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Updated: Aug 20, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Study Design of the Japanese Association of Cardiac Rehabilitation Registry (J-CARRY) - Protocol for a Prospective,
Keisuke Kida1, Miho Nishitani-Yokoyama2, Kazunori Shimada2
1Department of Pharmacology, St. Marianna University School of Medicine Kawasaki Japan.
Insights
Cardiac rehabilitation (CR) is crucial for cardiovascular disease (CVD) management but is underutilized in Japan. The J-CARRY registry collects real-world data to assess CR
Area of Science:
- Cardiology
- Public Health
- Health Services Research
Background:
- Cardiovascular disease (CVD) guidelines strongly recommend cardiac rehabilitation (CR) due to proven effectiveness.
- Understanding and implementation of CR in Japan remain insufficient.
- A gap exists in real-world data on CR's current status and patient outcomes in Japan.
Purpose of the Study:
- To establish the Japanese Association of Cardiac Rehabilitation Registry (J-CARRY).
- To prospectively collect real-world data on patients undergoing Phase II CR in Japan.
- To evaluate the current status and prognosis of CVD patients receiving CR.
Main Methods:
- Prospective, multicenter observational registry.
- Data collection via an electronic data capture system.
- Inclusion of patient clinical background, CR details, mortality, and major adverse cardiac and cerebrovascular events.
Main Results:
- The J-CARRY registry commenced in May 2014.
- Anticipated expansion to over 30 medical institutions.
- Targeted enrollment exceeding 3,000 cases annually as of April 2022.
- Focus on late Phase II data collection represents a novel approach.
Conclusions:
- The J-CARRY registry aims to provide crucial real-world evidence on CR in Japan.
- Findings will inform future strategies for improving CVD patient outcomes.
- This initiative addresses the need for better CR dissemination and understanding.
Abstract:
Guidelines for the prevention and management of cardiovascular disease (CVD) highly recommend cardiac rehabilitation (CR) on the basis of abundant evidence of its effectiveness. However, the current understanding and dissemination of CR in Japan are far from sufficient. The Japanese Association of Cardiac Rehabilitation Registry (J-CARRY) is an academic society-led prospective multicenter observational registry conducted by the Registration and Facility Accreditation System Committee of the Japanese Association of Cardiac Rehabilitation. Data are collected prospectively using an electronic data capture system. Items related to patients' clinical background and CR, as well as mortality and major adverse cardiac and cerebrovascular events, will be collected in all cases. This Registry started in May 2014, and the number of participating medical institutions is expected to increase to >30; the targeted number of cases exceeded 3,000 per year as of April 30, 2022. Focusing on late Phase II data collection is a novel and significantly different approach compared with previous studies. The results of this study are currently under investigation. J-CARRY will provide real-world data regarding the current status and prognosis of CVD in patients who undergo Phase II CR in Japan.
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