analysis. Eur J Heart Fail 2017; 19: 1427–1443.
51. Yamamoto K, Tsuchihashi-Makaya M, Kinugasa Y, Iida Y, Kamiya K, Kihara Y, et a
44
45
46
47
48
49
50
51
52
53
10
54
11
55
12
56
13
57
14
58
15
59
16
17
18
19
1
2
3
4
5
6
7
8
9
60
61
62
63
20
64
21
65
22
66
23
67
24
68
25
69
26
27
28
29
70
71
72
73
30
74
31
75
32
76
33
77
34
78
35
79
36
37
38
39
80
81
40
41
42
43
References_xml – ident: 21
  doi: 10.1016/S0002-9343(00)00743-9
– ident: 79
  doi: 10.1253/circj.CJ-19-0986
– ident: 59
  doi: 10.1161/CIRCHEARTFAILURE.119.006798
– ident: 68
– ident: 60
  doi: 10.1371/journal.pone.0190979
– ident: 36
  doi: 10.1161/01.CIR.0000151811.53450.B8
– ident: 3
  doi: 10.1253/circj.CJ-19-0562
– ident: 18
  doi: 10.1002/ehf2.13363
– ident: 20
  doi: 10.1001/archinte.161.18.2223
– ident: 44
  doi: 10.1016/j.jacc.2021.01.030
– ident: 27
  doi: 10.1016/j.jjcc.2020.07.015
– ident: 45
  doi: 10.1253/circj.CJ-19-0670
– ident: 5
  doi: 10.1161/CIRCULATIONAHA.120.052737
– ident: 2
  doi: 10.1161/CIRCULATIONAHA.118.035858
– ident: 71
  doi: 10.1016/j.jjcc.2012.01.008
– ident: 56
  doi: 10.1186/1472-6963-12-237
– ident: 65
  doi: 10.1253/circrep.CR-20-0033
– ident: 25
  doi: 10.3390/ijerph17238916
– ident: 26
– ident: 14
  doi: 10.1253/circrep.CR-20-0011
– ident: 10
  doi: 10.1161/JAHA.118.008687
– ident: 72
  doi: 10.1002/ejhf.1783
– ident: 24
  doi: 10.1536/ihj.54.382
– ident: 67
  doi: 10.1016/j.amjcard.2020.12.082
– ident: 57
  doi: 10.1186/1472-6963-14-351
– ident: 37
  doi: 10.1093/eurjcn/zvab105
– ident: 1
  doi: 10.1016/j.gheart.2019.07.004
– ident: 70
  doi: 10.1016/j.jchf.2015.06.017
– ident: 77
  doi: 10.1007/s00380-018-1133-5
– ident: 50
– ident: 30
– ident: 54
– ident: 76
  doi: 10.1186/1472-6963-10-345
– ident: 22
  doi: 10.1016/j.ahj.2007.10.001
– ident: 62
  doi: 10.1016/j.ahj.2020.11.011
– ident: 13
  doi: 10.1253/circrep.CR-18-0006
– ident: 31
  doi: 10.1253/circj.CJ-21-0335
– ident: 34
  doi: 10.1016/j.ijnurstu.2011.11.002
– ident: 52
  doi: 10.1016/j.cardfail.2019.07.455
– ident: 19
  doi: 10.1056/NEJM199511023331806
– ident: 40
– ident: 35
  doi: 10.1002/ejhf.765
– ident: 17
  doi: 10.1002/ejhf.1926
– ident: 78
  doi: 10.1536/ihj.19-313
– ident: 69
  doi: 10.1002/ehf2.12677
– ident: 16
  doi: 10.1111/ggi.14013
– ident: 42
  doi: 10.1371/journal.pone.0254019
– ident: 4
  doi: 10.1253/circj.CJ-19-0342
– ident: 80
  doi: 10.1016/j.archger.2013.08.010
– ident: 48
  doi: 10.1007/s13539-010-0008-0
– ident: 81
– ident: 61
  doi: 10.1016/j.cjca.2020.01.006
– ident: 29
  doi: 10.1253/circj.CJ-19-0241
– ident: 39
  doi: 10.1016/S0195-668X(03)00112-X
– ident: 49
  doi: 10.1016/j.jacc.2021.03.232
– ident: 55
  doi: 10.1001/jama.291.11.1358
– ident: 53
  doi: 10.1007/s00380-017-1099-8
– ident: 11
  doi: 10.1253/circj.CJ-17-1386
– ident: 6
  doi: 10.1067/mhj.2001.117964
– ident: 7
  doi: 10.1016/S0140-6736(11)60828-3
– ident: 46
  doi: 10.1016/j.clnu.2008.06.013
– ident: 33
  doi: 10.1002/ehf2.14200
– ident: 47
  doi: 10.1536/ihj.21-102
– ident: 74
  doi: 10.1253/circj.CJ-20-1127
– ident: 75
  doi: 10.5334/ijic.988
– ident: 63
  doi: 10.1016/j.ahj.2020.09.009
– ident: 73
– ident: 66
  doi: 10.1002/jpen.2118
– ident: 41
  doi: 10.1002/ejhf.568
– ident: 23
  doi: 10.1002/ejhf.2008
– ident: 32
– ident: 43
  doi: 10.1016/j.jchf.2019.04.023
– ident: 64
  doi: 10.1016/j.ijcard.2021.08.041
– ident: 15
  doi: 10.1016/j.cardfail.2021.05.008
– ident: 51
  doi: 10.1253/circj.CJ-20-0322
– ident: 58
  doi: 10.1253/circj.CJ-13-0115
– ident: 8
  doi: 10.1002/ehf2.13898
– ident: 9
  doi: 10.1016/S0140-6736(11)61176-8
– ident: 12
  doi: 10.1253/circj.CJ-16-0914
– ident: 38
  doi: 10.1161/01.CIR.0000019067.99013.67
– ident: 28
  doi: 10.1253/circj.CJ-17-1305
SSID ssj0029059
Score 2.455641
SecondaryResourceType review_article
Snippet The Japanese population is rapidly aging because of its long life expectancy and low birth rate; additionally, the number of patients with heart failure (HF)...
SourceID proquest
crossref
pubmed
jstage
SourceType Aggregation Database
Index Database
Publisher
StartPage 2
SubjectTerms Aged
Aging
Cardiac Rehabilitation
Heart failure
Heart Failure - diagnosis
Heart Failure - epidemiology
Heart Failure - therapy
Humans
Japan - epidemiology
Long-term care
Nutritional support
Palliative care
Quality of Life
Title Developing Multidisciplinary Management of Heart Failure in the Super-Aging Society of Japan
URI https://www.jstage.jst.go.jp/article/circj/88/1/88_CJ-22-0675/_article/-char/en
https://www.ncbi.nlm.nih.gov/pubmed/36567108
https://search.proquest.com/docview/2758354360
Volume 88
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX Circulation Journal, 2023/12/25, Vol.88(1), pp.2-9
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3db9MwELfKQIiXiW86PmQkXlCVkthO4jyhqTCqovFCJxUJKXIcZ8smmqlLHra_iz-Qs-M4GRsSg5eotZzk7N8v9p1950PojQozyURMvCiJmMdy_c1RvctOfND2VV4wc1j1_pdofsAWq3A1Gv0ceC01dTaVF9fGlfwLqlAGuOoo2Rsg6x4KBfAb8IUrIAzXv8L4Qx_xZAJpL4XY9o4tZrEeGF1P9kSp3dA758avzanaeLsmT1Hnvgl1FzCBroda66zcSJvmq9u_diszwuRhmnxrTsojGB0GW0PiUJTS5AyeLMWJTtrkVp7h77n4YfTWebmpzuFmx6-qbhXaz9VFNVyTIFT7d7Txy1MX1aZFVWdqMhTRNmUw3lIWeQlvT2qaqq4s9hgn_nCQ5vwKGe2IO5i6k2vnBGISe0gQ43g6W3hgfGsrqZ__nFeixTE1VVPO00BfZouUkFTfkroKR2ID_LuFbuvjF3XGhk8r51hEEt-k6HNNs5vjIMa734W4pAzdOQZ74FD92dQxKs_yPtq2SOPdVp4HaKTWD9HdfeuN8Qh97_mHr_AP9_zDVYEN_7DlHy7XGPiHB_zDFjRd14D6GB3sfVzO5p7N1uFJUElrLyGBrxKf5rQQMipYIn3BwxA02JwXggqtCIsgloFKYNTniogiywiF-YYWUq8WPkFb62qtniEcR0LyvKBJJOE5Bc9CP5JxzopAsVCKfIzedt2WnraHsqTamIUutuD1oI3R-7ZfXc2bwjxGrztAUhh79YYaMLtqzlICxjYNGY38MXraIuXeQsFQgrbznf9-_3N0r__GXqCtetOol6AJ19krQ7xfFN-8NQ
link.rule.ids 314,780,784,27924,27925
linkProvider Geneva Foundation for Medical Education and Research
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Developing+Multidisciplinary+Management+of+Heart+Failure+in+the+Super-Aging+Society+of+Japan&rft.jtitle=Circulation+Journal&rft.au=Sato%2C+Yukihito&rft.au=Kuragaichi%2C+Takashi&rft.au=Nakayama%2C+Hiroyuki&rft.au=Hotta%2C+Kozo&rft.date=2023-12-25&rft.pub=The+Japanese+Circulation+Society&rft.issn=1346-9843&rft.eissn=1347-4820&rft.volume=88&rft.issue=1&rft.spage=2&rft.epage=9&rft_id=info:doi/10.1253%2Fcircj.CJ-22-0675&rft.externalDocID=article_circj_88_1_88_CJ_22_0675_article_char_en
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1346-9843&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1346-9843&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1346-9843&client=summon