Gotoh Mitsukazu, Miyata Hiroaki, Hashimoto Hideki, Wakabayashi Go, Konno Hiroyuki, Miyakawa Shuichi, Sugihara Kenichi, Mori Masaki, Satomi Susumu, Kokudo Norihiro, Iwanaka Tadashi
National Clinical Database, 1-8-3 Marunouchi, Chiyoda-ku, Tokyo, Japan.
The Japanese Society of Gastroenterological Surgery (JSGS), Database Committee, 1-14-1-501 Shintomi, Chuo-ku, Tokyo, 104-0041, Japan.
Surg Today. 2016 Jan;46(1):38-47. doi: 10.1007/s00595-015-1146-y. Epub 2015 Mar 24.
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.
日本国家临床数据库（NCD）于2010年4月在日本外科学会的平台上，由十个外科亚专业学会共同建立。注册工作始于2011年，在三年时间里，来自4100多家机构的超过400万例病例进行了注册。NCD的胃肠病学部分与美国外科医师学会的国家外科质量改进计划合作，该计划有着类似的目标，即开发一个用于外科质量改进的标准化手术数据库，且具有类似的风险调整变量。已经建立了八种手术的死亡率风险模型，即食管切除术、部分/全胃切除术、右半结肠切除术、低位前切除术、肝切除术、胰十二指肠切除术以及急性弥漫性腹膜炎手术，并将向参与者实施反馈报告。本研究的结局指标为30天死亡率和手术死亡率。在本综述中，我们审视这八种风险模型，比较手术结局，概述反馈报告，并讨论NCD的未来发展。
