Evidence map›Paper›PMID 31346582›Full record

ArticleAnnals of gastroenterological surgery2019

Surgical outcomes of gastroenterological surgery in Japan: Report of the National Clinical Database 2011-2017.

Hiroshi Hasegawa, Arata Takahashi, Yoshihiro Kakeji, Hideki Ueno, Susumu Eguchi, Itaru Endo, Akira Sasaki, Shuji Takiguchi, Hiroya Takeuchi, Masaji Hashimoto and 8 more

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Hiroshi HasegawaThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0003-1545-0509
Arata TakahashiDepartment of Health Policy and Management School of Medicine Keio University Tokyo Japan.
Yoshihiro KakejiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-2727-0241
Hideki UenoThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-8600-1199
Susumu EguchiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-7876-0152
Itaru EndoThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0001-5520-8114
Akira SasakiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Shuji TakiguchiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Hiroya TakeuchiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Masaji HashimotoThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Akihiko HoriguchiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Tadahiko MasakiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0003-3200-3567
Shigeru MarubashiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Kazuhiro YoshidaThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0003-1408-0104
Hiroyuki KonnoThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Mitsukazu GotohThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Hiroaki MiyataDepartment of Health Policy and Management School of Medicine Keio University Tokyo Japan.
Yasuyuki SetoThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-6953-8752

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Japanese National Clinical Database (NCD) is a large-scale, nationwide, web-based data entry system that is linked to the surgical board certification system and covers almost all surgical cases carried out in Japan.

aimTo evaluate outcomes according to the gastroenterological section of the NCD.

methodsThe 115 surgical procedures stipulated by the "Training Curriculum for Board-Certified Surgeons in Gastroenterology" were registered from 2011 to 2017. The number of surgeries, preoperative comorbidities, and short-term outcomes were compared between registration periods.

resultsIn total, 3 818 414 cases have been registered. More than 70% of all surgeries were carried out at certified institutions. The annual number of cases has been increasing year after year, and the aged population has also been increasing. Although the rates of preoperative comorbidities and postoperative complications have been increasing, the postoperative mortality rate has remained relatively low; in 2017, the 30-day mortality rate was 1.0% among those who underwent esophagectomy, 0.7% among those who underwent distal gastrectomy, 1.1% among those who underwent total gastrectomy, 1.3% among those who underwent right hemicolectomy, 0.5% among those who underwent low anterior resection, 1.3% among those who underwent hepatectomy, and 1.3% among those who underwent pancreaticoduodenectomy. The annual rate of endoscopic surgery dramatically increased over 7 years between 2011 and 2017, especially for low anterior resection (29.5%-62.6%) and esophagectomy (31.0%-56.1%).

conclusionThis database is expected to ensure the quality of the board-certification system and surgical outcomes in gastroenterological surgery.

Indexed as

gastroenterological surgeryNational Clinical Databasesurgical outcome

Identifiers

PMID31346582
PMCPMC6635689

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.