TY - JOUR
T1 - National Clinical Database feedback implementation for quality improvement of cancer treatment in Japan
T2 - from good to great through transparency
AU - Gotoh, Mitsukazu
AU - Miyata, Hiroaki
AU - Hashimoto, Hideki
AU - Wakabayashi, Go
AU - Konno, Hiroyuki
AU - Miyakawa, Shuichi
AU - Sugihara, Kenichi
AU - Mori, Masaki
AU - Satomi, Susumu
AU - Kokudo, Norihiro
AU - Iwanaka, Tadashi
N1 - Funding Information:
More than 4,000,000 cases were retrieved from the NCD during the 3 years before April 2013. The number of esophagectomy and pneumonectomy cases registered in the NCD accounted for approximately 95 % of all cases registered in the Regional Bureau of Health and Welfare. Thus, most cases in Japan appear to be captured by the NCD system. This NCD project started with support from Health and Labor Sciences Research Grants by the Ministry of Health Labour and Welfare (Principal Investigators; MG, T.I.) and considerable funding from the JSGS and JSS. Participating institutions can now use the database system at no cost; however, it is mandatory for the institutions to participate in the benchmarking project when applying for the board certification system. Currently, the board certification system is operating adequately on the web for surgical society members and allows members to obtain information on their cases being used to assess a member’s qualifications for certification during a certain period. Any applicant who has a sufficient number of cases for application no longer needs to write case reports. All participating healthcare professionals use information acquired from the NCD. Moreover, the board certification system itself can be revalidated using the surgical improvement program of the NCD.
Funding Information:
We thank all the data managers and hospitals participating in this NCD project for their continued efforts in entering the data. We also thank Noboru Motomura, MD, for providing direction for the foundation of the NCD project, the initial members of the JSGS database (Yuko Kitagawa, MD; Mitsuo Shimada, MD; Hideo Baba, MD; Naohiro Tomita, MD; Wataru Kimura, MD; and Tohru Nakagoe MD), and the working members of the JSGS database committee (Masayuki Watanabe, MD; Satoru Imura, MD; Fumihiko Miura, MD; Hiroya Takeuchi, MD; Ichiro Hirai, MD; Yoshio Takesue, MD; Hiroyuki Suzuki, MD; Megumi Ishiguro, MD; Makoto Gega, MD; Nagahide Matsubara MD; and Akihiko Horiguch, MD). We also acknowledge the members participating in the Site-specific cancer registries in the NCD, which has been supported by the Ministry of Health, Labour and Welfare in Japan (Koichi Hirata, MD; Masato Nagino, MD; Yuko Kitagawa, MD; Tetsuo Ohta, MD; Tomotaka Sobue, MD; Yasushi Toh, MD; Atsushi Nashimoto, MD; Kenjiro Kotake, MD; Masakazu Yamamoto, MD; Masao Tanaka, MD; Toru Shimosegawa, MD; Masami Sato, MD; and Yutaka Tokuda, MD.) This study was supported by Health and Labor Sciences Research Grants by Ministry of Health Labour and Welfare in Japan. Part of this paper was presented as a presidential address by MG at the 69th Annual Meeting of the JSGS held from July 16–18, 2014 in Koriyama, Fukushima.
Publisher Copyright:
© 2015, The Author(s).
PY - 2016/1/1
Y1 - 2016/1/1
N2 - The National Clinical Database (NCD) of Japan was established in April, 2010 with ten surgical subspecialty societies on the platform of the Japan Surgical Society. Registrations began in 2011 and over 4,000,000 cases from more than 4100 facilities were registered over a 3-year period. The gastroenterological section of the NCD collaborates with the American College of Surgeons’ National Surgical Quality Improvement Program, which shares a similar goal of developing a standardized surgical database for surgical quality improvement, with similar variables for risk adjustment. Risk models of mortality for eight procedures; namely, esophagectomy, partial/total gastrectomy, right hemicolectomy, low anterior resection, hepatectomy, pancreaticoduodenectomy, and surgery for acute diffuse peritonitis, have been established, and feedback reports to participants will be implemented. The outcome measures of this study were 30-day mortality and operative mortality. In this review, we examine the eight risk models, compare the procedural outcomes, outline the feedback reporting, and discuss the future evolution of the NCD.
AB - The National Clinical Database (NCD) of Japan was established in April, 2010 with ten surgical subspecialty societies on the platform of the Japan Surgical Society. Registrations began in 2011 and over 4,000,000 cases from more than 4100 facilities were registered over a 3-year period. The gastroenterological section of the NCD collaborates with the American College of Surgeons’ National Surgical Quality Improvement Program, which shares a similar goal of developing a standardized surgical database for surgical quality improvement, with similar variables for risk adjustment. Risk models of mortality for eight procedures; namely, esophagectomy, partial/total gastrectomy, right hemicolectomy, low anterior resection, hepatectomy, pancreaticoduodenectomy, and surgery for acute diffuse peritonitis, have been established, and feedback reports to participants will be implemented. The outcome measures of this study were 30-day mortality and operative mortality. In this review, we examine the eight risk models, compare the procedural outcomes, outline the feedback reporting, and discuss the future evolution of the NCD.
KW - Gastrointestinal surgery
KW - Mortality
KW - National Clinical Database
KW - Nationwide web-based database
KW - Risk model
UR - http://www.scopus.com/inward/record.url?scp=84949313974&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84949313974&partnerID=8YFLogxK
U2 - 10.1007/s00595-015-1146-y
DO - 10.1007/s00595-015-1146-y
M3 - Review article
AN - SCOPUS:84949313974
SN - 0941-1291
VL - 46
SP - 38
EP - 47
JO - Surgery today
JF - Surgery today
IS - 1
ER -
