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Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry
AIM: This study aimed to evaluate the association between surgeons certified via the Endoscopic Surgical Skill Qualification System (ESSQS) of the Japan Society for Endoscopic Surgery (JSES) and surgical outcomes of laparoscopic distal gastrectomy (LDG) and laparoscopic low anterior resection (LLAR)...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7726689/ https://www.ncbi.nlm.nih.gov/pubmed/33319163 http://dx.doi.org/10.1002/ags3.12384 |
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author | Akagi, Tomonori Endo, Hideki Inomata, Masafumi Yamamoto, Hiroyuki Mori, Toshiyuki Kojima, Kazuyuki Kuroyanagi, Hiroya Sakai, Yoshiharu Nakajima, Kentaro Shiroshita, Hidefumi Etoh, Tsuyoshi Saida, Yoshihisa Yamamoto, Seiichiro Hasegawa, Hirotoshi Ueno, Hideki Kakeji, Yoshihiro Miyata, Hiroaki Kitagawa, Yuko Watanabe, Masahiko |
author_facet | Akagi, Tomonori Endo, Hideki Inomata, Masafumi Yamamoto, Hiroyuki Mori, Toshiyuki Kojima, Kazuyuki Kuroyanagi, Hiroya Sakai, Yoshiharu Nakajima, Kentaro Shiroshita, Hidefumi Etoh, Tsuyoshi Saida, Yoshihisa Yamamoto, Seiichiro Hasegawa, Hirotoshi Ueno, Hideki Kakeji, Yoshihiro Miyata, Hiroaki Kitagawa, Yuko Watanabe, Masahiko |
author_sort | Akagi, Tomonori |
collection | PubMed |
description | AIM: This study aimed to evaluate the association between surgeons certified via the Endoscopic Surgical Skill Qualification System (ESSQS) of the Japan Society for Endoscopic Surgery (JSES) and surgical outcomes of laparoscopic distal gastrectomy (LDG) and laparoscopic low anterior resection (LLAR). METHODS: Japanese National Clinical Database data on the patients undergoing LDG and LLAR between 2014‐2016 were analyzed retrospectively. The proportion of cases performed by ESSQS‐certified surgeons was calculated for each procedure, and clinicopathological factors with or without participation of ESSQS‐certified surgeons as an operator were assessed. Then, effects of operations performed by ESSQS‐certified surgeons on short‐term patient outcomes were analyzed using generalized estimating equations logistic regression analysis. RESULTS: There were 110 610 and 65 717 patients who underwent LDG and LLAR, respectively. The operations performed by ESSQS‐certified surgeons in each procedure totaled 28 467 (35.3%) and 12 866 (31.2%), respectively. A multivariable logistic regression model showed that odds ratios of mortality for LDG and LLAR performed by ESSQS‐certified surgeons were 0.774 (95% CI, 0.566‐1.060, P = 0.108) and 0.977 (0.591‐1.301, P = 0.514), respectively. Odds ratios for secondary endpoints of anastomotic leakage in LDG and LLAR performed by ESSQS‐certified surgeons were 0.835 (95% CI, 0.723‐0.964, P = 0.014) and 0.929 (0.860‐1.003, P = 0.059), respectively, whereas that of ileus/bowel obstruction for LLAR performed by ESSQS‐certified surgeons was 1.265 (1.132‐1.415, P < 0.001). There were no significant associations between the two operations performed by ESSQS‐certified surgeons and other factors such as mortality and overall complications. CONCLUSIONS: ESSQS certification did not affect postoperative mortality following LDG and LLAR, but annual experience of laparoscopic surgery was associated with it. ESSQS certification may contribute to favorable outcomes regarding anastomotic leakage following LDG and LLAR. |
format | Online Article Text |
id | pubmed-7726689 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-77266892020-12-13 Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry Akagi, Tomonori Endo, Hideki Inomata, Masafumi Yamamoto, Hiroyuki Mori, Toshiyuki Kojima, Kazuyuki Kuroyanagi, Hiroya Sakai, Yoshiharu Nakajima, Kentaro Shiroshita, Hidefumi Etoh, Tsuyoshi Saida, Yoshihisa Yamamoto, Seiichiro Hasegawa, Hirotoshi Ueno, Hideki Kakeji, Yoshihiro Miyata, Hiroaki Kitagawa, Yuko Watanabe, Masahiko Ann Gastroenterol Surg Original Articles AIM: This study aimed to evaluate the association between surgeons certified via the Endoscopic Surgical Skill Qualification System (ESSQS) of the Japan Society for Endoscopic Surgery (JSES) and surgical outcomes of laparoscopic distal gastrectomy (LDG) and laparoscopic low anterior resection (LLAR). METHODS: Japanese National Clinical Database data on the patients undergoing LDG and LLAR between 2014‐2016 were analyzed retrospectively. The proportion of cases performed by ESSQS‐certified surgeons was calculated for each procedure, and clinicopathological factors with or without participation of ESSQS‐certified surgeons as an operator were assessed. Then, effects of operations performed by ESSQS‐certified surgeons on short‐term patient outcomes were analyzed using generalized estimating equations logistic regression analysis. RESULTS: There were 110 610 and 65 717 patients who underwent LDG and LLAR, respectively. The operations performed by ESSQS‐certified surgeons in each procedure totaled 28 467 (35.3%) and 12 866 (31.2%), respectively. A multivariable logistic regression model showed that odds ratios of mortality for LDG and LLAR performed by ESSQS‐certified surgeons were 0.774 (95% CI, 0.566‐1.060, P = 0.108) and 0.977 (0.591‐1.301, P = 0.514), respectively. Odds ratios for secondary endpoints of anastomotic leakage in LDG and LLAR performed by ESSQS‐certified surgeons were 0.835 (95% CI, 0.723‐0.964, P = 0.014) and 0.929 (0.860‐1.003, P = 0.059), respectively, whereas that of ileus/bowel obstruction for LLAR performed by ESSQS‐certified surgeons was 1.265 (1.132‐1.415, P < 0.001). There were no significant associations between the two operations performed by ESSQS‐certified surgeons and other factors such as mortality and overall complications. CONCLUSIONS: ESSQS certification did not affect postoperative mortality following LDG and LLAR, but annual experience of laparoscopic surgery was associated with it. ESSQS certification may contribute to favorable outcomes regarding anastomotic leakage following LDG and LLAR. John Wiley and Sons Inc. 2020-08-31 /pmc/articles/PMC7726689/ /pubmed/33319163 http://dx.doi.org/10.1002/ags3.12384 Text en © 2020 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Akagi, Tomonori Endo, Hideki Inomata, Masafumi Yamamoto, Hiroyuki Mori, Toshiyuki Kojima, Kazuyuki Kuroyanagi, Hiroya Sakai, Yoshiharu Nakajima, Kentaro Shiroshita, Hidefumi Etoh, Tsuyoshi Saida, Yoshihisa Yamamoto, Seiichiro Hasegawa, Hirotoshi Ueno, Hideki Kakeji, Yoshihiro Miyata, Hiroaki Kitagawa, Yuko Watanabe, Masahiko Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry |
title | Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry |
title_full | Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry |
title_fullStr | Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry |
title_full_unstemmed | Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry |
title_short | Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry |
title_sort | clinical impact of endoscopic surgical skill qualification system (essqs) by japan society for endoscopic surgery (jses) for laparoscopic distal gastrectomy and low anterior resection based on the national clinical database (ncd) registry |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7726689/ https://www.ncbi.nlm.nih.gov/pubmed/33319163 http://dx.doi.org/10.1002/ags3.12384 |
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