Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011–2019
Abstract Background We aimed to present the 2019 annual report of the gastroenterological section of the National Clinical Database (NCD). Methods We reviewed 609,589 cases recorded in 2019 and 5,029,764 cases registered from 2011 to 2019 for the 115 selected gastroenterological surgical procedures....
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-09-01
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| Series: | Annals of Gastroenterological Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ags3.12462 |
| _version_ | 1818736990862966784 |
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| author | Shigeru Marubashi Arata Takahashi Yoshihiro Kakeji Hiroshi Hasegawa Hideki Ueno Susumu Eguchi Itaru Endo Takanori Goi Akio Saiura Akira Sasaki Shuji Takiguchi Hiroya Takeuchi Chie Tanaka Masaji Hashimoto Naoki Hiki Akihiko Horiguchi Tadahiko Masaki Kazuhiro Yoshida Mitsukazu Gotoh Hiroyuki Konno Hiroyuki Yamamoto Hiroaki Miyata Yasuyuki Seto Yuko Kitagawa the National Clinical Database |
| author_facet | Shigeru Marubashi Arata Takahashi Yoshihiro Kakeji Hiroshi Hasegawa Hideki Ueno Susumu Eguchi Itaru Endo Takanori Goi Akio Saiura Akira Sasaki Shuji Takiguchi Hiroya Takeuchi Chie Tanaka Masaji Hashimoto Naoki Hiki Akihiko Horiguchi Tadahiko Masaki Kazuhiro Yoshida Mitsukazu Gotoh Hiroyuki Konno Hiroyuki Yamamoto Hiroaki Miyata Yasuyuki Seto Yuko Kitagawa the National Clinical Database |
| author_sort | Shigeru Marubashi |
| collection | DOAJ |
| description | Abstract Background We aimed to present the 2019 annual report of the gastroenterological section of the National Clinical Database (NCD). Methods We reviewed 609,589 cases recorded in 2019 and 5,029,764 cases registered from 2011 to 2019 for the 115 selected gastroenterological surgical procedures. Results The main features of gastroenterological surgery in Japan were similar to those described in the 2018 annual report, namely, that 1) operative numbers gradually increased in all procedures, except gastrectomy and hepatectomy, which decreased in these years; 2) in all eight major gastroenterological surgeries, the age distribution tended toward older patients; 3) the morbidity of esophagectomy, hepatectomy, and pancreaticoduodenectomy increased, but mortality was minimized in all procedures; 4) all eight major gastroenterological procedures have increasingly been performed under laparoscopy; and 5) board‐certified surgeons were increasingly involved. These trends in recent years were more prominent in 2019. Conclusions Thanks to the continuous cooperation and dedication of the surgeons, medical staff, and surgical clinical reviewers who registered the clinical data into the NCD, it is possible to understand the comprehensive landscape of surgery in Japan and to disclose new evidence in this field. The Japanese Society of Gastroenterological Surgery will continue to promote the value of this database and encourage the use of feedback and clinical studies using the NCD, now and in the future. Generating further approaches to surgical quality improvement are important directions for future research. |
| first_indexed | 2024-12-18T00:45:56Z |
| format | Article |
| id | doaj.art-8c59ba2ae2404be08a690f6c0248af9e |
| institution | Directory Open Access Journal |
| issn | 2475-0328 |
| language | English |
| last_indexed | 2024-12-18T00:45:56Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Gastroenterological Surgery |
| spelling | doaj.art-8c59ba2ae2404be08a690f6c0248af9e2022-12-21T21:26:46ZengWileyAnnals of Gastroenterological Surgery2475-03282021-09-015563965810.1002/ags3.12462Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011–2019Shigeru Marubashi0Arata Takahashi1Yoshihiro Kakeji2Hiroshi Hasegawa3Hideki Ueno4Susumu Eguchi5Itaru Endo6Takanori Goi7Akio Saiura8Akira Sasaki9Shuji Takiguchi10Hiroya Takeuchi11Chie Tanaka12Masaji Hashimoto13Naoki Hiki14Akihiko Horiguchi15Tadahiko Masaki16Kazuhiro Yoshida17Mitsukazu Gotoh18Hiroyuki Konno19Hiroyuki Yamamoto20Hiroaki Miyata21Yasuyuki Seto22Yuko Kitagawa23the National Clinical DatabaseThe Japanese Society of Gastroenterological Surgery Tokyo JapanDepartment of Health Policy and Management School of Medicine Keio University Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanDepartment of Health Policy and Management School of Medicine Keio University Tokyo JapanDepartment of Health Policy and Management School of Medicine Keio University Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanThe Japanese Society of Gastroenterological Surgery Tokyo JapanAbstract Background We aimed to present the 2019 annual report of the gastroenterological section of the National Clinical Database (NCD). Methods We reviewed 609,589 cases recorded in 2019 and 5,029,764 cases registered from 2011 to 2019 for the 115 selected gastroenterological surgical procedures. Results The main features of gastroenterological surgery in Japan were similar to those described in the 2018 annual report, namely, that 1) operative numbers gradually increased in all procedures, except gastrectomy and hepatectomy, which decreased in these years; 2) in all eight major gastroenterological surgeries, the age distribution tended toward older patients; 3) the morbidity of esophagectomy, hepatectomy, and pancreaticoduodenectomy increased, but mortality was minimized in all procedures; 4) all eight major gastroenterological procedures have increasingly been performed under laparoscopy; and 5) board‐certified surgeons were increasingly involved. These trends in recent years were more prominent in 2019. Conclusions Thanks to the continuous cooperation and dedication of the surgeons, medical staff, and surgical clinical reviewers who registered the clinical data into the NCD, it is possible to understand the comprehensive landscape of surgery in Japan and to disclose new evidence in this field. The Japanese Society of Gastroenterological Surgery will continue to promote the value of this database and encourage the use of feedback and clinical studies using the NCD, now and in the future. Generating further approaches to surgical quality improvement are important directions for future research.https://doi.org/10.1002/ags3.12462gastroenterological surgeryNCDresearch reportsurgical outcometreatment outcome |
| spellingShingle | Shigeru Marubashi Arata Takahashi Yoshihiro Kakeji Hiroshi Hasegawa Hideki Ueno Susumu Eguchi Itaru Endo Takanori Goi Akio Saiura Akira Sasaki Shuji Takiguchi Hiroya Takeuchi Chie Tanaka Masaji Hashimoto Naoki Hiki Akihiko Horiguchi Tadahiko Masaki Kazuhiro Yoshida Mitsukazu Gotoh Hiroyuki Konno Hiroyuki Yamamoto Hiroaki Miyata Yasuyuki Seto Yuko Kitagawa the National Clinical Database Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011–2019 Annals of Gastroenterological Surgery gastroenterological surgery NCD research report surgical outcome treatment outcome |
| title | Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011–2019 |
| title_full | Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011–2019 |
| title_fullStr | Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011–2019 |
| title_full_unstemmed | Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011–2019 |
| title_short | Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011–2019 |
| title_sort | surgical outcomes in gastroenterological surgery in japan report of the national clinical database 2011 2019 |
| topic | gastroenterological surgery NCD research report surgical outcome treatment outcome |
| url | https://doi.org/10.1002/ags3.12462 |
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