Validation of the board certification system for expert surgeons (hepato-biliary-pancreatic field) using the data of the National Clinical Database of Japan: part 2 – Pancreatoduodenectomy

Fumihiko Miura, Masakazu Yamamoto, Mitsukazu Gotoh, Hiroyuki Konno, Jiro Fujimoto, Katsuhiko Yanaga, Norihiro Kokudo, Hiroki Yamaue, Go Wakabayashi, Yasuyuki Seto, Michiaki Unno, Hiroaki Miyata, Norimichi Hirahara, Masaru Miyazaki

研究成果: Article査読

16 被引用数 (Scopus)

抄録

Background: Data of pancreatoduodenectomy (PD) cases from the National Clinical Database (NCD) were analyzed in order to validate the board certification system established by the Japanese Society of Hepato-Biliary-Pancreatic Surgery (JSHBPS). Methods: Board-certified A training institutions and board-certified B training institutions were required to perform at least 50 and 30 high-level hepato-biliary-pancreatic (HBP) surgeries per year, respectively. Records of 17,563 patients who had undergone PD during 2011 and 2012 were retrospectively analyzed according to the category of the board-certified institution and with or without participation of board-certified instructors or expert surgeons. Results: Operative mortality rates after PDs performed at certified A institutions, certified B institutions, and non-certified institutions were 1.5%, 3.0%, and 3.9%, respectively (P < 0.001). The operative mortality rates after PDs performed with participation of certified instructors or expert surgeons were better than those without (2.2% vs. 3.8%, P < 0.001). A multiple logistic regression model showed that cutoffs of high-level HBP surgeries performed per year at hospitals that predicted 30-day mortality after PDs were 10 and 50, and that those that predicted operative mortality were 10 and 70. Conclusions: The requirements for board-certified institutions, instructors, and expert surgeons to perform PD were appropriate. The requirements for board-certified A institutions were close to the identified cutoffs. Further analyses are necessary to elucidate the implications of the board certification system.

本文言語English
ページ(範囲)353-363
ページ数11
ジャーナルJournal of Hepato-Biliary-Pancreatic Sciences
23
6
DOI
出版ステータスPublished - 2016 6 1

ASJC Scopus subject areas

  • Medicine(all)

フィンガープリント 「Validation of the board certification system for expert surgeons (hepato-biliary-pancreatic field) using the data of the National Clinical Database of Japan: part 2 – Pancreatoduodenectomy」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

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