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Comparison of National Operative Mortality in Gastroenterological Surgery Using Web-based Prospective Data Entry Systems
International collaboration is important in healthcare quality evaluation; however, few international comparisons of general surgery outcomes have been accomplished. Furthermore, predictive model application for risk stratification has not been internationally evaluated. The National Clinical Databa...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008495/ https://www.ncbi.nlm.nih.gov/pubmed/26656350 http://dx.doi.org/10.1097/MD.0000000000002194 |
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author | Anazawa, Takayuki Paruch, Jennifer L. Miyata, Hiroaki Gotoh, Mitsukazu Ko, Clifford Y. Cohen, Mark E. Hirahara, Norimichi Zhou, Lynn Konno, Hiroyuki Wakabayashi, Go Sugihara, Kenichi Mori, Masaki |
author_facet | Anazawa, Takayuki Paruch, Jennifer L. Miyata, Hiroaki Gotoh, Mitsukazu Ko, Clifford Y. Cohen, Mark E. Hirahara, Norimichi Zhou, Lynn Konno, Hiroyuki Wakabayashi, Go Sugihara, Kenichi Mori, Masaki |
author_sort | Anazawa, Takayuki |
collection | PubMed |
description | International collaboration is important in healthcare quality evaluation; however, few international comparisons of general surgery outcomes have been accomplished. Furthermore, predictive model application for risk stratification has not been internationally evaluated. The National Clinical Database (NCD) in Japan was developed in collaboration with the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP), with a goal of creating a standardized surgery database for quality improvement. The study aimed to compare the consistency and impact of risk factors of 3 major gastroenterological surgical procedures in Japan and the United States (US) using web-based prospective data entry systems: right hemicolectomy (RH), low anterior resection (LAR), and pancreaticoduodenectomy (PD). Data from NCD and ACS-NSQIP, collected over 2 years, were examined. Logistic regression models were used for predicting 30-day mortality for both countries. Models were exchanged and evaluated to determine whether the models built for one population were accurate for the other population. We obtained data for 113,980 patients; 50,501 (Japan: 34,638; US: 15,863), 42,770 (Japan: 35,445; US: 7325), and 20,709 (Japan: 15,527; US: 5182) underwent RH, LAR, and, PD, respectively. Thirty-day mortality rates for RH were 0.76% (Japan) and 1.88% (US); rates for LAR were 0.43% versus 1.08%; and rates for PD were 1.35% versus 2.57%. Patient background, comorbidities, and practice style were different between Japan and the US. In the models, the odds ratio for each variable was similar between NCD and ACS-NSQIP. Local risk models could predict mortality using local data, but could not accurately predict mortality using data from other countries. We demonstrated the feasibility and efficacy of the international collaborative research between Japan and the US, but found that local risk models remain essential for quality improvement. |
format | Online Article Text |
id | pubmed-5008495 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-50084952016-09-09 Comparison of National Operative Mortality in Gastroenterological Surgery Using Web-based Prospective Data Entry Systems Anazawa, Takayuki Paruch, Jennifer L. Miyata, Hiroaki Gotoh, Mitsukazu Ko, Clifford Y. Cohen, Mark E. Hirahara, Norimichi Zhou, Lynn Konno, Hiroyuki Wakabayashi, Go Sugihara, Kenichi Mori, Masaki Medicine (Baltimore) 7100 International collaboration is important in healthcare quality evaluation; however, few international comparisons of general surgery outcomes have been accomplished. Furthermore, predictive model application for risk stratification has not been internationally evaluated. The National Clinical Database (NCD) in Japan was developed in collaboration with the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP), with a goal of creating a standardized surgery database for quality improvement. The study aimed to compare the consistency and impact of risk factors of 3 major gastroenterological surgical procedures in Japan and the United States (US) using web-based prospective data entry systems: right hemicolectomy (RH), low anterior resection (LAR), and pancreaticoduodenectomy (PD). Data from NCD and ACS-NSQIP, collected over 2 years, were examined. Logistic regression models were used for predicting 30-day mortality for both countries. Models were exchanged and evaluated to determine whether the models built for one population were accurate for the other population. We obtained data for 113,980 patients; 50,501 (Japan: 34,638; US: 15,863), 42,770 (Japan: 35,445; US: 7325), and 20,709 (Japan: 15,527; US: 5182) underwent RH, LAR, and, PD, respectively. Thirty-day mortality rates for RH were 0.76% (Japan) and 1.88% (US); rates for LAR were 0.43% versus 1.08%; and rates for PD were 1.35% versus 2.57%. Patient background, comorbidities, and practice style were different between Japan and the US. In the models, the odds ratio for each variable was similar between NCD and ACS-NSQIP. Local risk models could predict mortality using local data, but could not accurately predict mortality using data from other countries. We demonstrated the feasibility and efficacy of the international collaborative research between Japan and the US, but found that local risk models remain essential for quality improvement. Wolters Kluwer Health 2015-12-11 /pmc/articles/PMC5008495/ /pubmed/26656350 http://dx.doi.org/10.1097/MD.0000000000002194 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 7100 Anazawa, Takayuki Paruch, Jennifer L. Miyata, Hiroaki Gotoh, Mitsukazu Ko, Clifford Y. Cohen, Mark E. Hirahara, Norimichi Zhou, Lynn Konno, Hiroyuki Wakabayashi, Go Sugihara, Kenichi Mori, Masaki Comparison of National Operative Mortality in Gastroenterological Surgery Using Web-based Prospective Data Entry Systems |
title | Comparison of National Operative Mortality in Gastroenterological Surgery Using Web-based Prospective Data Entry Systems |
title_full | Comparison of National Operative Mortality in Gastroenterological Surgery Using Web-based Prospective Data Entry Systems |
title_fullStr | Comparison of National Operative Mortality in Gastroenterological Surgery Using Web-based Prospective Data Entry Systems |
title_full_unstemmed | Comparison of National Operative Mortality in Gastroenterological Surgery Using Web-based Prospective Data Entry Systems |
title_short | Comparison of National Operative Mortality in Gastroenterological Surgery Using Web-based Prospective Data Entry Systems |
title_sort | comparison of national operative mortality in gastroenterological surgery using web-based prospective data entry systems |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008495/ https://www.ncbi.nlm.nih.gov/pubmed/26656350 http://dx.doi.org/10.1097/MD.0000000000002194 |
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