Evidence map›Paper›PMID 37980288›Full record

ArticleSurgery today2024

Impact of a board certification system and adherence to the clinical practice guidelines for gastric cancer on risk-adjusted surgical mortality after distal and total gastrectomy in Japan: a questionnaire survey of departments registered in the National Clinical Database.

Hiroyuki Yamamoto, Atsushi Nashimoto, Isao Miyashiro, Hiroaki Miyata, Yasushi Toh, Mitsukazu Gotoh, Yasuhiro Kodera, Yoshihiro Kakeji, Yasuyuki Seto

Abstract read
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Article in Surgery today, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

9 authors.

Hiroyuki YamamotoDepartment of Healthcare Quality Assessment, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Atsushi NashimotoJapanese Gastric Cancer Association, Kyoto, Japan.
Isao MiyashiroJapanese Gastric Cancer Association, Kyoto, Japan.
Hiroaki MiyataDepartment of Healthcare Quality Assessment, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yasushi TohThe Japanese Society of Gastroenterological Surgery, Axior Mita 6F, 3-1-17, Minato-Ku, Tokyo, 108-0073, Japan.
Mitsukazu GotohThe Japanese Society of Gastroenterological Surgery, Axior Mita 6F, 3-1-17, Minato-Ku, Tokyo, 108-0073, Japan. mgotoh@fmu.ac.jp.
Yasuhiro KoderaJapanese Gastric Cancer Association, Kyoto, Japan.
Yoshihiro KakejiThe Japanese Society of Gastroenterological Surgery, Axior Mita 6F, 3-1-17, Minato-Ku, Tokyo, 108-0073, Japan.
Yasuyuki SetoThe Japanese Society of Gastroenterological Surgery, Axior Mita 6F, 3-1-17, Minato-Ku, Tokyo, 108-0073, Japan.

Funding

Japan Society for the Promotion of Science 19K09111Ministry of Health, Labour, and Welfare of Japan 201221064A
6 · The paper itself

Abstract

purposeThe relationship between board certification, clinical guideline implementation, and quality of gastric cancer surgery remains unclear.

methodsA web-based questionnaire survey was administered to departments registered in the National Clinical Database (NCD) of Japan between October 2014 and January 2015. Quality indicators (QIs) based on the Donabedian model were evaluated. Structural QIs (e.g., affiliations with academic societies and board certifications) and process QIs (adherence to clinical practice guidelines for gastric cancer) were assessed using risk-adjusted odds ratios (AORs) for surgical mortality. Multivariable logistic regression models with a generalized estimating equation were used.

resultsA total of 835 departments performing 40,992 distal gastrectomies and 806 departments performing 19,618 total gastrectomies responded. Some certified institutions and physicians showed significant associations, with lower AORs for surgical mortality. Important process QIs included pre- and postoperative abdominal CT scanning, endoscopic resection based on progression, curative resection with D2 dissection for advanced gastric cancer, laparoscopic surgery, and HER2 testing for patients with unresectable recurrent gastric cancer.

conclusionsMultiple structural and process QIs are associated with surgical mortality after gastrectomy in Japan. Measuring and visualizing QIs may enhance healthcare improvements.

Indexed as

Stomach NeoplasmsCertificationGastrectomyHumansJapanNeoplasm Recurrence, LocalSurveys and QuestionnairesGastrectomyGastric cancerQuality indicatorSurgical quality

Identifiers

PMID37980288

What OpenQuestion holds

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Registered trials

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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.