48th JHEP conference 2020
Comprehensive Risk Management Chart for the Prevention of Cerebrocardiovascular Disease 2019
2020 Volume 47 Issue 5 Pages 564-573
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2020 Volume 47 Issue 5 Pages 564-573
Although the leading cause of death in Japan is malignant neoplasms, the combined numbers of death from heart disease and cerebrovascular disease are comparable to those of malignant neoplasms. In addition, medical expenses for lifestyle-related diseases account for around one quarter of national medical expenses. Therefore, prevention of lifestyle-related disease and vascular disease is extremely important not only to extend the average and healthy lifespans, but also to reduce national medical cost measures. Based on these circumstances, the "Basic Law for Countermeasures for Stroke and Cardiovascular Disease" has been enforced in December 2019.
Many risk factors for cerebro-cardiovascular diseases have been clarified by epidemiological researches, and the importance for the management of these factors has been shown with large-scale inteventional studies; therefore, the guidelines for the management of these risk factors had been issued and revised as needed. Furthermore, the importance of comprehensive management of these risk factors is also shown as evidence, and the need for comprehensive management has been advocated.
In response to these need, "Specific Health Check and Guidance" was started in 2008 by the Japanese government; and "Comprehensive risk management chart for the prevention of cerebrocardiovascular disease" was issued in 2015 by Japanese academic medical societies, and has been used as a comprehensive guideline in general clinical practice and occupational fields. Afterwards, the guidelines of each academic society were revised, and the need to formulate a chart for the elderly has increased. Accordingly, in May 2019, the "Comprehensive risk management chart for the prevention of cerebrocardiovascular disease 2019" was published.
In this article, I will refer to the epidemiology in Japan up to the present, and summarize the revision of the "Comprehensive risk management chart for the prevention of cerebrocardiovascular disease 2019" from the 2015 edition.
