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| Name | Class |
|---|---|
| Ministry of Health, Labour and Welfare, Japan | OTHER_GOV |
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It has been reported that stroke is the first cause of becoming bedridden, and its cumulative recurrence rate in 5 years is approximately 35%. There is a high probability that patients reduce or discontinue medications by self-determination, leading to a high risk of stroke recurrence in these patients. Comprehensive and long-term patient educations ameliorating their self-management are important making patients possible to be managed according to the guidelines for their risk factors. Using disease management programs created for each of risk factors according to clinical practice guidelines, the influence of those programs were evaluated for the prevention of stroke recurrence in this Disease Management Program Stroke Trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| usual care | Active Comparator | usual care group receive regular outpatient treatment |
|
| disease management | Experimental | desease management program include self management education by nurse on 6months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| disease management | Other | disease management program include self management education |
|
| Measure | Description | Time Frame |
|---|---|---|
| Framingham Risk Score: general cardiovascular disease 10 year risk | Use score of Framingham Risk Score: general cardiovascular disease 10 year risk | 2.5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative incidence rate of stroke recurrence and the complication (cardiovascular disease) | Questionnaire to a patient, and checking it by a nurse | 2.5 years |
| All-cause mortality | Questionnaire to a patient, and checking it by a nurse |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michiko Moriyama, RN, PhD. | Hiroshima University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hiroshima University | Hiroshima | Hiroshima | 734-8553 | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34813082 | Derived | Crocker TF, Brown L, Lam N, Wray F, Knapp P, Forster A. Information provision for stroke survivors and their carers. Cochrane Database Syst Rev. 2021 Nov 23;11(11):CD001919. doi: 10.1002/14651858.CD001919.pub4. | |
| 30802185 | Derived | Fukuoka Y, Hosomi N, Hyakuta T, Omori T, Ito Y, Uemura J, Yagita Y, Kimura K, Matsumoto M, Moriyama M; for DMP Stroke Trial Investigators. Effects of a Disease Management Program for Preventing Recurrent Ischemic Stroke. Stroke. 2019 Mar;50(3):705-712. doi: 10.1161/STROKEAHA.118.020888. |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D019468 | Disease Management |
| ID | Term |
|---|---|
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
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| usual care | Other | usual care group receive regular outpatient treatment |
|
| 2.5 years |
| body weight | Questionnaire to a patient | 2.5 years |
| body mass index | Calculation of height and the weight of the patient | 2.5 years |
| blood pressure | Questionnaire to a patient | 2.5 years |
| cholesterol | total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglyceride The patient mails the copy of the blood test result | 2.5 years |
| serum creatinine | The patient mails the copy of the blood test result | 2.5 years |
| blood urea nitrogen | The patient mails the copy of the blood test result | 2.5 years |
| glycated hemoglobin (HbA1c) | The patient mails the copy of the blood test result | 2.5 years |
| blood glucose | The patient mails the copy of the blood test result | 2.5 years |
| prothronbin time international rate | only as for the necessary paticipant The patient mails the copy of the blood test result | 2.5 years |
| Mental Depression degree | Using score of The Center for Epidemiologic Depression Scale (CES-D) | 2.5 years |
| self-efficacy degree | Using score of self-efficacy scale on health behavior in patient with chronic disease | 2.5 years |
| Qiality of Life (QOL) degree | Using score of MOS 36-item short form (SF-36) | 2.5 years |
| Evaluated subject frequency of checking blood pressure | Questionnaire to a patient | 2.5 years |
| Evaluated subject frequency of taking medicine | Questionnaire to a patient | 2.5 years |
| Evaluated subject frequency of keeping the prescribed diet | Questionnaire to a patient | 2.5 years |
| Evaluated subject frequency of exercising | Questionnaire to a patient | 2.5 years |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |