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General Thoracic and Cardiovascular Surgery

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Open Access 01-10-2016 | Guest Review Article

Development of an annually updated Japanese national clinical database for chest surgery in 2014

Authors: Shunsuke Endo, Norihiko Ikeda, Takashi Kondo, Jun Nakajima, Haruhiko Kondo, Kohei Yokoi, Masayuki Chida, Masami Sato, Shinichi Toyooka, Koichi Yoshida, Yoshinori Okada, Yukio Sato, Meinoshin Okumura, Munetaka Masuda, Koji Chihara, Hiroaki Miyata

Published in: General Thoracic and Cardiovascular Surgery | Issue 10/2016

Abstract

Objectives

A national clinical database (NCD) adopted an “Internet-based collection” in 2011. An NCD specializing in chest surgery was launched based on the NCD system in 2014. The system was linked to the board certification as the second level in the hierarchy of the specialty of chest surgery and accreditation of educational institutions for chest surgery. Here, we report the status of the NCD for chest surgery in 2014 and clarified its registration rate and its accuracy.

Methods

Chest surgeries undertaken in Japan since January 1st, 2014 until the end of the same year were registered through an Internet-based system until April 8th, 2015. The registration rate was compared with the annual survey conducted by the Japanese Association for Thoracic Surgery (JATS) from 2011 to 2014. The rate of accurate inputting was measured by an Internet-based audit in reference to 563 anonymous operative notes of patients presented by 106 chest surgeons at the time of renewal for board certification for chest surgery.

Results

A total of 88,112 chest-surgical procedures were registered from 1000 chest surgery units (CSUs). Distribution of procedures by thoracic disease was almost identical to that of the annual survey conducted by JATS. However, the NCD had 4260 more registered procedures compared with the annual survey. The Internet-based audit showed that inter-rater agreement between Internet-based data and operative notes in any item was >94 %.

Conclusions

The NCD system can sustainably provide important and up-to-date information relating to preoperative status, oncology, and best practice for chest surgery in Japan.

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Title: Development of an annually updated Japanese national clinical database for chest surgery in 2014
Authors: Shunsuke Endo
Norihiko Ikeda
Takashi Kondo
Jun Nakajima
Haruhiko Kondo
Kohei Yokoi
Masayuki Chida
Masami Sato
Shinichi Toyooka
Koichi Yoshida
Yoshinori Okada
Yukio Sato
Meinoshin Okumura
Munetaka Masuda
Koji Chihara
Hiroaki Miyata
Publication date: 01-10-2016
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 10/2016
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-016-0697-1

At a glance: The STEP trials

Springer Medicine

Development of an annually updated Japanese national clinical database for chest surgery in 2014

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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