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. 2021 Apr 9;5(5):639-658.
doi: 10.1002/ags3.12462. eCollection 2021 Sep.

Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011-2019

Shigeru Marubashi  1 , Arata Takahashi  2   3 , Yoshihiro Kakeji  1 , Hiroshi Hasegawa  1 , Hideki Ueno  1 , Susumu Eguchi  1 , Itaru Endo  1 , Takanori Goi  1 , Akio Saiura  1 , Akira Sasaki  1 , Shuji Takiguchi  1 , Hiroya Takeuchi  1 , Chie Tanaka  1 , Masaji Hashimoto  1 , Naoki Hiki  1 , Akihiko Horiguchi  1 , Tadahiko Masaki  1 , Kazuhiro Yoshida  1 , Mitsukazu Gotoh  1 , Hiroyuki Konno  1 , Hiroyuki Yamamoto  2   3 , Hiroaki Miyata  2   3 , Yasuyuki Seto  1 , Yuko Kitagawa  1 ; National Clinical Database
Affiliations

Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011-2019

Shigeru Marubashi et al. Ann Gastroenterol Surg. .

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.

Keywords: NCD; gastroenterological surgery; research report; surgical outcome; treatment outcome.

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Conflict of interest statement

Funding: The department is a social collaboration department supported by grants from the National Clinical Database, Johnson & Johnson KK, and Nipro Co. CONFLICT OF INTEREST Arata Takahashi, Hiroyuki Yamamoto, and Hiroaki Miyata are affiliated with the Department of Healthcare Quality Assessment at the University of Tokyo. The other authors have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Annual changes in the number of surgeries, 30‐day mortality, operative mortality, and complications: Analysis of the 115 surgical procedures. Postoperative complication rate: the rate of Clavien–Dindo (C–D) classification grade III (complications requiring intervention) or higher complications
FIGURE 2
FIGURE 2
Annual changes in the number of surgeries, 30‐day mortality, operative mortality, and complications: Analysis of the eight major surgical procedures. Postoperative complication rate: the rate of Clavien–Dindo (C–D) classification grade III or higher complications
FIGURE 3
FIGURE 3
Annual changes in the percentage of surgeries performed endoscopically: analysis of the eight major surgical procedures
See this image and copyright information in PMC

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