Development of gastroenterological surgery over the last decade in Japan: analysis of the National Clinical Database.
Certification
/ methods
Databases as Topic
Digestive System Surgical Procedures
/ methods
Gastroenterology
/ organization & administration
General Surgery
/ organization & administration
Humans
Japan
Patient Outcome Assessment
Risk Assessment
/ methods
Societies, Medical
/ organization & administration
Specialty Boards
Gastroenterological surgery
National Clinical Database
Surgical outcome
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
07
05
2020
accepted:
05
06
2020
pubmed:
19
7
2020
medline:
6
7
2021
entrez:
19
7
2020
Statut:
ppublish
Résumé
The National Clinical Database (NCD) of Japan was established in 2010 with the board certification system. A joint committee of 16 gastroenterological surgery database-affiliated organizations has been nurturing this nationwide database and utilizing its data for various analyses. Stepwise board certification systems have been validated by the NCD and are used to improve the surgical outcomes of patients. The use of risk calculators based on risk models can be particularly helpful for establishing appropriate and less invasive surgical treatments for individual patients. Data obtained from the NCD reflect current developments in the surgical approaches used in hospitals, which have progressed from open surgery to endoscopic and robot-assisted procedures. An investigation of the data acquired by the NCD could answer some relevant clinical questions and lead to better surgical management of patients. Furthermore, excellent surgical outcomes can be achieved through international comparisons of the national databases worldwide. This review examines what we have learned from the NCD of gastroenterological surgery and discusses what future developments we can expect.
Identifiants
pubmed: 32681353
doi: 10.1007/s00595-020-02075-7
pii: 10.1007/s00595-020-02075-7
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
187-193Références
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