Annual report on National Clinical Database 2020 for gastroenterological surgery in Japan.
Annual report on National Clinical Database 2020 for gastroenterological surgery in Japan.
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DOI：
10.1002/ags3.12662
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发表时间：
2023-05
影响因子：
2.7
通讯作者：
Kitagawa, Yuko
中科院分区：
文献类型：
--
作者：
Kajiwara, Yoshiki;Takahashi, Arata;Ueno, Hideki;Kakeji, Yoshihiro;Hasegawa, Hiroshi;Eguchi, Susumu;Goi, Takanori;Saiura, Akio;Sasaki, Akira;Takiguchi, Shuji;Takeuchi, Hiroya;Tanaka, Chie;Hashimoto, Masaji;Hiki, Naoki;Horiguchi, Akihiko;Matsuda, Satoru;Mizushima, Tsunekazu;Marubashi, Shigeru;Gotoh, Mitsukazu;Konno, Hiroyuki;Yamamoto, Hiroyuki;Miyata, Hiroaki;Seto, Yasuyuki;Kitagawa, Yuko
关键词：
日本国家临床数据库（NCD）是一个全国性的手术数据输入系统，2020年是其成立10周年。其目的是提交2020年NCD胃肠外科年度报告。总结了2011年至2020年NCD中日本胃肠外科学会委员会认证外科医生培训课程规定的外科手术数据。从非传染性疾病中提取的病例总数为5 622 845例，包括2020年的593 088例。除2020年因COVID-19疫情影响外，消化外科手术总数于此十年内逐渐增加。2020年，除胰腺和肝脏外，各器官的年度手术数量较2019年下降0. 4%-13. 1%。手术患者持续老化，2020年超过20%的胃肠外科手术涉及80岁或以上的患者。各器官的委员会认证外科医生的参与率均有所上升（二零二零年为75. 9%至95. 7%）。内窥镜手术率也不断增加。虽然10年来各器官术后并发症的发生率增加了0.7%~ 7.9%，但术后死亡率下降了0.2%~ 1.5%。我们在此介绍了2020年每种胃肠外科手术的短期结局。对胃肠外科手术10年NCD数据的审查显示，手术数量（2020年除外）持续增加，尤其是内窥镜手术，以及日本人口老龄化。日本胃肠外科手术的良好安全性也被指出。本研究介绍了日本胃肠外科国家临床数据库2020的年度报告。该手稿显示手术数量持续增加，尤其是内窥镜手术，以及日本人口老龄化。此外，它表明日本胃肠外科手术的安全性良好，其中大多数手术越来越多地由委员会认证的外科医生进行。
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. 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. 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%. 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. This study presents the annual report on the National Clinical Database 2020 for gastroenterological surgery in Japan. This manuscript revealed a consistent increase of the number of surgeries, especially with endoscopic surgeries, and aging of the Japanese population. Moreover, it indicated the good safety of Japanese gastroenterological surgeries, most of which have been increasingly carried out by the board‐certified surgeons.
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影响因子：
2.7
作者：
Hiramatsu Y;Kumamaru H;Kikuchi H;Usune S;Kamiya K;Miyata H;Konno H;Kakeji Y;Kitagawa Y;Takeuchi H
通讯作者：
Takeuchi H
影响因子：
9
作者：
Kimura, Wataru;Miyata, Hiroaki;Mori, Masaki
通讯作者：
Mori, Masaki
影响因子：
2.7
作者：
通讯作者：
--
影响因子：
2.5
作者：
Katayama H;Kurokawa Y;Nakamura K;Ito H;Kanemitsu Y;Masuda N;Tsubosa Y;Satoh T;Yokomizo A;Fukuda H;Sasako M
通讯作者：
Sasako M
影响因子：
2.7
作者：
Yoshida T;Miyata H;Konno H;Kumamaru H;Tangoku A;Furukita Y;Hirahara N;Wakabayashi G;Gotoh M;Mori M
通讯作者：
Mori M