Development of an annually updated Japanese national clinical database for chest surgery in 2014
Year: 2016
Type: article
Study design: Observational Study
Abstract: OBJECTIVES: A national clinical database (NCD) adopted an "Internet-based collection" in 2011. An NCD specializing in chest surgery was launched based on the NCD system in 2014. The system was linked to the board certification as the second level in the hierarchy of the specialty of chest surgery and accreditation of educational institutions for chest surgery. Here, we report the status of the NCD for chest surgery in 2014 and clarified its registration rate and its accuracy. METHODS: Chest surgeries undertaken in Japan since January 1st, 2014 until the end of the same year were registered through an Internet-based system until April 8th, 2015. The registration rate was compared with the annual survey conducted by the Japanese Association for Thoracic Surgery (JATS) from 2011 to 2014. The rate of accurate inputting was measured by an Internet-based audit in reference to 563 anonymous operative notes of patients presented by 106 chest surgeons at the time of renewal for board certification for chest surgery. RESULTS: A total of 88,112 chest-surgical procedures were registered from 1000 chest surgery units (CSUs). Distribution of procedures by thoracic disease was almost identical to that of the annual survey conducted by JATS. However, the NCD had 4260 more registered procedures compared with the annual survey. The Internet-based audit showed that inter-rater agreement between Internet-based data and operative notes in any item was >94 %. CONCLUSIONS: The NCD system can sustainably provide important and up-to-date information relating to preoperative status, oncology, and best practice for chest surgery in Japan.
Institutions: Jichi Medical University, The Japanese Association for Chest Surgery, Tokyo Medical University Hospital, Tohoku Medical and Pharmaceutical University Hospital, Tohoku Medical and Pharmaceutical University, The University of Tokyo, Kyorin University, Kyorin University Hospital, Nagoya University, Dokkyo Medical University, Kagoshima University, Okayama University, Tohoku University, Institute of Development, Aging and Cancer, Tohoku University, University of Tsukuba, The University of Osaka, Yokohama City University, Shizuoka City Hospital, Keio University
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $2,490
OpenAlex ID: W2491242852