ArticleJournal of hepato-biliary-pancreatic sciences2021
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.
Article in Journal of hepato-biliary-pancreatic sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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Who cites it
9 citing papers in PubMed.
- Evaluation of the geographic distribution of patients with hepatocellular carcinoma and treatments in Japan using data from the Japanese national database.Global health & medicine · 2025Article
- Trends in the Outcomes of Advanced Hepatobiliary-Pancreatic Surgery: The Impact of a Nationwide Clinical Database and Surgeon Certification System.Journal of hepato-biliary-pancreatic sciences · 2025Article
- Annual report on National Clinical Database 2021 for gastroenterological surgery in Japan.Annals of gastroenterological surgery · 2025Article
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- Annual report on National Clinical Database 2020 for gastroenterological surgery in Japan.Annals of gastroenterological surgery · 2023Article
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- 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
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundIt is unclear to what extent a board certification system and implementation of clinical guidelines improves the quality of hepatectomy.
methodsA web-based questionnaire survey was administered to departments registered with the National Clinical Database (NCD) in Japan between 1 October 2014 and 31 January 2015. Quality indicators (QIs), including affiliations with academic societies, numbers of board-certified doctors affiliated with each institute, and adherence to clinical practice guidelines for hepatocellular carcinoma, were evaluated by calculating risk-adjusted odds ratios (AORs) for 90-day postoperative mortality of patients who had undergone hepatectomy in 2013 and 2014.
resultsOf 1255 departments that had registered at least one hepatectomy in NCD, 592 departments, performing 8601 hepatectomies in total, responded to the questionnaire. AORs were significantly lower in departments that were certified as training hospitals by the Japanese Society of Gastroenterological Society, Japanese Society of Hepato-Biliary-Pancreatic Surgery (JSHBPS), and Japan Society of Hepatology than in non-certified departments. Affiliation of three or more JSHBPS-certified experts or instructors with an institution also contributed to low AORs. None of the QIs regarding implementation of guidelines significantly impacted on the AOR.
conclusionsQuality indicator measurements may improve quality of post-hepatectomy outcomes in Japan.
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Registered trials
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