{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:54:22Z","timestamp":1785804862907,"version":"3.56.0"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transcatheter aortic valve replacement (TAVR) has become the standard treatment for severe aortic stenosis, particularly among very old adults, and long\u2010term comprehensive management post\u2010TAVR is becoming increasingly important. Although cardiac rehabilitation (CR) is strongly recommended for patients with heart failure (HF) or post\u2010cardiac surgery, cohort studies evaluating the long\u2010term efficacy of CR in patients who have undergone TAVR are scarce. This study aimed to examine the association between outpatient CR and long\u2010term clinical outcomes post\u2010TAVR utilizing a nationwide administrative claims database in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Among 46,885 patients who underwent TAVR between April 2014 and March 2021, 34,165 patients who participated in inpatient CR and were discharged alive were included. Patients were categorized by outpatient CR participation. After propensity score matching, the primary outcome, a composite of all\u2010cause mortality and HF hospitalization, was compared over a 3\u2010year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the eligible patients, 29,552 (86.5%) were aged \u2265\u200980\u2009years, and 22,805 (66.7%) were female. The participation rate in outpatient CR was 10.2%, with no observed increasing trend over the years. Advanced age, female sex, dementia, and multiple comorbidities were associated with non\u2010participation in CR. The outpatient CR group exhibited reduced risk for the primary outcome (hazard ratio: 0.87, 95% confidence interval: 0.79\u20130.96) with a median follow\u2010up of 734\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The participation rate in outpatient CR after TAVR remains low, with identifiable barriers in Japan. Participation was associated with improved outcomes, suggesting a beneficial management strategy for older patients post\u2010TAVR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70356","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T03:56:12Z","timestamp":1771559772000},"page":"1071-1079","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outpatient Cardiac Rehabilitation and Long\u2010Term Clinical Outcomes After Transcatheter Aortic Valve Replacement"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3120-218X","authenticated-orcid":false,"given":"Koki","family":"Takegawa","sequence":"first","affiliation":[{"name":"Department of Medical and Health Information Management National Cerebral and Cardiovascular Center  Suita Osaka Japan"},{"name":"Department of Cardiovascular Medicine Institute of Science Tokyo  Bunkyo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshitaka","family":"Iwanaga","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Information Management National Cerebral and Cardiovascular Center  Suita Osaka Japan"},{"name":"Department of Cardiology Sakurabashi Watanabe Advanced Healthcare Hospital  Osaka Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koshiro","family":"Kanaoka","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Information Management National Cerebral and Cardiovascular Center  Suita Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoko","family":"Chishaki\u2010Kawabata","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Information Management National Cerebral and Cardiovascular Center  Suita Osaka 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Watanabe Advanced Healthcare Hospital  Osaka Osaka Japan"},{"name":"Department of Public Health, Health Management and Policy Nara Medical University  Kashihara Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuya","family":"Noda","sequence":"additional","affiliation":[{"name":"Department of Public Health, Health Management and Policy Nara Medical University  Kashihara Nara Japan"},{"name":"Department of Public Health Informatics Kansai Medical University  Hirakata Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Imamura","sequence":"additional","affiliation":[{"name":"Department of Public Health, Health Management and Policy Nara Medical University  Kashihara Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Open Innovation Center National Cerebral and Cardiovascular Center  Suita Osaka 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