PMID- 19782253 OWN - NLM STAT- MEDLINE DCOM- 20110216 LR - 20221207 IS - 1876-4738 (Electronic) IS - 0914-5087 (Linking) VI - 54 IP - 2 DP - 2009 Oct TI - Clinical evidence for Japanese population based on prospective studies--linking clinical trials and clinical practice. PG - 171-82 LID - 10.1016/j.jjcc.2009.05.001 [doi] AB - "Evidence-based medicine (EBM)" implies effective and high quality practice for patients based on well-grounded medical science. The success of clinical trials in Japan is essential to build original evidence specific for Japanese patients. Based on this concept, we have performed several large-scale clinical trials to provide EBM, including the Japanese Antiplatelets Myocardial Infarction Study [JAMIS; clinical improvement in acute myocardial infarction (AMI) patients with antiplatelet therapy], the Japanese beta-Blockers and Calcium Antagonists Myocardial Infarction (JBCMI; comparison of the effects of beta-blockers and calcium antagonists on cardiovascular events in post-AMI patients), a multicenter study for aggressive lipid-lowering strategy by HMG-CoA reductase inhibitors in patients with AMI (MUSASHI; effects of statin therapy on cardiovascular events in patients with AMI), and the Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes (JPAD trial; efficacy of low-dose aspirin therapy for primary prevention of atherosclerotic events in type 2 diabetic patients). The results of these prospective studies were directly linked with clinical practice. We have acquired the know-how of large-scale clinical trials; an important point is to have passion for "buildup evidence specific for the Japanese" and to recruit subjects for enrollment after explaining the significance of "clinical trials for the Japanese". FAU - Ogawa, Hisao AU - Ogawa H AD - Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto City 860-8556, Japan. ogawah@kumamoto-u.ac.jp FAU - Kojima, Sunao AU - Kojima S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20090612 PL - Netherlands TA - J Cardiol JT - Journal of cardiology JID - 8804703 RN - 0 (Adrenergic beta-Antagonists) RN - 0 (Calcium Channel Blockers) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Platelet Aggregation Inhibitors) RN - EYG5Y6355E (Trapidil) RN - R16CO5Y76E (Aspirin) SB - IM MH - Adrenergic beta-Antagonists/administration & dosage MH - Aged MH - Asian People MH - Aspirin/administration & dosage MH - Atherosclerosis/epidemiology/prevention & control MH - Calcium Channel Blockers/administration & dosage MH - Diabetes Complications MH - *Evidence-Based Medicine MH - Female MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/administration & dosage MH - Incidence MH - Japan/epidemiology MH - Male MH - Multicenter Studies as Topic MH - Myocardial Infarction/*prevention & control MH - Platelet Aggregation Inhibitors/administration & dosage MH - Practice Guidelines as Topic MH - Prospective Studies MH - *Randomized Controlled Trials as Topic MH - Trapidil/administration & dosage EDAT- 2009/09/29 06:00 MHDA- 2011/02/17 06:00 CRDT- 2009/09/29 06:00 PHST- 2009/05/04 00:00 [received] PHST- 2009/05/07 00:00 [accepted] PHST- 2009/09/29 06:00 [entrez] PHST- 2009/09/29 06:00 [pubmed] PHST- 2011/02/17 06:00 [medline] AID - S0914-5087(09)00158-0 [pii] AID - 10.1016/j.jjcc.2009.05.001 [doi] PST - ppublish SO - J Cardiol. 2009 Oct;54(2):171-82. doi: 10.1016/j.jjcc.2009.05.001. Epub 2009 Jun 12.