TY - JOUR
T1 - Annual report on National Clinical Database 2020 for gastroenterological surgery in Japan
AU - the National Clinical Database
AU - Kajiwara, Yoshiki
AU - Takahashi, Arata
AU - Ueno, Hideki
AU - Kakeji, Yoshihiro
AU - Hasegawa, Hiroshi
AU - Eguchi, Susumu
AU - Goi, Takanori
AU - Saiura, Akio
AU - Sasaki, Akira
AU - Takiguchi, Shuji
AU - Takeuchi, Hiroya
AU - Tanaka, Chie
AU - Hashimoto, Masaji
AU - Hiki, Naoki
AU - Horiguchi, Akihiko
AU - Matsuda, Satoru
AU - Mizushima, Tsunekazu
AU - Marubashi, Shigeru
AU - Gotoh, Mitsukazu
AU - Konno, Hiroyuki
AU - Yamamoto, Hiroyuki
AU - Miyata, Hiroaki
AU - Seto, Yasuyuki
AU - Kitagawa, Yuko
N1 - Publisher Copyright:
© 2023 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery.
PY - 2023/5
Y1 - 2023/5
N2 - Aim: The National Clinical Database (NCD) of Japan is a nationwide data entry system for surgery, and it marked its 10th anniversary in 2020. The aim was to present the 2020 annual report of gastroenterological surgery of the NCD. Methods: The data of the surgical procedures stipulated by the training curriculum for board-certified surgeons of the Japanese Society of Gastroenterological Surgery in the NCD from 2011 to 2020 were summarized. Results: In total, 5 622 845 cases, including 593 088 cases in 2020, were extracted from the NCD. The total number of gastroenterological surgeries increased gradually in these 10 years, except for the year 2020 due to the COVID-19 pandemic. The annual number of surgeries of each organ, except the pancreas and liver, decreased by 0.4%–13.1% in 2020 compared to 2019. The surgical patients were consistently aging, with more than 20% of all gastroenterological surgeries in 2020 involving patients aged 80 years or older. The participation of board-certified surgeons increased for each organ (75.9%–95.7% in 2020). The rates of endoscopic surgery also increased constantly. Although the incidences of postoperative complications of each organ increased by 0.7%–7.9% in these 10 years, postoperative mortality rates decreased by 0.2%–1.5%. Conclusions: We present here the short-term outcomes of each gastroenterological operative procedure in 2020. This review of the 10-years of NCD data of gastroenterological surgery revealed a consistent increase of the number of surgeries (except for in 2020), especially endoscopic procedures, and aging of the Japanese population. The good safety of Japanese gastroenterological surgeries was also indicated.
AB - Aim: The National Clinical Database (NCD) of Japan is a nationwide data entry system for surgery, and it marked its 10th anniversary in 2020. The aim was to present the 2020 annual report of gastroenterological surgery of the NCD. Methods: The data of the surgical procedures stipulated by the training curriculum for board-certified surgeons of the Japanese Society of Gastroenterological Surgery in the NCD from 2011 to 2020 were summarized. Results: In total, 5 622 845 cases, including 593 088 cases in 2020, were extracted from the NCD. The total number of gastroenterological surgeries increased gradually in these 10 years, except for the year 2020 due to the COVID-19 pandemic. The annual number of surgeries of each organ, except the pancreas and liver, decreased by 0.4%–13.1% in 2020 compared to 2019. The surgical patients were consistently aging, with more than 20% of all gastroenterological surgeries in 2020 involving patients aged 80 years or older. The participation of board-certified surgeons increased for each organ (75.9%–95.7% in 2020). The rates of endoscopic surgery also increased constantly. Although the incidences of postoperative complications of each organ increased by 0.7%–7.9% in these 10 years, postoperative mortality rates decreased by 0.2%–1.5%. Conclusions: We present here the short-term outcomes of each gastroenterological operative procedure in 2020. This review of the 10-years of NCD data of gastroenterological surgery revealed a consistent increase of the number of surgeries (except for in 2020), especially endoscopic procedures, and aging of the Japanese population. The good safety of Japanese gastroenterological surgeries was also indicated.
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U2 - 10.1002/ags3.12662
DO - 10.1002/ags3.12662
M3 - Review article
AN - SCOPUS:85147710699
SN - 2475-0328
VL - 7
SP - 367
EP - 406
JO - Annals of Gastroenterological Surgery
JF - Annals of Gastroenterological Surgery
IS - 3
ER -