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. 2019 May 20;3(4):426-450.
doi: 10.1002/ags3.12258. eCollection 2019 Jul.

Surgical outcomes of gastroenterological surgery in Japan: Report of the National Clinical Database 2011-2017

Hiroshi Hasegawa  1 , Arata Takahashi  2 , Yoshihiro Kakeji  1 , Hideki Ueno  1 , Susumu Eguchi  1 , Itaru Endo  1 , Akira Sasaki  1 , Shuji Takiguchi  1 , Hiroya Takeuchi  1 , Masaji Hashimoto  1 , Akihiko Horiguchi  1 , Tadahiko Masaki  1 , Shigeru Marubashi  1 , Kazuhiro Yoshida  1 , Hiroyuki Konno  1 , Mitsukazu Gotoh  1 , Hiroaki Miyata  2   3 , Yasuyuki Seto  1
Affiliations

Surgical outcomes of gastroenterological surgery in Japan: Report of the National Clinical Database 2011-2017

Hiroshi Hasegawa et al. Ann Gastroenterol Surg. .

Abstract

Background: The Japanese National Clinical Database (NCD) is a large-scale, nationwide, web-based data entry system that is linked to the surgical board certification system and covers almost all surgical cases carried out in Japan.

Aim: To evaluate outcomes according to the gastroenterological section of the NCD.

Methods: The 115 surgical procedures stipulated by the "Training Curriculum for Board-Certified Surgeons in Gastroenterology" were registered from 2011 to 2017. The number of surgeries, preoperative comorbidities, and short-term outcomes were compared between registration periods.

Results: In total, 3 818 414 cases have been registered. More than 70% of all surgeries were carried out at certified institutions. The annual number of cases has been increasing year after year, and the aged population has also been increasing. Although the rates of preoperative comorbidities and postoperative complications have been increasing, the postoperative mortality rate has remained relatively low; in 2017, the 30-day mortality rate was 1.0% among those who underwent esophagectomy, 0.7% among those who underwent distal gastrectomy, 1.1% among those who underwent total gastrectomy, 1.3% among those who underwent right hemicolectomy, 0.5% among those who underwent low anterior resection, 1.3% among those who underwent hepatectomy, and 1.3% among those who underwent pancreaticoduodenectomy. The annual rate of endoscopic surgery dramatically increased over 7 years between 2011 and 2017, especially for low anterior resection (29.5%-62.6%) and esophagectomy (31.0%-56.1%).

Conclusion: This database is expected to ensure the quality of the board-certification system and surgical outcomes in gastroenterological surgery.

Keywords: National Clinical Database; gastroenterological surgery; surgical outcome.

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Figures

Figure 1
Figure 1
Annual changes in the number of surgeries, postoperative complication rate, operative mortality rate, and 30‐d postoperative mortality rate: analysis of the 115 selected surgical procedures that were classified according to the involved organ. Postoperative complication rate: the rate of complications with Clavien‐Dindo (C‐D) classification of grade III (complications requiring intervention) or higher
Figure 2
Figure 2
Annual changes in the number of surgeries, postoperative complication rate, operative mortality rate, and 30‐d postoperative mortality rate: analysis of the eight major surgical procedures. Postoperative complication rate: the rate of complications with Clavien‐Dindo (C‐D) classification of grade III or higher
Figure 3
Figure 3
Annual changes in the percentage of surgeries carried out by endoscopic surgery: analysis of the eight major surgical procedures
See this image and copyright information in PMC

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