TY - JOUR
T1 - Surgically treated gastric cancer in Japan
T2 - 2011 annual report of the national clinical database gastric cancer registry
AU - The Registration Committee of the Japanese Gastric Cancer Association
AU - Suzuki, Satoshi
AU - Takahashi, Arata
AU - Ishikawa, Takashi
AU - Akazawa, Kohei
AU - Katai, Hitoshi
AU - Isobe, Yoh
AU - Miyashiro, Isao
AU - Ono, Hiroyuki
AU - Tanabe, Satoshi
AU - Fukagawa, Takeo
AU - Muro, Kei
AU - Nunobe, Souya
AU - Kadowaki, Shigenori
AU - Suzuki, Haruhisa
AU - Irino, Tomoyuki
AU - Usune, Shiyori
AU - Miyata, Hiroaki
AU - Kakeji, Yoshihiro
AU - Suzuki, Satoshi
N1 - Funding Information:
Arata Takahashi, Shiyori Usune, and Hiroaki Miyata are affiliated with the Department of Healthcare Quality Assessment at the University of Tokyo. The department is a social collaboration department supported by grants from the National Clinical Database, Johnson & Johnson K. K., and NIPRO Co. The other authors have no conflict of interest to declare.
Publisher Copyright:
© 2021, The International Gastric Cancer Association and The Japanese Gastric Cancer Association.
PY - 2021/5
Y1 - 2021/5
N2 - Background: The National Clinical Database (NCD) nationwide registry program of gastric cancer started in 2018. The purpose of this study was to report the treatment results of the NCD registry in the form of treatment results of the real world in Japan. Methods: Patients’ characteristics, tumor features, treatments, and outcomes were collected using a web-based data entry system. We analyzed the initial NCD database for data on surgically treated gastric cancer patients in 2011. Results: A total of 30,257 patients with malignant gastric tumors were enrolled by the NCD registry program from 501 hospitals in all 47 prefectures. Of these, the status of data entry was not approved in 8.8% of the registered data, and follow-up information was missing in 1.2% of the approved cases. Excluding 1777 cases, which were not resected for primary gastric cancer, 25,306 resected cases included 44.4% of stomach surgeries recorded in the NCD. The 5 year survival rate of the resected cases was 71.3% and the operative mortality rate was 0.41%. The stage-specific 5 year survival rates were as follows: 89.6% for stage IA, 83.8% for stage IB, 77.3% for stage IIA, 69.1% for stage IIB, 58.7% for stage IIIA, 44.1% for stage IIIB, 30.1% for stage IIIC, and 13.4% for stage IV. Conclusions: The NCD gastric cancer registry program demonstrated validity for database construction. The gastric cancer registry is expected to become a nationwide registry with the dissemination of data entry system and method in the NCD.
AB - Background: The National Clinical Database (NCD) nationwide registry program of gastric cancer started in 2018. The purpose of this study was to report the treatment results of the NCD registry in the form of treatment results of the real world in Japan. Methods: Patients’ characteristics, tumor features, treatments, and outcomes were collected using a web-based data entry system. We analyzed the initial NCD database for data on surgically treated gastric cancer patients in 2011. Results: A total of 30,257 patients with malignant gastric tumors were enrolled by the NCD registry program from 501 hospitals in all 47 prefectures. Of these, the status of data entry was not approved in 8.8% of the registered data, and follow-up information was missing in 1.2% of the approved cases. Excluding 1777 cases, which were not resected for primary gastric cancer, 25,306 resected cases included 44.4% of stomach surgeries recorded in the NCD. The 5 year survival rate of the resected cases was 71.3% and the operative mortality rate was 0.41%. The stage-specific 5 year survival rates were as follows: 89.6% for stage IA, 83.8% for stage IB, 77.3% for stage IIA, 69.1% for stage IIB, 58.7% for stage IIIA, 44.1% for stage IIIB, 30.1% for stage IIIC, and 13.4% for stage IV. Conclusions: The NCD gastric cancer registry program demonstrated validity for database construction. The gastric cancer registry is expected to become a nationwide registry with the dissemination of data entry system and method in the NCD.
KW - Annual report
KW - Gastric cancer registry
KW - National Clinical Database
UR - http://www.scopus.com/inward/record.url?scp=85103611922&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85103611922&partnerID=8YFLogxK
U2 - 10.1007/s10120-021-01178-5
DO - 10.1007/s10120-021-01178-5
M3 - Article
C2 - 33811588
AN - SCOPUS:85103611922
SN - 1436-3291
VL - 24
SP - 545
EP - 566
JO - Gastric Cancer
JF - Gastric Cancer
IS - 3
ER -