Evidence map›Paper›PMID 39759995›Full record

ArticleAnnals of gastroenterological surgery2025

Annual report on National Clinical Database 2021 for gastroenterological surgery in Japan.

Sunao Ito, Arata Takahashi, Hideki Ueno, Shuji Takiguchi, Yoshiki Kajiwara, Yoshihiro Kakeji, Susumu Eguchi, Takanori Goi, Akio Saiura, Akira Sasaki and 10 more

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 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

20 authors.

Sunao ItoThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Arata TakahashiDepartment of Health Policy and Management, School of Medicine Keio University Tokyo Japan.
Hideki UenoThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-8600-1199
Shuji TakiguchiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Yoshiki KajiwaraThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-9427-2204
Yoshihiro KakejiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-2727-0241
Susumu EguchiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-7876-0152
Takanori GoiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Akio SaiuraThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0001-5600-2847
Akira SasakiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Hiroya TakeuchiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-3947-0128
Chie TanakaThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-7931-8753
Masaji HashimotoThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Naoki HikiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-6857-8736
Akihiko HoriguchiThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-2187-1396
Satoru MatsudaThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0001-8441-2755
Tsunekazu MizushimaThe Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-0825-6823
Hiroyuki YamamotoDepartment of Healthcare Quality Assessment Graduate School of Medicine The University of Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0003-3337-7595
Yuko KitagawaThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Ken ShirabeThe Japanese Society of Gastroenterological Surgery Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The Japanese National Clinical Database, which covers more than 95% of the surgeries performed in Japan, is the largest nationwide database. This is the 2021 annual report of the Gastroenterological Section of the National Clinical Database, which aims to present the short-term outcomes of cases registered in 2021 and discuss significant changes and insights into gastroenterological surgeries observed over the decade. Methods: We reviewed the data of patients registered in the National Clinical Database between 2012 and 2021. Results: In total, 5 788 093 cases, including 597 780 cases in 2021, were extracted from the National Clinical Database. The number of surgeries resumed its original trend after a uniform decrease due to the coronavirus disease 2019 pandemic. The patient population continues to age, and the proportion of female patients is steadily increasing. The trend of surgeries being conducted in certified institutions with the involvement of board-certified surgeons is consistently rising. Moreover, the increasing trend of endoscopic surgery rate is still maintained. Although operative mortality is declining, the trend of increasing postoperative complications continues. Surgery on the esophagus, liver, and pancreas has shown substantial improvements in operative mortality, with a high participation rate of board-certified surgeons. Surgical procedures with a high incidence of emergency surgeries are characterized by low participation rates of board-certified surgeons, increased morbidity rates, and worse mortality outcomes. Conclusion: This overview of surgical patients in Japan, obtained using data extracted from the National Clinical Database, may serve as a critical cornerstone for the future development of gastroenterological surgery.

Indexed as

annual reportemergency surgerygastroenterological surgeryNational Clinical Databasesurgical outcome

Identifiers

PMID39759995
PMCPMC11693552

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.