scholarly journals Validation of the board certification system for expert surgeons (hepato-biliary-pancreatic field) using the data of the National Clinical Database of Japan: part 1 - Hepatectomy of more than one segment

2016 ◽  
Vol 23 (6) ◽  
pp. 313-323 ◽  
Author(s):  
Fumihiko Miura ◽  
Masakazu Yamamoto ◽  
Mitsukazu Gotoh ◽  
Hiroyuki Konno ◽  
Jiro Fujimoto ◽  
...  
Keyword(s):  
Board Certification ◽  
Clinical Database ◽  
National Clinical Database ◽  
Certification System

scholarly journals Impact of certification status of the institute and surgeon on short-term outcomes after surgery for thoracic esophageal cancer: evaluation using data on 16,752 patients from the National Clinical Database in Japan

Esophagus ◽  
2019 ◽  
Vol 17 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Satoru Motoyama ◽  
Hiroyuki Yamamoto ◽  
Hiroaki Miyata ◽  
Masahiko Yano ◽  
Takushi Yasuda ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Mortality Rates ◽  
Clinical Database ◽  
Short Term ◽  
National Clinical Database ◽  
Thoracic Esophageal Cancer ◽  
Certification System ◽  
Related Mortality

Abstract Background In 2009, the Japan Esophageal Society (JES) established a system for certification of qualified surgeons as “Board Certified Esophageal Surgeons” (BCESs) or institutes as “Authorized Institutes for Board Certified Esophageal Surgeons” (AIBCESs). We examined the short-term outcomes after esophagectomy, taking into consideration the certifications statuses of the institutes and surgeons. Methods This study investigated patients who underwent esophagectomy for thoracic esophageal cancer and who were registered in the Japanese National Clinical Database (NCD) between 2015 and 2017. Using hierarchical multivariable logistic regression analysis adjusted for patient-level risk factors, we determined whether the institute’s or surgeon’s certification status had greater influence on surgery-related mortality or postoperative complications. Results Enrolled were 16,752 patients operated on at 854 institutes by 1879 surgeons. There were significant differences in the backgrounds and incidences of postoperative complications and surgery-related mortality rates between the 11,162 patients treated at AIBCESs and the 5590 treated at Non–AIBCESs (surgery-related mortality rates: 1.6% vs 2.8%). There were also differences between the 6854 patients operated on by a BCES and the 9898 treated by a Non-BCES (1.7% vs 2.2%). Hierarchical logistic regression analysis revealed that surgery-related mortality was significantly lower among patients treated at AIBCESs. The institute’s certification had greater influence on short-term surgical outcomes than the operating surgeon’s certification. Conclusions The certification system for surgeons and institutes established by the JES appears to be appropriate, as indicated by the improved surgery-related mortality rate. It also appears that the JES certification system contributes to a more appropriate medical delivery system for thoracic esophageal cancer in Japan.

Challenges and prospects of a clinical database linked to the board certification system

Surgery Today ◽  
2014 ◽  
Vol 44 (11) ◽  
pp. 1991-1999 ◽  
Author(s):  
Hiroaki Miyata ◽  
Mitsukazu Gotoh ◽  
Hideki Hashimoto ◽  
Noboru Motomura ◽  
Arata Murakami ◽  
...  
Keyword(s):  
Board Certification ◽  
Clinical Database ◽  
Certification System

191 CURRENT STATUS OF ESOPHAGECTOMY IN JAPANESE NATIONAL CLINICAL DATABASE

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Yoshihiro Kakeji ◽  
Arata Takahashi ◽  
Hiroshi Hasegawa ◽  
Gosuke Takiguchi ◽  
Taro Oshikiri ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Endoscopic Surgery ◽  
Current Status ◽  
Risk Calculator ◽  
Clinical Database ◽  
National Clinical Database ◽  
Data Registration ◽  
Certification System ◽  
Grade Iii

Abstract   The Japanese National Clinical Database (NCD) started its data registration since 2011, has grown up to a large nationwide database covering more than 95% of the surgeries performed by regular surgeons in Japan. The NCD grew rapidly harvesting over 11 million cases data between 2011 and 2018 from more than 5,000 facilities. Methods In this period, the surgeries of the esophagus were performed for 70,528 cases. In 2018, 93.8% of surgeries were performed at certified institutions, and 94.7% did with the participation of the board-certified surgeon. The board-certified surgeons operated 75.2% of the surgeries. Results Esophagectomy was performed for 47,055 patients in eight years. In 2018, 23.3% of the cases were 75 years old or more. Postoperative complications of Clavien Dindo classification grade III or higher occurred in 22.9% of all. As the patients have been getting older, the morbidities have been increasing. However, the mortalities have been kept at a low level. Postoperative 30-day and 90-day mortalities were 0.9% and 1.9%, respectively. The rates of endoscopic surgery have been increasing year by year, especially high in esophagectomy, which was 61.0% in 2018. Conclusion A risk-adjusted analysis based on nationwide data allows personnel to establish and provide feedback on the risks that patients face before undergoing a procedure. The risk calculator for eight main procedures are available on the websites of the hospitals that are a part of NCD. Nationwide this database is surely expecting to ensure the quality of board certification system and surgical outcomes in gastroenterological surgery.

scholarly journals Mortality, morbidity, and failure to rescue in hepatopancreatoduodenectomy: An analysis of patients registered in the National Clinical Database in Japan

2021 ◽  
Vol 28 (4) ◽  
pp. 305-316
Author(s):  
Itaru Endo ◽  
Norimichi Hirahara ◽  
Hiroaki Miyata ◽  
Hiroyuki Yamamoto ◽  
Ryusei Matsuyama ◽  
...  
Keyword(s):  
Failure To Rescue ◽  
Clinical Database ◽  
National Clinical Database

scholarly journals 2. National Clinical Database: Its Use and Data Quality Management Efforts

2016 ◽  
Vol 21 (1) ◽  
pp. 27-35
Author(s):  
Hiraku KUMAMARU ◽  
Arata TAKAHASHI ◽  
Eriko FUKUCHI ◽  
Naoaki ICHIHARA ◽  
Norimichi HIRAHARA ◽  
...  
Keyword(s):  
Quality Management ◽  
Data Quality ◽  
Clinical Database ◽  
Data Quality Management ◽  
National Clinical Database
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