Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Surgery Today
Published in: Surgery Today 1/2016

Open Access 01-01-2016 | Review Article

National Clinical Database feedback implementation for quality improvement of cancer treatment in Japan: from good to great through transparency

Authors: Mitsukazu Gotoh, Hiroaki Miyata, Hideki Hashimoto, Go Wakabayashi, Hiroyuki Konno, Shuichi Miyakawa, Kenichi Sugihara, Masaki Mori, Susumu Satomi, Norihiro Kokudo, Tadashi Iwanaka

Published in: Surgery Today | Issue 1/2016

Login to get access

Abstract

The National Clinical Database (NCD) of Japan was established in April, 2010 with ten surgical subspecialty societies on the platform of the Japan Surgical Society. Registrations began in 2011 and over 4,000,000 cases from more than 4100 facilities were registered over a 3-year period. The gastroenterological section of the NCD collaborates with the American College of Surgeons’ National Surgical Quality Improvement Program, which shares a similar goal of developing a standardized surgical database for surgical quality improvement, with similar variables for risk adjustment. Risk models of mortality for eight procedures; namely, esophagectomy, partial/total gastrectomy, right hemicolectomy, low anterior resection, hepatectomy, pancreaticoduodenectomy, and surgery for acute diffuse peritonitis, have been established, and feedback reports to participants will be implemented. The outcome measures of this study were 30-day mortality and operative mortality. In this review, we examine the eight risk models, compare the procedural outcomes, outline the feedback reporting, and discuss the future evolution of the NCD.
Literature
1.
Suzuki H, Gotoh M, Sugihara K, Kitagawa Y, Kimura W, Kondo S, et al. Nationwide survey and establishment of a clinical database for gastrointestinal surgery in Japan: targeting integration of a cancer registration system and improving the outcome of cancer treatment. Cancer Sci. 2011;102:226–30.CrossRefPubMed
2.
3.
Miyata H, Gotoh M, Hashimoto H, Motomura N, Murakami A, Tomotaki A, et al. Challenges and prospects of a clinical database linked to the board certification system. Surg Today. 2014;44(11):1991–9.CrossRefPubMed
4.
Khuri SF, Daley J, Henderson W, Hur K, Demakis J, Aust JB, et al. The Department of Veterans Affairs’ NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Surgical Quality Improvement Program. Ann Surg. 1998;228(4):491–507.PubMedCentralCrossRefPubMed
5.
Hall BL, Hamilton BH, Richards K, Bilimoria KY, Cohen ME, Ko CY. Does surgical quality improve in the American College of Surgeons National Surgical Quality Improvement Program: an evaluation of all participating hospitals. Ann Surg. 2009;250:363–76.PubMed
6.
Watanabe M, Miyata H, Gotoh M, Baba H, Kimura W, Tomita N, et al. Total gastrectomy risk model: data from 20,011 Japanese patients in a nationwide internet-based database. Ann Surg. 2014;260(6):1034–9.CrossRefPubMed
7.
Kimura W, Miyata H, Gotoh M, Hirai I, Kenjo A, Kitagawa Y, et al. A pancreaticoduodenectomy risk model derived from 8575 cases from a national single-race population (Japanese) using a web-based data entry system: the 30-day and in-hospital mortality rates for pancreaticoduodenectomy. Ann Surg. 2014;259(4):773–80.CrossRefPubMed
8.
Kobayashi H, Miyata H, Gotoh M, Baba H, Kimura W, Kitagawa Y, et al. Risk model for right hemicolectomy based on 19,070 Japanese patients in the National Clinical Database. J Gastroenterol. 2014;49(6):1047–55.CrossRefPubMed
9.
Kenjo A, Miyata H, Gotoh M, Kitagawa Y, Shimada M, Baba H, et al. Risk stratification of 7,732 hepatectomy cases in 2011 from the National Clinical Database for Japan. J Am Coll Surg. 2014;218(3):412–22.CrossRefPubMed
10.
Takeuchi H, Miyata H, Gotoh M, Kitagawa Y, Baba H, Kimura W, et al. A risk model for esophagectomy using data of 5354 patients included in a Japanese nationwide web-based database. Ann Surg. 2014;260(2):259–66.CrossRefPubMed
11.
Matsubara N, Miyata H, Gotoh M, Tomita N, Baba H, Kimura W, et al. Mortality after common rectal surgery in Japan: a study on low anterior resection from a newly established nationwide large-scale clinical database. Dis Colon Rectum. 2014;57(9):1075–81.CrossRefPubMed
12.
Nakagoe T, Miyata H, Gotoh M, Anazawa T, Baba H, Kimura W, et al. Surgical risk model for acute diffuse peritonitis based on a Japanese nationwide database: an initial report on the surgical and 30-day mortality. Surg Today. 2014; PubMed PMID: 25228380. (Epub ahead of print).
13.
Kurita N, Miyata H, Gotoh M, Shimada M, Imura S, Kimura W, et al. Risk model for distal gastrectomy when treating gastric cancer based on data from 33, 917 Japanese patients collected using a nationwide we-based data entry system. Ann Surg. (in press).
14.
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205–13.PubMedCentralCrossRefPubMed
15.
16.
Anazawa T, Miyata H, Gotoh M. Cancer registries in Japan: National Clinical Database and site-specific cancer registries. Int J Clin Oncol. 2015;20(1):5–10.CrossRefPubMed
17.
Yasunaga H, Matsui H, Horiguchi H, Fushimi K, Matsuda S. Application of the diagnosis procedure combination (DPC) data to clinical studies. J UOEH. 2014; 36(3): 191–7. (Japanese).
18.
Yasunaga H, Hashimoto H, Horiguchi H, Miyata H, Matsuda S. Variation in cancer surgical outcomes associated with physician and nurse staffing: a retrospective observational study using the Japanese Diagnosis Procedure Combination Database. BMC Health Serv Res. 2012;12:129. doi:10.​1186/​1472-6963-12-129.PubMedCentralCrossRefPubMed
19.
Birkmeyer NJ, Birkmeyer JD. Strategies for improving surgical quality—should payers reward excellence or effort? N Engl J Med. 2006;354(8):864–70.CrossRefPubMed
20.
Birkmeyer JD, Gust C, Dimick JB, Birkmeyer NJ, Skinner JS. Hospital quality and the cost of inpatient surgery in the United States. Ann Surg. 2012;255(1):1–5.PubMedCentralCrossRefPubMed
21.
Fung CH, Lim YW, Mattke S, Damberg C, Shekelle PG. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008;148(2):111–23.CrossRefPubMed
22.
23.
Werner RM, Asch DA. The unintended consequences of publicly reporting quality information. JAMA. 2005; 293(10):1239–44.
24.
Dahlke AR, Chung JW, Holl JL, Ko CY, Rajaram R, Modla L, et al. Evaluation of initial participation in public reporting of American College of Surgeons NSQIP surgical outcomes on Medicare’s Hospital Compare website. J Am Coll Surg. 2014;218(3):374–80.PubMedCentralCrossRefPubMed
25.
Sherman KL, Gordon EJ, Mahvi DM, Chung J, Bentrem DJ, Holl JL, et al. Surgeons’ perceptions of public reporting of hospital and individual surgeon quality. Med Care. 2013;51(12):1069–75.CrossRefPubMed
Metadata
Title
National Clinical Database feedback implementation for quality improvement of cancer treatment in Japan: from good to great through transparency
Authors
Mitsukazu Gotoh
Hiroaki Miyata
Hideki Hashimoto
Go Wakabayashi
Hiroyuki Konno
Shuichi Miyakawa
Kenichi Sugihara
Masaki Mori
Susumu Satomi
Norihiro Kokudo
Tadashi Iwanaka
Publication date
01-01-2016
Publisher
Springer Japan
Published in
Surgery Today / Issue 1/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-015-1146-y

Other articles of this Issue 1/2016

Surgery Today 1/2016 Go to the issue

Original Article

Distribution of interstitial pneumonia: a new radiological predictor of 90-day mortality after resection of lung cancer

Review Article

Adjuvant therapy following surgery in non-small cell lung cancer (NSCLC)

Review Article

Circulating cell-free microRNAs as biomarkers for colorectal cancer

How to Do It

Laparoscopic mediastinal dissection via an open left diaphragm approach for advanced Siewert type II adenocarcinoma

Original Article

Improved surgical outcomes for hilar cholangiocarcinoma: changes in surgical procedures and related outcomes based on 40 years of experience at a single institution

Original Article

Predictors of pathological non-invasive lung cancer with pure-solid appearance on computed tomography to identify possible candidates for sublobar resection