ArticleSurgery today2015
Surgical risk model for acute diffuse peritonitis based on a Japanese nationwide database: an initial report on the surgical and 30-day mortality.
Article in Surgery today, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 36 citations in OpenAlex.
- Risk Models of Operative Morbidities in 16,930 Critically Ill Surgical Patients Based on a Japanese Nationwide Database.Medicine · 2015Trial
- Annual Report of the 2022 National Clinical Database: Decade-Long Trends and Current Status of Gastroenterological Surgery in Japan.Annals of gastroenterological surgery · 2026Article
- Nationwide Real-World Modeling of Surgical Outcomes in Elderly Patients: Incorporating Geriatric-Specific Risk Factors Into Prediction of Mortality and Morbidity.Annals of gastroenterological surgery · 2026Article
- Which Method Best Predicts Postoperative Complications: Deep Learning, Machine Learning, or Conventional Logistic Regression?Annals of gastroenterological surgery · 2026Review
- Annual report on National Clinical Database 2021 for gastroenterological surgery in Japan.Annals of gastroenterological surgery · 2025Article
- Predicting surgical outcomes of acute diffuse peritonitis: Updated risk models based on real-world clinical data.Annals of gastroenterological surgery · 2024Article
- Requirements for hospitals in Japan to have low operative mortality and failure-to-rescue rates.Annals of gastroenterological surgery · 2024Article
- Annual report on National Clinical Database 2020 for gastroenterological surgery in Japan.Annals of gastroenterological surgery · 2023Article
- Impact of board certification system and adherence to the clinical practice guidelines for liver cancer on post-hepatectomy risk-adjusted mortality rate in Japan: A questionnaire survey of departments registered with the National Clinical Database.Journal of hepato-biliary-pancreatic sciences · 2021Article
- Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011-2019.Annals of gastroenterological surgery · 2021Article
- Validation of data quality in a nationwide gastroenterological surgical database: The National Clinical Database site-visit and remote audits, 2016-2018.Annals of gastroenterological surgery · 2021Article
- Profiles of institutional departments affect operative outcomes of eight gastroenterological procedures.Annals of gastroenterological surgery · 2021Article
- Development of gastroenterological surgery over the last decade in Japan: analysis of the National Clinical Database.Surgery today · 2021Review
- Impact of a board certification system and implementation of clinical practice guidelines for pancreatic cancer on mortality of pancreaticoduodenectomy.Surgery today · 2020Article
- Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011-2018.Annals of gastroenterological surgery · 2020Article
- Impact of adherence to board-certified surgeon systems and clinical practice guidelines on colon cancer surgical outcomes in Japan: A questionnaire survey of the National Clinical Database.Annals of gastroenterological surgery · 2020Article
- Significance of the board-certified surgeon systems and clinical practice guideline adherence to surgical treatment of esophageal cancer in Japan: a questionnaire survey of departments registered in the National Clinical Database.Esophagus : official journal of the Japan Esophageal Society · 2019Article
- Spontaneous rupture of pyonephrosis leading to pyoperitoneum.Urology case reports · 2019Article
- Surgical outcomes of gastroenterological surgery in Japan: Report of the National Clinical Database 2011-2017.Annals of gastroenterological surgery · 2019Article
- Initial verification of data from a clinical database of gastroenterological surgery in Japan.Surgery today · 2019Article
Corrections and comments
- Erratum issued
Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAcute diffuse peritonitis (ADP) is an important surgical complication associated with high morbidity and mortality; however, the risk factors associated with a poor outcome have remained controversial. This study aimed in collecting integrated data using a web-based national database system to build a risk model for mortality after surgery for ADP.
methodsWe included cases registered in the National Clinical Database in Japan. After data cleanup, 8,482 surgical cases of ADP from 1,285 hospitals treated between January 1 and December 31, 2011 were analyzed.
resultsThe raw 30-day and surgical mortality rates were 9.0 and 14.1 %, respectively. The odds ratios (>2.0) for 30-day mortality were as follows: American Society of Anesthesiologists (ASA) class 3, 2.69; ASA class 4, 4.28; ASA class 5, 8.65; previous percutaneous coronary intervention (PCI), 2.05; previous surgery for peripheral vascular disease (PVD), 2.45 and disseminated cancer, 2.16. The odds ratios (>2.0) for surgical mortality were as follows: ASA class 3, 2.27; ASA class 4, 4.67; ASA class 5, 6.54, and disseminated cancer, 2.09. The C-indices of 30-day and surgical mortality were 0.851 and 0.852, respectively.
conclusionThis is the first report of risk stratification after surgery for ADP using a nationwide surgical database. This system could be useful to predict the outcome of surgery for ADP and for evaluations and benchmark performance studies.
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