Development of a model predicting the risk of eight major postoperative complications after esophagectomy based on 10 826 cases in the Japan National Clinical Database

2019 ◽  
Vol 121 (2) ◽  
pp. 313-321 ◽  
Author(s):  
Yu Ohkura ◽  
Hiroaki Miyata ◽  
Hiroyuki Konno ◽  
Harushi Udagawa ◽  
Masaki Ueno ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Clinical Database ◽  
National Clinical Database

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

Development of gastroenterological surgery over the last decade in Japan: analysis of the National Clinical Database

Surgery Today ◽  
2020 ◽  
Author(s):  
Yoshihiro Kakeji ◽  
Hiroyuki Yamamoto ◽  
Hideki Ueno ◽  
Susumu Eguchi ◽  
Itaru Endo ◽  
...  
Keyword(s):  
Clinical Database ◽  
National Clinical Database

scholarly journals Risk model for severe postoperative complications after total pancreatectomy based on a nationwide clinical database

2020 ◽  
Vol 107 (6) ◽  
pp. 734-742 ◽  
Author(s):  
D. Hashimoto ◽  
M. Mizuma ◽  
H. Kumamaru ◽  
H. Miyata ◽  
A. Chikamoto ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Risk Model ◽  
Total Pancreatectomy ◽  
Clinical Database
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